Quality Clinical Reviewer
Magellan Health(1 day ago)
About this role
The Quality Clinical Reviewer conducts reviews of clinical interactions and documentation to ensure compliance with standards and regulations. They analyze data for quality improvement, interact with stakeholders, and contribute to projects related to the effectiveness and safety of managed care services.
Required Skills
- Clinical Review
- Quality Assurance
- Data Analysis
- Regulatory Compliance
- Stakeholder Engagement
- Performance Measurement
- Project Management
- Healthcare Standards
Qualifications
- Bachelor's in Nursing or Master's in Behavioral Health
- LCSW, LMHC, LPC, MFT, PSY, RN Licensure
About Magellan Health
magellanhealth.comMagellan Health manages the fastest growing, most complex areas of healthcare, bringing solutions to health plans, employers and state and Federal programs.
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