Sr. Quality of Care Review Nurse

Added
19 days ago
Type
Full time
Salary
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๐Ÿ“‹ Description

  • Perform quality audits of member, provider, and vendor interactions.
  • Guide interrater reliability (IRR) assessments for decision support.
  • Investigate provider and facility quality concerns and escalate trends.
  • Consult with partners to align programs with accreditation and regulatory requirements.
  • Present quality and performance data to partners and quality subcommittees.
  • Ensure compliance with applicable laws and regulations.

๐ŸŽฏ Requirements

  • Licensed RN with active, unrestricted license.
  • Willing to obtain additional licenses as needed for Oscar.
  • 2+ years of experience as a Registered Nurse.
  • 2+ years experience in a clinical care setting.

๐ŸŽ Benefits

  • Medical, dental, and vision benefits.
  • 11 paid holidays and paid sick time.
  • Paid parental leave.
  • 401(k) plan participation.
  • Life and disability insurance.
  • Unlimited vacation and wellness reimbursements.
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