RN Quality Review Analyst - Nashville
4 weeks ago

Job summary
The Quality Review Specialist (RN) investigates and reviews quality-of-care grievances to ensure compliance with CMS NCQA and state regulations.
+Responsibilities
- Review and investigate quality-of-care cases
- Conduct concurrent retrospective clinical reviews
- Analyze medical records
- < li >Active unrestricted Registered Nurse (RN) license < / li >< li >3–5 years of quality review quality improvement or clinical review experience < / li > ul >
Job description
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