Quality Improvement Nurse (RN required)

NY-New York, Coordinates and conducts quality review activities. Screens medical records for quality of care issues. Coordinates referrals and process for Physician Peer Review. Completes HEDIS ® medical record review and follow-up with members and providers. Assists in educational outreach projects to members. Essential Functions: Applies medical knowledge and experience to review referrals and reports and pr


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