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Quality Review Nurse
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$52.56 - $64.25 an hour
Full-time
- As a member of the Population Health and Quality department, the Quality Review Nurse (QRN) will support key clinical quality initiatives at San Francisco Health Plan (SFHP).
- Grievance and Appeals
- The QRN works closely with the Grievance and Appeals team and the SFHP Medical Director to ensure that clinical quality concerns are addressed in all grievances and appeals.
- As a member of SFHP’s the Grievance Review Committee, the QRN supports the Grievance and Appeals team in ensuring that clinical concerns are addressed as part of grievance investigations.
- Review incoming grievance and appeals for clinical quality concerns and expedited status.
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