Multi-State Licensed Nurse Consultant

A company is looking for a Quality Management Nurse Consultant - Remote.

Key Responsibilities

Audit clinical criteria, policy procedures, and compliance for the Medicaid and Duals Program

Maintain clinical review skills through annual IRR and collaborate with leadership for process improvement

Work Monday to Friday from 8 : 00am to 5 : 00pm

Required Qualifications

Current unrestricted multi-state RN license

3+ years of clinical experience

2+ years of Utilization Management experience

2+ years of experience with MS Office Suite and navigating multiple systems

Associates Degree required; Bachelor's preferred