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Position Description: Quality Assurance Review Nurse
Reporting to the Director, the QA Review Nurse will provide professional assessment, planning, coordination, implementation and reporting of complex clinical data and support the medical review operations of Provider Resources, Inc. (PRI). The nurse position will perform comprehensive medical record to make utilization, quality of care, and standards of care determinations based on evidence-based standards of care, applicable coverage policies, and utilization and practice guidelines.
Responsibilities
Requirements:
Preference will be given to individuals who reside in, or are willing to relocate to, a recognized HUBZone area. (Go to http://map.sba.gov/hubzone/maps/ for more information).
FLSA status: Exempt
Contract Compensation Plan
PRI is an equal employment opportunity employer. All qualified applicants including Disability/Vets or other qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
Full Time
Insurance
05/13/2024
07/12/2024
provider-resources.com
ERIE, PA
25 - 50
2003
Private
SHAWN KEOUGH-HARTZ
$10M - $50M
Insurance
The job skills required for Quality Review Nurse include Health Care, Quality Assurance, Quality Improvement, Coordination, Planning, Collaboration, etc. Having related job skills and expertise will give you an advantage when applying to be a Quality Review Nurse. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Quality Review Nurse. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Quality Review Nurse positions, which can be used as a reference in future career path planning. As a Quality Review Nurse, it can be promoted into senior positions as a Quality Assurance Coordinator - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Quality Review Nurse. You can explore the career advancement for a Quality Review Nurse below and select your interested title to get hiring information.