This job listing has expired and the position may no longer be open for hire.

Quality Clinical Reviewer (RN/Behavioral Health) at Magellan Health Services inc in Newtown, Pennsylvania

Posted in General Business 30+ days ago.

Type: Full-Time





Job Description:

Conducts reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records. Collects data following established procedures and analyzes findings for purposes of continuous quality improvement and for internal and external reporting. Interacts with multiple stakeholders internally and externally. Provides clinical reviews of Quality of Care (QOC) and Critical/Adverse incidents related to clinical services.





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