Job Summary
A company is looking for a Utilization Review and Quality Assurance Specialist.
Key Responsibilities
- Evaluate clinical information and write/review various medical reports
- Conduct quality assurance reviews to ensure compliance with standards and clarity
- Provide training and feedback to promote best practices in clinical review operations
Required Qualifications
- Degree in nursing or related field, or a minimum of five years related experience
- Registered Nursing license or certification in a related field required
- Strong understanding of medical terminology, anatomy, and treatment protocols
- Proficiency in Microsoft Office Suite and general office equipment
- Ability to work independently and manage time efficiently in a fast-paced environment
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