Job Description
The RN Clinical Case Reviewer provides expertise for clinical quality of care cases from ESRD patients in which the grievant alleges that a dialysis provider did not meet professionally recognized standards of clinical care. They may also provide clinical and technical expertise to dialysis providers in the development and implementation of quality improvement, quality assurance, and medical review if or when a concern is substantiated. Other functional areas of the organization as directed and performs other duties as assigned. This position reports to an ESRD Network Executive Director. The position is based on contract and consultant duties will be performed as needed.
Essential Duties and Responsibilities
- Perform Clinical Quality of Care case reviews and PCU entry, as applicable.
- Develops clinical process improvement plans as needed.
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