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Case Management Clinical Quality Analyst, Registered Nurse
Pay$75000.00 - $90000.00 / year
LocationAtlanta/Georgia
Employment typeFull-Time
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Job Description
- Req#: 70635
Employer Industry: Healthcare Analytics and Solutions
Why consider this job opportunity:
- Salary up to $90,000
- Opportunity for career advancement and growth within the organization
- Work remotely with 100% telecommute flexibility
- Collaborative and innovative work environment
- Mentoring program with guidance from senior-level professionals
- Chance to influence business decisions and enhance client outcomes
What to Expect (Job Responsibilities):
- Collaborate with management to develop and adapt audit tools and reports
- Conduct routine case review audits to identify improvement opportunities
- Analyze and track staff audit results; provide written feedback for performance improvement
- Evaluate current processes against accreditation standards and recommend improvements
- Provide consultation on quality improvement processes and methodologies
What is Required (Qualifications):
- Current, unrestricted RN license in the state of residence
- Bachelor's degree in nursing from an accredited institution
- 5+ years of clinical RN experience in a clinical role
- 3+ years of experience as an RN case manager at a health plan
- Proficient in Microsoft Office product suite (Word, Excel, PowerPoint, Outlook, Teams)
How to Stand Out (Preferred Qualifications):
- Case management certification (CCM preferred)
- Clinical quality certification (CPHQ preferred)
- Strong communication skills (verbal, written, interpersonal)
- Familiarity with NCQA Case Management accreditation standards
- Experience in performance improvement or quality improvement projects
#HealthcareAnalytics #RemoteWork #CareerGrowth #QualityImprovement #RNCaseManager
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
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