Remote RN Quality Assurance & Care Analyst

CASM Limitlessli LLC; Manila; Remote; PHP 1,313,000 - 3,063,000; Full time

Job summary

CASM Limitlessli LLC is seeking a highly organized Quality Nurse Analyst for a remote position. The role involves reviewing clinical incidents, applying SOPs to determine causes and resolutions, and coordinating with physicians and care teams to ensure patient safety.

The ideal candidate holds an RN license in NYS with at least two years of nursing experience, and may have managed care exposure. The job requires strong communication, collaboration, and adherence to regulatory timelines.

Qualifications

• RN with NYS license.
• Minimum of 2 years nursing experience.
• Managed care experience preferred.

Responsibilities

• Review clinical incidents.
• Follow SOPs to determine root cause, risk, and resolution for incidents.
• Process interim medical orders to notify physician of patient needs and changes.
• Perform follow-up calls for high-risk recently discharged patients.
• Communicate with client, caregiver, coordination teams, payers, field RNs, providers and stakeholders.
• Follow regulatory guidelines to manage incidents to deadlines.
• Share trends from aggregate data to support quality improvement.
• Collaborate with the assistant director of nursing services to review cases.

Skills

Detail oriented

Interpersonal skills

Clinical judgment

Collaborative

Education

RN, NYS license

Job description

CASM Limitlessli LLC is seeking a highly organized Quality Nurse Analyst for a remote position. The role involves reviewing clinical incidents, applying SOPs to determine causes and resolutions, and coordinating with physicians and care teams to ensure patient safety.

The ideal candidate holds an RN license in NYS with at least two years of nursing experience, and may have managed care exposure. The job requires strong communication, collaboration, and adherence to regulatory timelines.