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Clinical Quality Management Nurse Jobs

Sr Clinical Quality Nurse Rn - Remote In Nebraska
By UnitedHealthcare At , Omaha, 68102, Ne
Ongoing management of provider education on quality HEDIS measures
5+ years RN experience in performing UM, CM responsibilities working with the Medicaid population
Send monthly emails to providers notifying them that their latest PCOR is available to view and manage in Practice Assist
Developed provider education on the PPC and WCC measures in hopes to have better compliance in the future
3+ years of clinical nursing experience
Experience with presenting presentations and public speaking
Clinical Quality Nurse Jobs
By ShiftMed At United States
Notify respective management of "Red Flag Events", as noted within departmental documentation, caused by colleagues
Assist in creation and rollout of education and training materials for Credentialing Department needs
Excellent verbal and written communication skills
Expert level understanding of credentialing and licensure requirements
Intermediate knowledge of Microsoft Word, Outlook, Excel
Computer keyboard proficiency and internet navigation skills required
Quality Management Nurse Consultant - Remote | Wfh
By Get It Recruit - Professional Services At Woonsocket, RI, United States

Are you passionate about making a positive impact on patient care while utilizing your clinical expertise? We have an amazing opportunity for a talented Utilization Management Nurse Consultant to join ...

Part-Time Clinical Quality Nurse
By The Coordinating Center At , Millersville, 21108, Md
Develops and conducts various audit activities to assess adherence with care management, organizational, and accreditation standards/expectations.
Expertise in research methodology, data analysis, database management, and outcomes studies.
Understanding the core elements of case management, care coordination, transitions of care, and related processes relevant to the organization's dynamic services.
Processes and utilizes data to analyze, monitor, and report performance using various databases and information systems (e.g., LTSS, CARMA, CRISP).
Develops and utilizes dashboards, reports, infographics, presentations, and/or conducts 1:1 and group interactions to share information (as needed).
Registered nurse with an active, unencumbered license in the State of Maryland.
Quality Management Nurse Analyst Exempt
By United Health Services At , Binghamton, 13903, Ny

Position Overview Facilitates performance improvement activities, interprets requirements of regulatory agencies, analyzes data; and provides direction and facilitation to all members of the hospital ...

Clinical Effectiveness Consultant Ii, Quality Management
By Sutter Health At , Los Altos, Ca $37.86 - $56.79 an hour
Equivalent experience will be accepted in lieu of the required degree or diploma.
This position is work from home eligible.
*This position requires on-site in the office on occasion.*
Pay Range: $37.86 - $56.79 / hour
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Clinical & Quality Compliance Review Nurse
By InHealth Management, LLC At , San Juan, Pr
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Quality Management Nurse Associate
By CVS Health At , , Mo $21.75 - $47.25 an hour
Utilization of clinical skills to support the documentation and communication of medical services and/or benefit administration determinations.
2+ Years managed care experience
1+ years of Medicare experience
Demonstrated organizational skills, including effective verbal and written communications skills
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
LPN/LVN with active current and unrestricted licensure in state of residence
Quality Management Nurse Consultant
By CVS Health At , Woonsocket, Ri $58,760 - $125,840 a year

Conduct audits on health plan staff. To incorporate every aspect of Utilization Management. Work in conjunction with other auditors to accomplish the common goal. Collaborate with department ...

Nurse (Clinical/Case Management)
By US Military Treatment Facilities under DHA At , Tacoma, Wa $178,538 a year
Basic Requirement for Nurse (Clinical/Case Management):
Please see Qualifications section for education requirements.
If you are relying on your education to meet qualification requirements:
Serve as a Nurse Case Manager in order to provide professional case management and health planning services.
Assign work to subordinates based on priorities, difficulty of assignments, and the capabilities of employees.
Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
Clinical Quality Management (Cqm), Principal Manager - Home-Based
By ICON At , Remote
Project Management experience is a must
Ensures final endorsement of document(s) prior to coordinating approval workflows in the Document Management System (DMS).
Typically requires 8-10 years of experience, or the equivalent combination of education and experience, in the biopharmaceutical industry
Sponsor/CRO GCP experience required (experience in a Clinical Project Manager role is ideal)
Strong interest and understanding of Process/Controlled Document Management – this can be trained for the right person
Manages and drives collaborative review, ensuring relevant functional area representation and drives resolution of edits/comments in collaboration with relevant stakeholders.
Quality Management Nurse Jobs
By Alignment Healthcare At , , Ca
a. Minimum 2-3 years Quality Management, Quality Improvement or Process Improvement Experience
c. Managed Care knowledge or experience
a. Excellent organizational skills with the ability to manage multiple priorities
d. Computer skills and experience with Microsoft Office Products
General Duties/Responsibilities (May include but are not limited to):
e. Evaluating reports for continued compliance with clinical quality requirements
Quality Management Nurse Consultant
By CVS Health At , , Mi $58,760 - $125,840 a year
3+ years of clinical experience
Previous performance improvement plan experience
Medical record review and support
An active and good standing Michigan RN license required
Quality Management Nurse Consultant
By CVS Health At , , Il $58,760 - $125,840 a year
5+ years of clinical experience required
2+ years of experience as a Registered Nurse
Must have active current and unrestricted RN Licensure in state of residence
Chief Nurse-Quality Management Jobs
By US Veterans Health Administration At , West Haven, 06516, Ct $129,823 - $172,657 a year
Demonstrates management expertise and a comprehensive understanding of clinical practice issues and assumes responsibilities for development of assigned staff.
If you are relying on your education to meet qualification requirements:
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Leadership experience at the Executive Level.
Education (include name of school and date degree conferred)
Leadership experience at the Executive
Registered Nurse - Quality Management Consultant
By US Veterans Health Administration At , New Orleans, 70119, La $66,571 - $125,980 a year
If you are relying on your education to meet qualification requirements:
Collaborates with the Program Manager for Risk Management and Medical Legal Affairs to identify trends in tort claims and peer reviews.
Utilizes TJC Accreditation Manager Plus (AMP) and Joint Commission Resources (JCR) tools to assess readiness for survey.
Works with the EPRP Coordinator to identify opportunities for improvement and develop improvement plans with managers and leaders.
Collaborates with the Patient Safety Manager regarding patient safety issues and implementation of corrective actions.
Works with the Patient Safety Manager and Infection Control Nurses to plan corrective actions and measures sustained improvement.
Data Analyst, Clinical Quality & Safety - Quality And Outcomes Management
By Keck Medical Center of USC At , Los Angeles, 90015, Ca $81,120 - $133,010 a year

