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Providence

    Quality Management Nurse Consultant - Providence, United States - JobRialto

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    Description

    Responsibilities:

    • Review and evaluate clinical information and documentation.
    • Interpret data from clinical records to apply clinical criteria.
    • Coordinate clinical resolution with internal/external clinician support.
    • Evaluate potential quality of care issues.
    • Assess compliance with clinical policy, regulatory, and accreditation guidelines.
    • Apply review requirements accurately.
    • Ensure activities are processed within guidelines.
    • Report audit or clinical findings for improvement.

    Requirements:

    • RN with unrestricted active license.

    Skills:

    • Comprehensive knowledge of delegation arrangements, contracts, clinical criteria.
    • Ability to condense complex information into a clear clinical picture.
    • Independently work on processing clinical documentation.


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