Quality Management Nurse​/RN

RCM Healthcare Services seeks a Quality Management Nurse / RN to support client facilities by driving clinical quality, patient safety, and regulatory compliance. In this collaborative, mission-driven role, you will perform chart reviews, monitor quality metrics, and support performance improvement initiatives. You'll partner with clinicians, leaders, and RCM teams to resolve care variances, educate staff on best practices, and strengthen documentation standards, directly impacting patient outcomes across a diverse national healthcare network.

Responsibilities

• Conduct clinical quality and chart reviews to ensure adherence to regulatory and accreditation standards
• Monitor patient safety indicators and quality metrics for assigned client facilities
• Develop and update policies, procedures, and audit tools to support quality improvement
• Collaborate with clinicians, administrators, and RCM teams to resolve quality issues
• Provide education and feedback to nursing staff on documentation and best practices
• Participate in root cause analyses and corrective action planning
• Prepare quality reports and summaries for leadership and client stakeholders
• Support compliance with state, federal, and payer requirements

Required Skills

• Clinical quality review
• Utilization review
• Regulatory compliance (Joint Commission, CMS)
• Chart auditing and documentation standards
• Quality improvement methodologies
• Data analysis and reporting
• Root cause analysis
• Policy and procedure development
• Electronic Health Records (EHR)
• Patient safety and risk management