New York Licensed Quality Auditor RN

Job Summary

Seeking a full-time New York Licensed Quality Auditor RN, the position focuses on leading case investigations, ensuring regulatory compliance, and collaborating with clinical and operational teams in a remote work environment.

Key responsibilities

• Collaborates with clinical management to develop and implement quality improvement standards and evaluates their effectiveness
• Facilitates quality assurance activities and monitors compliance with Federal and State regulatory requirements
• Conducts audits of patient/member case records and develops tools for concurrent and retrospective reviews

Required qualifications

• Current registration as a registered professional nurse in New York State
• Bachelor's Degree in health care administration, human services, business administration, or related field
• Minimum of four years of clinical experience, including two years focused on quality improvement
• Knowledge of health care delivery systems and clinical processes
• Ability to perform statistical/quantitative analysis