Alliance Health
Morrisville, NC, USA
The Provider Network Evaluator II-Clinical Quality Review performs Clinical Quality Reviews (CQR), Oversight Reviews, and plan of correction implementation reviews of service providers contracted with Alliance Health. Additionally, in limited situations, Provider Network Evaluator II-CQR may investigate instances of concern to ensure individuals receive sufficient, safe, and effective services rendered by providers in the Alliance Health network.
This is a full-time hybrid position. Weekly travel is required to conduct on-site reviews. The selected candidate must reside within the following Alliance catchment area counties: Cumberland, Durham, Harnett, Johnston, Orange or Wake, or live approximately 60 miles from an Alliance office located in Wake, Johnston and Cumberland counties.
Responsibilities and Duties
Clinical Quality Reviews of MH/IDD/SUD Providers in the Alliance Health Network
Conduct clinical quality reviews and Oversight Reviews as required and...