Day to day: This position requires expertise in the nursing process, using critical thinking skills to plan and coordinate care. Nursing experience in primary care, community nursing, critical care (ICU/ED) or utilization/prior authorization review would be helpful but not required. Knowledge/Experience with Risk Adjustment and Quality Measures (Stars, HEDIS) very helpful. Proficient ability to use a computer (required), Microsoft Office (required) and familiarity with Cerner (helpful). We find nurses with 10 or more years experience do well in this role. ADN or BSN required as well as active license in state of residence.

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