RN Quality Review Analyst - Nashville

Only for registered members Nashville, United States

4 weeks ago

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Job summary

The Quality Review Specialist (RN) investigates and reviews quality-of-care grievances to ensure compliance with CMS NCQA and state regulations.

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Responsibilities

  • Review and investigate quality-of-care cases
  • Conduct concurrent retrospective clinical reviews
  • Analyze medical records
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    < li >Active unrestricted Registered Nurse (RN) license < / li >< li >3–5 years of quality review quality improvement or clinical review experience < / li >
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