About the role
The Provider Network Evaluator II-Clinical Quality Review (PNE II-CQR) holds and maintains clinical licensure as they are responsible for conducting as well as leading Clinical Quality Reviews (CQR), Oversight Reviews, and Plan of Correction implementation reviews of service providers contracted with Alliance Health.
- Schedule
- Full time
Read the full employer description →Read more
The Provider Network Evaluator II-Clinical Quality Review (PNE II-CQR) holds and maintains clinical licensure as they are responsible for conducting as well as leading Clinical Quality Reviews (CQR), Oversight Reviews, and Plan of Correction implementation reviews of service providers contracted with Alliance Health. Clinical Quality Reviews are systematic MH/IDD/SUD service line evaluations that take into account member care, service delivery and implementation, adherence to rules and regulation where applicable and established clinical guidelines and principles of best practice.
The PNE II-CQR leads, guides, supports, and peer reviews fellow team members work to ensure inter-rater reliability.
A Waypoint recruiter can negotiate pay or get answers from Alliant Health for you, at no cost.
Contact a recruiterWork at Alliant Health? This listing is indexed free. Claim it to control titles and pay ranges, sponsor roles, and get performance reports.
Claim your listings