Quality Clinical Evaluator (Analyst) - EviCore-Work at Home

Job description

The Clinical Evaluator will: Assist with development, implementation and coordination of a comprehensive quality management/improvement program for the clinical personnel. Ensure compliance with internal and external requirements and ensure excellent customer service is provided. Track and document quality assurance performance for clinical personnel of multiple specialties and incorporate results of call monitoring evaluations to develop training, continuing education, coaching, or other needs to ensure excellent customer service and experience. Collaborate with the Medical Management team to identify performance issues and implement quality improvement measures on issues identified. Assist with other duties as necessary. Minimum Education, Licensure and Professional Certification Requirement: Associate Degree or Bachelor Degree in Nursing; LPN Certification Registered Nurse or LPN required. Must possess a valid RN or LPN license in state of primary residence. Qualifications: Minimum 2 years relative work experience in a clinical and or clinical quality role required. Quality Assurance experience preferred. Minimum of one year of EviCore experience strongly preferred. Knowledge of...