Clinical Quality Review Specialist (LPN/RN)
Position Overview
We are seeking a detail-oriented Clinical Quality Review Specialist to support the identification, investigation, and resolution of clinical quality issues across all care settings. This role works both independently and collaboratively with internal teams and external vendors to ensure alignment with health plan standards and regulatory requirements.
The ideal candidate brings a strong clinical background, analytical mindset, and a passion for improving quality of care and service delivery.
Key Responsibilities
Required Qualifications
Preferred Qualifications
Schedule
Why Join Us?
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