Registered Nurse Quality Reviewer

Job Summary

A company is looking for a Quality Review Nurse.

Key Responsibilities

• Coordinate quality review activities and resources for medical file review operations
• Certify that all outgoing file review reports meet compliance and quality guidelines
• Work independently and make decisions within the scope of the position

Required Qualifications

• Current Registered Nurse licensure; BSN preferred
• Minimum 3-5 years of clinical experience
• Preferred minimum of 1-2 years of experience with an insurance carrier
• Basic understanding of insurance risk concepts
• Knowledge of the MS Office Suite required