Job Opportunity Details

Job ID Specialty Geographic Location City State Recruiter
2281008 Quality Less than 30 Minutes from Kansas City, MO Lee's Summit MO Registry Ally

Company Name: Registry Ally
Recruiter Name: Jenny Magtangob
Contact Phone: 424-488-2577

Job Title: Remote - Senior Quality Management RN - Utilization Management

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Job Description

This is a Quality Opportunity Only!

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Less than 30 Minutes from Kansas City, MO    (Only QUALIFIED Healthcare Professionals accepted) Quality - JOB DETAILS
• Target Start Date: Nov 1
• Expanding Health Insurance Company
• Salary: $88,000 per year (Negotiable depending on experience)
• Full Time Permanent Position
• Remote role but must live within 1 hour drive of Lee's Summit, MO
• Great benefits
• Opportunity to build a team from the ground up

• Responsible for the development and execution of a quality oversight program focused on the company’s utilization management
• Ensure program policies and procedures meet relevant federal, state and accreditation statutes and standards.
• Coordinate regular monitoring and auditing of workflows.
• Responsible for coordinating the federal and state requests for compliance reporting as well as audits.

• Active RN License in MO in good standing
• Bachelor’s or Associate Degree in Nursing. BSN Preferred
• 3 years of Utilization Management|Quality Improvement experience
• Advanced knowledge and understanding of basic utilization management concepts and quality improvement concepts
• Advanced knowledge of CMS, URAC and|or State utilization management statutes and standards required. (At least 1+ years
• Ability to attend occasional team meetings on-site.
• Experience as a lead in a functional area or managing cross functional teams on large scale projects
• Experience developing, participating and|or leading audit program and|or process for oversight
• Excellent verbal and written communication skills

Apply with Registry Ally now!
Call: (424) 488-2577


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