Registered Nurse Quality Strategist
Job Summary
To drive quality improvement initiatives, the full-time Registered Nurse Quality Strategist will work remotely, focusing on HEDIS, CAHPS, and HOS strategies while collaborating with stakeholders to enhance member experience and performance outcomes.
Key responsibilities
- Conduct evaluations for HEDIS gap closure and assess CAHPS and HOS performance to identify potential improvements
- Leverage data analysis to provide actionable insights and strategic recommendations for enhancing quality performance
- Develop resources and tools to support HEDIS, CAHPS, and HOS initiatives, ensuring compliance with quality ratings and policies
Required qualifications
- Bachelor's degree in Nursing, Public Health, or a related field; Master's degree preferred
- 4+ years of clinical experience, managed care, or health insurance experience required; 2+ years of quality experience preferred
- Registered Nurse (RN), Licensed Practical Nurse, Licensed Vocational Nurse, or Licensed Clinical Social Worker (LCSW) preferred; CPHQ preferred
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