Clinical Quality Improvement Nurse

CVS Health; New Mexico; Remote; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical, dental, vision

Paid time off

Retirement plan

Bonus eligibility

Job summary

CVS Health is seeking an experienced RN to lead quality improvement initiatives across clinical services. You will analyze care processes, drive evidence-based improvements, and support POSC workplans to achieve HEDIS and CAHPS goals.

The role emphasizes collaboration with diverse healthcare teams, training on performance measures, and ensuring regulatory alignment while delivering high-quality patient care.

Qualifications

• RN required and registered.
• 5-7 years of experience in clinical, case management, or quality roles.
• In-depth knowledge of HEDIS, STARs, and managed care quality.
• Strong analytic, interpersonal, and written communication skills.
• Ability to work with diverse teams and handle sensitive information.

Responsibilities

• Develops and implements quality improvement programs to monitor and improve healthcare services.
• Analyzes workflows and performance to ensure alignment with standards.
• Drives evidence-based performance improvements and tracks process and outcome measures.
• Coordinates workplans for POSC groups and facilitates related forums.
• Contributes to policies and guidelines to improve patient safety and provider experience.
• Stays current on healthcare innovations and contributes to research utilization.
• Provides training on HEDIS and CAHPS performance to staff and stakeholders.
• Collaborates with POSC stakeholders to ensure cross-functional engagement.

Job description

CVS Health is seeking an experienced RN to lead quality improvement initiatives across clinical services. You will analyze care processes, drive evidence-based improvements, and support POSC workplans to achieve HEDIS and CAHPS goals.

The role emphasizes collaboration with diverse healthcare teams, training on performance measures, and ensuring regulatory alignment while delivering high-quality patient care.