The Clinical Quality & Safety Data Analyst provides advanced-level analysis and reports that support clinical and operational programs and activities; works independently to design and create ...

Clinical Quality Improvement Nurse
By Altais At , Oakland, Ca $60 - $66 an hour
3 years experience in a clinical/health care environment with demonstrated experience at a professional level in quality improvement/clinical program oversight/project management.
Managed care experience in medical management desirable, preferably in an HMO or IPA setting.
Other responsibilities include clinical assessment, member/family/caregiver education, development, and implementation of individualized care plans.
Utilizes advanced clinical judgement and critical thinking skills to perform care Review, track, document, and manage clinical appeals and grievances.
Coordinate and cross-connect with a variety of internal departments (i.e. Medical Directorate, Care Management, Claims, Decision Support).
Document clinical reviews, summaries and letters in care management system/tracking system.
Quality Management Nurse Consultant
By CVS Health At , Mount Prospect, Il $58,760 - $125,840 a year
5+ years of clinical experience required
2+ years of experience as a Registered Nurse
Must have active current and unrestricted RN Licensure in state of residence
Clinical Research Nurse - Atrium Health Cmc - Quality - Ft Day
By Atrium Health At , Charlotte, 28210, Nc
Communicates with Sponsored Programs Administration to ensure proper management of charges and billing.
Recruits, interviews and obtains informed consent from prospective subjects for entrance into clinical trials and studies.
Coordinators appropriate laboratory tests and other procedures for subjects participating in studies; including drawing blood or collection of other samples.
Coordinates with Investigational Pharmacy for subjects to receive required drugs.
Coordinates and submits IRB protocols, reports, revisions, updates, approvals.
Records appropriate clinical and laboratory data on forms provided by the principal investigator(s), federal government, and/or industry sponsors.

Are you looking for a challenging and rewarding career in Clinical Quality Management? We are seeking a highly motivated and experienced Nurse to join our team and help ensure the highest quality of care for our patients. As a Clinical Quality Management Nurse, you will be responsible for developing and implementing quality assurance programs, monitoring patient outcomes, and providing education and training to staff. If you are passionate about improving patient care and have a strong commitment to excellence, this is the job for you!

Overview Clinical Quality Management Nurses are responsible for ensuring that the quality of care provided to patients meets the standards set by the healthcare organization. They are responsible for developing and implementing quality improvement initiatives, monitoring patient outcomes, and providing education and training to staff. Detailed Job Description Clinical Quality Management Nurses are responsible for developing and implementing quality improvement initiatives, monitoring patient outcomes, and providing education and training to staff. They are responsible for ensuring that the quality of care provided to patients meets the standards set by the healthcare organization. They must be knowledgeable about the organization’s policies and procedures, and must be able to identify areas of improvement. They must also be able to analyze data and develop reports to track progress. Job Skills Required
• Knowledge of healthcare policies and procedures
• Ability to analyze data and develop reports
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Knowledge of quality improvement initiatives
• Ability to identify areas of improvement
• Knowledge of patient safety and risk management
Job Qualifications
• Bachelor’s degree in Nursing or related field
• Current Registered Nurse (RN) license
• 5+ years of experience in a clinical setting
• Experience in quality management and/or quality improvement
• Knowledge of healthcare policies and procedures
• Knowledge of quality improvement initiatives
Job Knowledge
• Knowledge of healthcare policies and procedures
• Knowledge of quality improvement initiatives
• Knowledge of patient safety and risk management
• Knowledge of data analysis and report writing
Job Experience
• 5+ years of experience in a clinical setting
• Experience in quality management and/or quality improvement
Job Responsibilities
• Develop and implement quality improvement initiatives
• Monitor patient outcomes
• Provide education and training to staff
• Analyze data and develop reports to track progress
• Identify areas of improvement
• Ensure that the quality of care provided to patients meets the standards set by the healthcare organization