Compact Licensed RN Quality Consultant

Job Summary

A company is looking for a RN Senior Clinical Quality Consultant Compact Lics CST.

Key Responsibilities

• Conduct telephonic patient-centered clinical consults and assessments
• Manage outbound calls and assist with inbound patient inquiries while adhering to established protocols
• Document all interactions and ensure compliance with core measures and quality metrics

Required Qualifications

• Active, unrestricted Registered Nurse license with a Compact License
• 4+ years of RN experience, including in managed care settings
• 2+ years of experience in HEDIS/Star programs and call center environments
• Proficient in data analysis and quality chart reviews
• Solid knowledge of Medicare HEDIS/Stars measures and experience with Microsoft Office, especially Excel