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Clinical Quality Reviewer RN
Clinical Quality Reviewer RNPacer Staffing • Anaheim, CA, US
Clinical Quality Reviewer RN

Clinical Quality Reviewer RN

Pacer Staffing • Anaheim, CA, US
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Title : Nurse RN 3 (Clinical Quality Review Nurse) - Remote

Remote | California Citizen

Contract : 9+ Months with Possible Extension

Schedule : Monday–Friday | 8 : 00 AM – 4 : 30 PM | 40 Hours / Week

Required Qualifications

  • Active and unrestricted California RN License
  • Associate's or Bachelor's Degree in Nursing
  • Proven experience working remotely with strong computer and organizational skills
  • 2+ years Experience with health plans, managed care organizations, IPA groups, or similar environments

Preferred Qualifications

  • 2 + years Extensive clinical experience within a hospital or acute care setting
  • 2+ years Previous experience in quality review, utilization management (UM), case management (CM), or peer review support
  • Familiarity with clinical investigation workflows, committee case preparation, and corrective action processes
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    Clinical Reviewer Rn • Anaheim, CA, US

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