Job Summary
A company is looking for a Quality Management RN - Remote.
Key Responsibilities
- Investigate, classify, and remediate critical incidents across multiple business lines
- Resolve member concurrent quality of care complaints and track clinical issues for reporting
- Provide clinical support for Quality Improvement Activities and perform clinical audits
Required Qualifications
- Current unrestricted RN licensure in the state of residence
- 3+ years of risk management, case management, or managed care experience
- Proficient in MS Office
- BSN preferred
- Experience with NY Medicaid is a plus
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