Job Summary
A company is looking for a Performance Monitor Specialist, Clinic.
Key Responsibilities
- Conducts clinical file assessments to ensure adherence to required clinical standards
- Participates in the development and review of clinical review tools for performance standards
- Reviews documentation and training materials to evaluate alignment with departmental and contractual standards
Required Qualifications
- Bachelor's Degree in Nursing, Clinical Social Work/Counseling, or an Associate's degree with an RN and 3+ years of clinical experience
- 3+ years of experience in a clinical environment (inpatient or outpatient)
- 1+ year of experience in Managed Care (UM, BH, CM) preferred
- Familiarity with Medicare and Medicaid programs preferred
- Licensure as a Registered Nurse (RN), LCSW, LMHC, or LMFT is required
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