Senior Clinical Quality Consultant - Compact RN

This job has been removed
Location: Remote
Compensation: Salary
Staff Reviewed: Tue, Nov 26, 2024
This job expires in: 23 days

Job Summary

A company is looking for a Registered Nurse Senior Clinical Quality Consultant.

Key Responsibilities
  • Perform telephonic, patient-centered clinical consults focusing on assessments and transitions of care
  • Educate patients on health conditions and assist with appointment scheduling for necessary screenings
  • Document all calls and actions taken within core systems while adhering to established protocols

Required Qualifications
  • Active, unrestricted Registered Nurse license with a compact license
  • 4+ years of RN experience, including managed care settings
  • 2+ years of experience in HEDIS/Star programs and call center experience
  • Proven solid knowledge of Medicare HEDIS/Stars measures
  • Experience with data analysis and quality chart reviews

COMPLETE JOB DESCRIPTION

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