LPN/RN Clinical Quality Analyst

Job Summary

A company is looking for a Clinical Quality Assurance Analyst responsible for monitoring and auditing clinical and non-clinical production quality.

Key Responsibilities

• Audit clinical reviews and documentation for compliance with regulatory and medical standards
• Collaborate with leadership to support coaching, process improvement, and training development
• Document audit results, prepare quality reports, and facilitate discussions with stakeholders

Required Qualifications

• Active, unrestricted LPN/LVN or RN license
• Minimum 2 years of experience in Utilization Management or related clinical operations
• Minimum 1 year of experience in Quality Assurance within a call center or production-oriented environment
• Bachelor's degree in nursing and willingness to obtain Healthcare Quality Certification within 12 months
• Strong knowledge of clinical review processes and regulatory requirements