Job Summary
A company is looking for a Health Plan Registered Nurse Behavioral Health Quality of Care.
Key Responsibilities
- Investigates referred Quality of Care concerns, including medical record documentation review and tracking cases in a database
- Prepares and presents Quality of Care cases to the Medical Director for review
- Assists in the development and implementation of the Quality of Care training program
Required Qualifications
- Two years of clinical experience in an acute care or outpatient setting
- At least one year of experience in a quality management role
- Current, valid RN license in the state of practice
- Knowledge of National Medicare and State AHCCCS regulations
- Ability to work independently and establish good working relationships with staff and providers
Comments