This job is now closed
Job Description
- Req#: QUALI008029
Employer Industry: Risk Management Solutions
Why Consider this Job Opportunity:
- Competitive pay up to $91,580
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package including medical, dental, vision, and life insurance
- Strong, supportive culture with plenty of career advancement opportunities
- Ability to make a positive impact in the risk management industry
- Work-life balance with paid time off and other flexible benefits
What to Expect (Job Responsibilities):
- Develop, implement, and provide ongoing quality assurance calibration of processes
- Educate and equip operations with performance measurement and reporting tools
- Provide national account and regulatory quality oversight
- Interface with utilization review managers regarding compliance with organizational policies and procedures
- Review results and outcomes with general management and case management leadership
What is Required (Qualifications):
- Graduate of accredited school of nursing with a diploma/Associate degree
- 3 or more years of recent clinical experience, preferably in rehabilitation
- National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred
- 4 years of utilization management experience; OR equivalent combination of training, education, and experience
- Prior quality assurance, utilization review, and/or training experience a plus
- Current RN licensure
How to Stand Out (Preferred Qualifications):
- Prior experience interacting with regulatory agency contacts
- Writing policies and procedures for URAC compliance
- Familiarity with legal and regulatory research related to workers' compensation utilization management laws, regulations, rules, and URAC standards interpretation
#RiskManagement #QualityAssurance #CareerAdvancement #CompetitivePay #HealthcareServices
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
CorVel Corporation is a national provider of comprehensive risk management solutions to employers, third party administrators, insurance companies and government agencies. CorVel claims management provides clients with the information and insight they ...
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.