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RN 3 - Quality & Utilization Review
Job Title: RN 3 Quality & Utilization Review
Work Location: Remote Candidate Must Reside in CA
Schedule: Monday Friday, 8:00 AM 5:00 PM
Duration: 6 Months (Possible Extension)
Pay Range: XXXXXXXXXXX - XXXXXXXXXXX Per hr. on w2.
Position Summary
The RN 3 will support healthcare quality and affordability initiatives, utilizing comprehensive inpatient clinical experience and knowledge of health plan, IPA, or medical group operations. The role requires strong written and verbal communication skills, clinical judgment, and the ability to manage priorities while supporting clinical quality, case management, or utilization management activities.
Qualification Summary
Top 3 Required Skills
- Comprehensive inpatient clinical experience.
- Must have active CA RN License
- Previous health plan, IPA, or medical group experience in quality, case management, or utilization management.
- Excellent written and verbal presentation skills.
Preferred / Nice-to-Have Skills
- Previous clinical quality review experience.
- Some behavioral health clinical experience.
- Strong attention to detail.
- Ability to prioritize tasks and manage multiple assignments effectively.
Candidate Requirements / Disqualifiers
- Candidates must have previous remote work-from-home experience.
- Candidates with limited inpatient clinical experience may not be suitable.
- Candidates must reside in California.
Remote
Skills:
Behavioral Health, Case Management, Clinical Medicine, Clinical Support, Communication Skills, Detail Oriented, Establish Priorities, Health Plan, Healthcare Quality, Patient Care, Presentation/Verbal Skills, Quality Assurance, Quality Management, Registered Nurse (RN), Utilization Management, Work From Home, Writing Skills
Pacer Group
