New York Licensed Quality Auditor

Job Summary

A company is looking for a Quality Improvement Auditor (Clinical).

Key Responsibilities

• Lead clinical audits for provider medical records to assess performance and compile reports with clinical recommendations
• Conduct case reviews to evaluate clinical performance in the provider network and provide written summaries and recommendations
• Perform quantitative and statistical analysis of performance data, including service utilization and quality of care trends

Required Qualifications

• Bachelor's degree in nursing or a related field, or equivalent experience
• Current clinical license (LPN, RN, etc.) in the state of New York
• 3+ years of nursing or quality improvement experience