Quality Review Nurse

Brown & Brown; United States; Remote; USD 78,000 - 90,000; Full time

Job summary

Join a leading insurance firm as a BSN Quality Review Nurse within our Clinical Services team. This remote position focuses on quality review operations for medical files, ensuring compliance and supporting our commitment to exceptional service. Bring your clinical experience and RN licensure to contribute to a diverse and inclusive environment while enjoying a range of health, financial, and wellness benefits.

Benefits

Medical/Rx insurance

Dental and Vision insurance

Life and Disability Insurance

401k and ESPP

Tuition Reimbursement

Paid Time Off

Preferred Partner Discounts

Qualifications

• Current Registered Nurse licensure is required.
• BSN preferred; minimum 3-5 years of clinical experience.
• Experience with insurance carriers preferred.

Responsibilities

• Coordinate quality review activities for medical file reviews.
• Certify outgoing file review reports for compliance.
• Make independent decisions within the role's scope.

Skills

Interpersonal skills

Professionalism

Confidentiality

Education

Registered Nurse licensure

BSN (Bachelor of Science in Nursing)

Tools

MS Office Suite

Job description

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Join the Brown & Brown Absence Services Group’s Clinical Services team who is seeking a BSN Quality Review Nurse.

What You Will Be Doing:

This REMOTE role is responsible for coordinating the quality review activities and resources that support Brown & Brown Absence Services Group’s ad-hoc medical file review operations. The incumbent certifies that all outgoing file review reports meet compliance and quality guidelines. Must be a current Registered Nurse licensure, BSN preferred, plus a minimum of 3-5 years of clinical experience and, preferably, 1-2 years with an insurance carrier or vendor.

What You Need To Be Qualified:

• Proof of current Registered Nurse licensure, BSN preferred.
• Minimum 3-5 years of clinical experience
• Preferred minimum of 1-2 years of experience working directly with an insurance carrier.
• Basic understanding of insurance risk concepts.
• Knowledge of the MS Office Suite (including Word, Excel, Outlook and Access) required.
• Excellent interpersonal skills and strong professionalism, with proven ability to maintain confidentiality.
• Ability to work independently and make decisions within scope of position.

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

• Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
• Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
• Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services
• Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more.

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.

The Power To Be Yourself

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.

Pay Range

78000 - 90000 Annual

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Join the Brown & Brown Absence Services Group’s Clinical Services team who is seeking a BSN Quality Review Nurse.

What You Will Be Doing:

This REMOTE role is responsible for coordinating the quality review activities and resources that support Brown & Brown Absence Services Group’s ad-hoc medical file review operations. The incumbent certifies that all outgoing file review reports meet compliance and quality guidelines. Must be a current Registered Nurse licensure, BSN preferred, plus a minimum of 3-5 years of clinical experience and, preferably, 1-2 years with an insurance carrier or vendor.

What You Need To Be Qualified:

• Proof of current Registered Nurse licensure, BSN preferred.
• Minimum 3-5 years of clinical experience
• Preferred minimum of 1-2 years of experience working directly with an insurance carrier.
• Basic understanding of insurance risk concepts.
• Knowledge of the MS Office Suite (including Word, Excel, Outlook and Access) required.
• Excellent interpersonal skills and strong professionalism, with proven ability to maintain confidentiality.
• Ability to work independently and make decisions within scope of position.

Teammate Benefits & Total Well-Being

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

• Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
• Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
• Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services
• Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more.

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.

The Power To Be Yourself

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.

Pay Range

78000 - 90000 Annual

The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.

Teammate Benefits & Total Well-Being

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

• Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
• Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
• Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services
• Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more.

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.

The Power To Be Yourself

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.

About the company

We craft insurance differently by using our experience, carrier relationships, and principled customer focus to deliver exceptional service and solutions.

Notice

Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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