Offer summary
Qualifications:
Active California RN License, Associate's Degree in Nursing, 8+ years in Clinical Nursing, 3+ years in Medi-Cal/Medicare managed care, Experience in clinical policy writing and compliance.Key responsabilities:
- Review and update clinical policies for compliance
- Liaise with stakeholders for policy needs
- Analyze data to develop health policies
- Collaborate with coders on documentation standards
- Lead work groups to improve departmental processes