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in Atlanta, GA

$15 per hour
About this job


  • **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

  • **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a clients business needs and requirements.**

Title: Quality Management Nurse Consultant
Location: Remote
Duration: 3 Months
Pay Rate: $30-$35/hr.

Description :

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function

3+ years of experience as an RN
1+ year of inpatient hospital experience, specifically Med/Surg
Active and unrestricted RN licensure in state of residence
Able to work in multiple IT platforms/systems

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