Registered Nurse Quality Reviewer

A company is looking for a Quality Review Nurse. Key Responsibilities Coordinate quality review activities and resources for medical file review operations Certify that all outgoing file review reports meet compliance and quality guidelines Work independently and make decisions within the scope of the position Required Qualifications Current Registered Nurse licensure; BSN preferred Minimum 3-5 years of clinical experience Preferred minimum of 1-2 years of experience with an insurance carrier Basic understanding of insurance risk concepts Knowledge of the MS Office Suite required

Jun 16, 2025 - 21:30

A company is looking for a Quality Review Nurse. Key Responsibilities Coordinate quality review activities and resources for medical file review operations Certify that all outgoing file review reports meet compliance and quality guidelines Work independently and make decisions within the scope of the position Required Qualifications Current Registered Nurse licensure; BSN preferred Minimum 3-5 years of clinical experience Preferred minimum of 1-2 years of experience with an insurance carrier Basic understanding of insurance risk concepts Knowledge of the MS Office Suite required