Registered Nurse Quality Specialist

Job Summary

Working remotely in a full-time capacity, the Market Clinical Quality Specialist II will complete case reviews to ensure compliance with regulatory requirements and Standard Operating Procedures (SOPs), while identifying training opportunities and assisting management with reporting and operational compliance.

Key responsibilities:

• Conduct monthly inter-rater reliability monitoring of case reviews to ensure adherence to regulatory requirements
• Collaborate with peers to identify and develop departmental training and development opportunities
• Serve as a subject matter expert and participate in interdepartmental meetings to ensure compliance with operational procedures

Required qualifications:

• Associate of Science in Nursing (ASN) is required; Bachelor of Science in Nursing (BSN) is preferred
• 1 to 3 years of experience in Quality Improvement, Project Management, Case Management, or Utilization Review is required
• Preferred minimum of 3 years of diverse clinical experience as a Registered Nurse (RN)
• Current, unrestricted RN licensure in the state of practice is required
• Case Management Certification, such as Certified Case Manager (CCM), is highly preferred