ChristianaCare is seeking a full-time RN Senior Clinical Data Quality Specialist to lead, facilitate, and coordinate Quality Assurance and Performance Improvement (QAPI) through the management of clinical registries within designated service lines. This role involves serving as a quality professional, educating staff on continuous improvement strategies, and collaborating with key stakeholders to assess and improve quality measures. The position is based in Newark, DE, and offers a Monday to Friday, 8:00am-4:30pm schedule with no weekends or holidays.

RN SENIOR CLINICAL DATA QUALITY SPECIALIST, HELEN F. GRAHAM CENTER, NEWARK, DE - RELOCATE TO DELAWARE

RN Senior Clinical Data Quality Specialist

The Quality Perform Specialist RN at AmeriHealth Caritas is a remote position with a preference for an Ohio resident, requiring an RN. This role involves leading and coordinating the clinical quality review process of member concerns and medical records, supporting annual medical record review activities, and assisting in accreditation and clinical quality performance improvement activities. The position requires an Associate's Degree or equivalent work experience, with a Bachelor's Degree preferred, and a minimum of 3 years in clinical or service quality improvement/health care delivery.

Quality Perform Specialist RN

The Clinical Education Specialist (RN) at Luminis Health is responsible for promoting high-quality, cost-effective health care through expert clinical education and professional development. This role involves collaborating with leadership, clinical education teams, and clinical staff to achieve organizational and departmental goals, facilitating a climate of innovation, and providing support and resources for staff and customers of diverse backgrounds.

CLINICAL EDUCATION SPECIALIST (RN) - CCL/PACU/SSU

Clinical Education Specialist (RN)

The RN Service Coordinator at UnitedHealth Group is responsible for the overall management of member's case within the scope of licensure, providing supervision and direction to non-RN clinicians, and developing, monitoring, evaluating, and revising the member's care plan to meet their needs. This role involves conducting assessments, managing care plans, and collaborating with healthcare providers to ensure quality coordinated care. The position offers a $1,000 sign-on bonus for external candidates and provides the flexibility to work remotely from El Paso, TX.

RN Service Coordinator - El Paso STAR+Plus - Med Surg

RN Service Coordinator

Pyramid Consulting, Inc. is seeking a Quality Improvement Coordinator for a 06+ months contract opportunity with long-term potential, located in Miami, FL (Remote). The role involves coordinating administrative duties related to the HEDIS Hybrid project, including faxes, medical record uploads/downloads, retrievals, status updates, and training staff on systems/applications. This position requires healthcare/HEDIS experience, customer service, and administrative skills.

Quality Improvement Coordinator

The Clinical Education Specialist (RN) in Inpatient Behavioral Health at Doctors Community Medical Center is responsible for promoting high-quality, cost-effective health care through expert clinical education and professional development. This role involves collaborating with leadership, clinical education team, and clinical staff to achieve organizational and departmental goals, creating a climate of innovation, and facilitating learning.

CLINICAL EDUCATION SPECIALIST (RN) - INPATIENT BEHAVIORAL HEALTH

Clinical Education Specialist (RN) - Inpatient Behavioral Health

The Clinical Coordinator (RN) at VHC Health is responsible for facilitating patient flow through the department, supervising patient care delivery on each shift, and performing a variety of technical procedures. This role requires knowledge of department and hospital policies relevant to clinical care, as well as the ability to perform multiple clinical and coordination tasks with competency.

Clinical Coordinator, RN - Primary Care McLean

Clinical Coordinator, RN

As a Quality Management Nurse Consultant at CVS Health, you will be responsible for the review and evaluation of clinical information and documentation. This role involves interpreting data from clinical records or systems, applying clinical criteria and policies in line with regulatory and accreditation requirements, and coordinating clinical resolution. The position is full-time, remote, and requires adherence to company policies regarding confidentiality.

Quality Management Nurse Consultant

The Quality and Reporting Specialist at Key Benefit Administrators is responsible for tracking and auditing various functions within the Recovery Department. This role involves identifying and auditing year-end groups, consulting stop loss policies, managing SharePoint documents, tracking group statuses, overseeing open issues, reviewing reinsurance reports, developing processes, and coordinating with internal departments for recovery needs. This is a work from home position offering a comprehensive benefits package, full training program, and competitive salary.

Quality and Reporting Specialist

Vidoori is seeking a Quality Management Specialist to join their team, focusing on ensuring compliance with Capability Maturity Model Integration (CMMI) and International Organization for Standardization (ISO) standards to drive continuous process improvement. The role involves coordinating with cross-functional teams, developing quality management documentation, conducting audits, analyzing data for improvement, and providing training on quality management practices.

Quality Management Specialist

The Senior Specialist, Quality Interventions / QI Compliance at Molina Healthcare oversees, plans, and implements healthcare quality improvement initiatives and education programs. This role ensures the maintenance of programs for members in accordance with prescribed quality standards, conducts data collection, reporting, and monitoring for key performance measurement activities, and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. The position requires a strong focus on quality improvement, HEDIS, and healthcare experience.

Sr Specialist, Quality Interventions/QI Compliance (Remote in Ohio)

Senior Specialist, Quality Interventions/QI Compliance

The Quality Improvement Auditor (Clinical) at Actalent leads medical record audits, monitors and analyzes clinical documentation, and modifies business processes to measure member outcomes. This role involves assessing provider performance and quality of care through clinical case reviews, performing quantitative and statistical analysis of performance data, and coordinating with internal teams for audit requests. The position is remote and requires a Bachelor's degree in Nursing or a related field, along with 3+ years of nursing or quality improvement experience.

Quality Improvement Auditor (Clinical)

The Quality Improvement Coordinator at Amergis Healthcare Staffing is responsible for analyzing, developing, monitoring, and implementing clinical initiatives to achieve healthy outcomes and improve patient experience. This role involves compliance with quality improvement programs, supporting quality assurance performance work plans, auditing medical records, overseeing the quality improvement program, and promoting data validity and security.

RN Utilization Management - Remote

The Senior Specialist, Quality Improvement (Registered Nurse) at Molina Healthcare contributes to various quality improvement functions including Quality Interventions, Quality Improvement Compliance, HEDIS, and Quality Reporting. This role involves leading project-related direction and guidance for other specialists, implementing key quality strategies, monitoring and ensuring timely completion of key quality activities, and leading quality improvement activities within the organization.

Sr Specialist, Quality Improvement (RN) REMOTE

Senior Specialist, Quality Improvement (Registered Nurse)

The Administrative Support Quality Specialist at Quadient is responsible for reviewing IT tickets for accuracy and compliance with company policies and procedures, managing user access, re-certification programs, and ensuring SOC1/SOC2 internal audit compliance. This part-time, remote role requires a strong attention to detail, excellent problem-solving skills, and the ability to work independently. The position involves understanding IT controls, monitoring and reporting on SOC1/SOC2 audit compliance, and assisting IT Management with audit schedules and IT-related projects.

IT Administrative Support Quality Specialist - Part-Time

Administrative Support Quality Specialist

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