Remote Clinical Quality Reviewer
US Family Health Plan- A TRICARE Prime option
New York, NY
- Remote job
US Family Health Plan- A TRICARE Prime option in New York seeks an experienced Clinical Quality Reviewer. The role conducts post-service in-depth clinical reviews across care settings, using clinical expertise to detect deviations from standard of care and gaps in care. You will document investigations and final determinations while coordinating with providers and internal departments. The ideal candidate holds an RN or LPN license with 1–3 years of healthcare quality management experience and #J-18808-Ljbffr US Family Health Plan- A TRICARE Prime option
Vacancy posted 4 days ago
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