Registered Nurse Quality Consultant

Job Summary

A company is looking for a Senior Clinical Quality Nurse RN for a remote position in Quality Operations Call Center.

Key Responsibilities:

• Conduct telephonic patient-centered clinical consults and assessments
• Manage inbound and outbound calls, adhering to established protocols
• Document calls and actions taken within core systems and assist with appointment scheduling

Required Qualifications:

• Active, unrestricted Registered Nurse eNLC Compact licensure in state of residency
• 5+ years of RN experience, including managed care settings
• 2+ years of experience in HEDIS/Star programs and telephonic outreach
• Experience with data analysis and quality chart reviews
• Proficiency in Microsoft Office, particularly Excel