Clinical Quality Specialist Jobs in Arkansas

Gain valuable experience in healthcare delivery and payment reform research and development

Manage projects, communicate effectively, and provide excellent customer service

4-6 years of relevant experience

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Contribute to the improvement of healthcare quality and cost reduction in Medicare, Medicaid, and CHIP programs

Work with a team focused on shifting the healthcare system towards value-based care

Experience with project management tools, spreadsheets, tracking deliverables and issues, meeting deadlines

Patient Safety/Risk Management experience preferred

Monitors for appropriate utilization, implements the policy, and communicates with all external stakeholders including clients, and account managers

Excellent written and verbal communication, and presentation skills

Ability to manage multiple projects simultaneously

5 years’ experience as an RN required, with at least 3 years in a Healthcare Quality role preferred.

Prepares for and hosts external sponsor / IRB audits

Investigates and responds to Corrective and Preventive Action (CAPA) requests in collaboration with Clinical Operations and CQA.

Works with Clinical Operations to obtain evidence of deliverables and facilitates effectiveness checks as needed to ensure CAPA closure.

Reviews monitor letters for issue escalation and quality performance issues

Identifies areas of quality deficiency ensuring escalation to operational leadership and communication with appropriate CQA staff.

Coordinates and facilitates quality review meetings with appropriate CQA staff and operational leadership

Using clinical knowledge, experience, and problem solving skills to interpret clinical quality data, identify opportunities for improvement, and generate ideas.

At least three years of experience as a registered nurse, preferably in primary care, care management, or outpatient clinics

Prior experience in a quality improvement role or a relevant certification is a plus

Reviewing dashboards of quality metrics, identifying potential issues, and alerting appropriate managers.

Be able to identify and communicate factors that contribute to a good patient experience and outcome.

Reviewing documentation for accuracy, clinical judgment, and adherence to protocols and workflows.