Clinical Quality RN - live in NC

Position: Clinical Quality RN - Must live in NC
Adecco Healthcare & Life Sciences is hiring  
** remote Clinical Quality RNs
** in North Carolina! This role is in remote / work from home, and you  
** must reside within North Carolina to qualify.*
* Please read below and apply with an updated resume for consideration:

** Type:
** Six-month contract, opportunity for extension or fulltime offer

*
* Schedule:

** Monday through Friday, 8am to 5pm CST - after hours and weekends may be needed

** Pay:
** Pay starting at $37.00+ an hour, depending on experience

** Responsibilities of the Clinical Quality Registered Nurse:*
* · Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff.

· Review medical records for data collection, data entry, and quality monitoring that close gaps in care.

· Partner with the leadership team, the practice administrative or clinical staff to identify trends observed and potential strategies to support the practice.

· Communicate challenges or trends that may negatively impact quality outcomes.

· Track and trend barriers/challenges that exist at their assigned groups so that better outcomes can be achieved including access to appointments, lack of follow-up on referrals, or inconsistent coding practices.

· Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star measures.

· Support quality initiatives by requesting medical records from providers offices as needed.

· Receives and responds to incoming Clinical Quality inquiries from all communication venues: e.g. phone and fax queue, Tru Care, or department e-mail box.

· Conducts in-bound and out-bound calls for quality requirements including, but not limited to medical records requests, contact verification.

· Provides clerical and/or administrative support to quality staff and managers for special projects and reporting needs.

· Provides excellent customer service by serving as a resource to all internal and external customers.

· Maintains education/knowledge base of HEDIS/STARs.

** Qualifications for the Clinical Quality Registered Nurse:*
* · Active and good standing RN license in North Carolina

· 2 or more years of RN experience

· Must reside within North Carolina

· Experience and extensive knowledge in Medicare HEDIS/Stars measures

· Experience managing multiple complex, concurrent projects

· Research and detail oriented, excellent proof-reading skills

· Excellent time management and prioritization skills

** Why work for Adecco?*
* · Weekly Pay

· 401(k) Plan

· Skills Training

· Excellent medical, dental, and vision benefits

** IMPORTANT:
** This  
** Clinical Quality Registered Nurse
** job is being recruited by Adecco's Healthcare & Life Sciences division, not your local Adecco Branch Office.

For opportunities available at Adecco Healthcare & Life Sciences go to

** Pay Details:**  $37.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs.  In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

+ The California Fair Chance Act

+ Los Angeles City Fair Chance Ordinance

+ Los Angeles County Fair Chance Ordinance for Employers

+ San Francisco Fair Chance Ordinance

** Massachusetts Candidates Only:
** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.