California Licensed Facility Review Nurse - job 1 of 2

Job Summary

A company is looking for a Facility Site Review Nurse (Remote in Los Angeles Area).

Key Responsibilities

• Conducts timely facility reviews and follow-ups for network practitioners in compliance with DHS and NCQA standards
• Collaborates with practitioners to ensure compliance with federal, state, and local regulations
• Maintains and updates the Site Review Database and participates in internal review activities

Required Qualifications

• Completion of an accredited Registered Nurse (RN) Program or Bachelor's in Nursing
• Minimum 3 years of clinical experience
• Active, unrestricted State Registered Nursing (RN) license in good standing
• Bachelor of Science Degree in Nursing is preferred
• 1+ year of experience in Managed Care is preferred