Healthcare Quality & Compliance Specialist

MCS Puerto Rico; San Juan (PR); Sur place; USD 65 000 - 95 000; Plein temps

Résumé du poste

MCS Puerto Rico is seeking a Clinical Quality Specialist to review and evaluate quality-of-care concerns, including complaints, admissions, and HACs. The role ensures timely case resolution, CAP oversight, and regulatory compliance with CMS and ASES requirements.

Ideal candidates hold a BSN with at least two years of clinical experience, a valid nursing license, and fluency in English (with Spanish proficiency).

Qualifications

• Bachelor of Science in Nursing with at least two years of clinical experience in a similar position.
• Knowledge of Industry Quality of Care requirements and regulations.
• Excellent English oral and written proficiency.

Responsabilités

• Review and evaluate quality-of-care concerns, complaints, and HACs to ensure timely resolution.
• Coordinate for corrective action plans (CAPs) and regulatory compliance with CMS and ASES.
• Liaise with Quality Department, Clinical Affairs, Grievance and Appeal units to analyze cases and develop action plans.

Connaissances

English proficiency

Spanish proficiency

Formation

Bachelor of Science in Nursing

Description du poste

MCS Puerto Rico is seeking a Clinical Quality Specialist to review and evaluate quality-of-care concerns, including complaints, admissions, and HACs. The role ensures timely case resolution, CAP oversight, and regulatory compliance with CMS and ASES requirements.

Ideal candidates hold a BSN with at least two years of clinical experience, a valid nursing license, and fluency in English (with Spanish proficiency).