Clinical Quality Nurse Manager
Company: VirtualVocations
Location: Vista
Posted on: May 17, 2025
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Job Description:
A company is looking for a Clinical Quality Call Center Nurse
Manager - Remote.
Key Responsibilities
Supervise and coordinate a team to ensure compliance with
regulatory initiatives and performance targets
Handle escalated calls and assist members with inquiries
Conduct performance reviews and support leadership in monitoring
metrics for STAR performance
Required Qualifications
Undergraduate degree or equivalent experience
5+ years of managerial experience in a healthcare setting
Extensive knowledge of Medicare Part D, including pharmacy record
review and billing rules
Working knowledge of HIPAA Privacy and Security Rules and CMS
security requirements
Prior work experience in STARS and clinical Medicare Part C gap
closures
Keywords: VirtualVocations, Huntington Beach , Clinical Quality Nurse Manager, Healthcare , Vista, California
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