Registered Nurse Clinical Quality

Job Summary

A company is looking for a Clinical Quality RN - Remote.

Key Responsibilities

• Review and abstract medical record data into appropriate applications
• Perform quality medical record reviews and assist in the improvement of the clinical documentation process
• Provide education and feedback to primary source verifiers and support chart chase processes

Required Qualifications

• Active and unrestricted licensure as a Registered Nurse (RN) in the state(s) of practice
• 3+ years of experience with data analysis/quality chart reviews
• 2+ years of HEDIS/STAR experience
• Experience using Microsoft Office applications, including databases and Excel spreadsheets
• Ability to navigate multiple documentation systems and maintain knowledge of HEDIS/STARs standards