Registered Nursing Quality Specialist

Job Summary

A company is looking for a Clinical Specialist in Quality Management and Training.

Key Responsibilities

• Ensure compliance with state, federal, and accreditation standards through audits and reporting
• Train clinical staff on regulatory requirements and quality standards while developing training materials
• Identify compliance risks and collaborate with teams to resolve quality issues and implement improvements

Required Qualifications

• Active unrestricted Registered Nursing License required
• Bachelor's Degree preferred
• 3-5 years of experience in Utilization Review, Case Management, or Disease Management required
• Managed care experience preferred
• CPHQ and/or CCM certification preferred