Quality Review Manager (31926)

Job description

Job DetailsJob Location: Lawrenceville, GA 30043Position Type: Full TimeSUMMARY The Quality Review Manager is responsible to work autonomously to complete full audit, review and approval of the following, but not limited to: Life Care Plans, Medical Cost Projections, Medicare Set-Aside Allocations, Legal Nurse Reviews, Complex Nurse Reviews, Bill Reviews, initial and progress reports for medical or vocational case management files and other reports as needed within the scope of nursing practice and certifications. The Quality Review is responsible to monitor the overall quality of all the work products and effectively communicate with the planner team to include development of alternative treatment plans or recommendations for moving the file toward maximum resolution at the highest level of quality and timeliness possible. ESSENTIAL JOB FUNCTIONS: Collaborates with Planner team through education and recommendations on past/future treatment to optimize outcomes with client interfacing Work autonomously and collaborate with the Clinical Services Team and all company personnel as needed and communicate with the accounts and attorneys as needed. Maintain through audit a quality work p...