Registered Nurse Quality Specialist

Job Summary

A company is looking for an Enterprise Clinical Quality Specialist III responsible for quality monitoring activities in clinical and non-clinical areas for compliance with regulatory requirements.

Key Responsibilities

• Monitor activities for compliance with NCQA and state and federal requirements
• Conduct independent random and scheduled monitoring activities and analyze quality assurance results
• Provide ongoing education and support related to quality monitoring requirements across departments

Required Qualifications

• Completion of an accredited Registered Nurse (RN) degree program
• A minimum of three (3) years of clinical experience
• Preferred experience in managed care, case management, or utilization review
• Preferred experience in quality improvement and/or auditing
• Current, unrestricted Registered Nurse (RN) licensure in state of practice