Registered Nurse Quality Analyst

Job Summary

A company is looking for an Enterprise Clinical Quality Analyst II.

Key Responsibilities

• Review, track, and trend Quality Improvement (QI) and grievance issues across all programs and states
• Maintain reports for QI trends and metrics, ensuring clinical quality issues are resolved within specified timeframes
• Assist management with annual Encounter Data Validation (EDV) studies and develop educational materials on Quality of Care grievances

Required Qualifications, Training, and Education

• Associate of Science in Nursing is required
• Bachelor of Science Degree in Nursing (BSN) is preferred
• Minimum of three (3) years clinical experience as a Registered Nurse (RN) is required
• Minimum of one (1) year of Managed Care experience preferred
• NCQA experience preferred