Our Client, a Retail Pharmacy company, is looking for a HC Quality Management Consultant for their Remote location. Responsibilities: + Reports to the Potential Quality of Care (PQOC) reporting manager. + Triage and data entry of quality-of-care referrals. Primary role will be reviewing potential quality of care referrals in the MedHok and CATs grievance applications. Use clinical judgement to determine if there is a potential quality of care concern. + Each referral is reviewed for potential quality of care components and acceptance status is communicated within the grievance application. All accepted referrals are entered into the PQOC database. Data entry includes information from various internal systems. Additional duties include monitoring and handling incoming faxes, emails, medical records, other correspondence, and inquiries. + Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with Microsoft products, databases and with conducting 100% of work activities on the computer. + This is an Individual contributor role that applies specialized knowledge and works under general supervision and may be supervised based on guidelines and direction provided. Requirements: + 3+ years of clinical experience required + RN with current unrestricted state licensure required, + Compact license preferred or State License + Managed Care experienced preferred + Utilization Management or Case + Management experience + Critical thinking skills + Bachelor's degree, Nursing degree, or other comparable healthcare experience. Why Should You Apply? + Health Benefits + Referral Program + Excellent growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.