Clinical Quality Management Analyst - Registered Nurse; Remote

Employer Industry: Healthcare Services

• Salary up to $91,200.00
• Opportunity for career advancement and growth within the organization
• Engaging work focused on improving quality medical care and member satisfaction
• Supportive and collaborative work environment
• Chance to make a positive impact on healthcare documentation and compliance

• Develop and manage process improvement initiatives related to member and provider services
• Conduct and analyze data from medical record reviews to enhance care and documentation
• Monitor regulatory changes and adjust compliance plans accordingly
• Perform audits and provide ongoing education to providers on coding and quality metrics
• Coordinate various reviews and accreditation activities as requested

• Current state RN or LPN license or Bachelor’s degree in a healthcare‑related field
• Minimum of 3 years of experience in nursing or a healthcare‑related field
• Current State of PA RN or LPN licensure or current multi‑state licensure through the enhanced Nurse Licensure Compact (eNLC)
• CPC, CRC, RHIA, RHIT, or CCS Certification or must obtain within 4 months upon hire
• Strong verbal and written communication skills, with the ability to interact with medical professionals

• 1 year of project management experience

#Healthcare Services #Quality Improvement #Career Opportunity #Competitive Pay #Nursing Jobs

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