Clinical Quality Review Nurse III
MED1007MHP is hiring for Clinical Quality Review Nurse III in Not specified. Senior level. First seen October 29, 2026; open as of November 13, 2026. Jobs taken straight from company career pages — no aggregator in between.
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- Company
- MED1007MHP
- Where
- Not specified
- Level
- Senior
- First seen
- October 29, 2026
- Listed via
- UKG
What the posting says
The position evaluates documentation accuracy, adherence to clinical standards, and compliance with regulatory and accreditation requirements, including HEDIS, STARS, CMS Cost Audit, and RADV. It applies advanced nursing and coding expertise to identify improvement opportunities and ensure the reliability of quality outcomes. This role also serves as a resource to others by sharing clinical and coding knowledge that strengthens quality review processes. RN and Certified Coder required. Performs other duties as assigned. Employment: Full-time
Read more and apply on MED1007MHP's site
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