QA Nurse - Telework Eligible, Quality Assurance

FALL CREEK FARM & NURSERY; Alice (TX); On-site; USD 61,000 - 99,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Generous time off

Career growth

Job summary

Health & Human Services Commission (HHSC) in Alice, TX, seeks a Nurse III to oversee quality assurance and utilization review for Texas Medicaid programs. The role requires RN licensure, clinical nursing experience, and strong communication skills.

Telework may be available, with a focus on compliance, data accuracy, and process improvements. The position offers a competitive monthly salary, comprehensive benefits, and opportunities for professional growth within HHSC's UR LTSS FTE Random Mmt

Qualifications

• Bachelor's degree in nursing preferred.
• Minimum three years nursing experience in a clinical setting.
• Experience with Texas Medicaid or managed care is a plus.
• Excellent written and verbal communication skills.

Responsibilities

• Ensure compliance with Texas Medicaid policies and program regulations.
• Participate in quality assurance activities and data accuracy reviews.
• Assist in planning and implementing corrective action measures.
• Provide consultative services to program staff.

Skills

Nursing experience

Communication skills

Detail oriented

Microsoft Office

Education

Bachelor's degree in nursing

Tools

Microsoft Office

Job description

Health & Human Services Commission (HHSC) in Alice, TX, seeks a Nurse III to oversee quality assurance and utilization review for Texas Medicaid programs. The role requires RN licensure, clinical nursing experience, and strong communication skills.

Telework may be available, with a focus on compliance, data accuracy, and process improvements. The position offers a competitive monthly salary, comprehensive benefits, and opportunities for professional growth within HHSC's UR LTSS FTE Random Mmt