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Senior Clinical Quality Nurse RN, Quality Operations Call Center - Remote
5 days agoWhat's your preference?
Job Description
- Req#: 2287737
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $140,600 annually
- Comprehensive benefits package including equity stock purchase and 401k contributions
- Opportunity for career advancement and growth within the organization
- Flexibility to work remotely from anywhere within the U.S.
- Supportive and collaborative work environment
- Chance to make a positive impact on patient health outcomes
What to Expect (Job Responsibilities):
- Perform telephonic, patient-centered clinical consults focused on care for older adults
- Manage inbound and outbound calls for prescription refill requests, medical inquiries, and patient education
- Complete patient assessments for Transition of Care and medication reconciliation
- Educate patients on health conditions and assist with appointment scheduling
- Document all calls and actions taken within core systems
What is Required (Qualifications):
- Active, unrestricted Registered Nurse eNLC Compact licensure in state of residency
- 5+ years of RN experience, including in a managed care setting
- 2+ years of experience in HEDIS/Star programs, preferably in a clinical quality consultant role
- 2+ years of Call Center or Telephonic Outreach experience
- Experience with data analysis and/or quality chart reviews
How to Stand Out (Preferred Qualifications):
- Undergraduate degree preferred, post-graduate degree
- Billing and CPT coding experience
- Clinical data abstraction experience
- Bilingual with preference given to Spanish and Vietnamese
#HealthcareServices #Nursing #RemoteWork #CareerOpportunity #PatientCare
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