Wisconsin Licensed Quality Care Coordinator

Job Summary

A company is looking for a Quality Care Coordinator to develop and implement quality improvement strategies.

Key Responsibilities

• Conduct outreach to members and providers to close quality gaps and achieve population health outcomes
• Evaluate utilization patterns and medical records to monitor quality and efficiency results
• Coordinate and document quality interventions and care management programs to promote effective service delivery

Required Qualifications, Training, and Education

• Bachelor's degree in a related field required; Bachelor's degree in Nursing preferred
• 4 years of clinical RN experience preferred
• Experience in data analysis, quality improvement, or HEDIS medical record review preferred
• WI Registered Nurse (RN) licensure preferred