QM Nurse Consultant

CVS Health; United States; À distance; USD 54 000 - 117 000; Plein temps

Avantages offerts par ce poste

Health insurance

Retirement savings options

Paid time off

Wellness programs

Bonus eligibility

Résumé du poste

CVS Health is seeking a clinical quality professional to support quality improvement initiatives that enhance patient safety and care quality. You will partner with the quality team to analyze clinical data, conduct reviews, and implement evidence-based practices across the care continuum.

Ideal candidates hold RN licensure, with CPT/CPHQ preferred, and possess strong problem-solving and digital literacy skills to drive compliant, effective healthcare programs.

Qualifications

• RN licensure or related clinical licensure.
• CPHQ certification preferred.
• Bachelor's degree or equivalent professional qualification.

Responsabilités

• Applies specialized clinical knowledge to participate in quality improvement efforts to assess and enhance patient care.
• Collaborates with the healthcare quality team to collect and analyze clinical data, participate in quality reviews, and identify opportunities for process improvement.
• Develops and implements quality assurance programs and initiatives to monitor and improve healthcare services and processes.
• Communicates with healthcare professionals to develop and implement quality improvement initiatives that enhance patient care.
• Monitors and ensures compliance with laws, regulations, and accreditation standards by conducting reviews and audits.
• Contributes to policy development, procedures, and guidelines focused on improving clinical quality and patient safety.

Connaissances

Clinical quality

Problem solving

Digital literacy

Formation

Bachelor's degree

Description du poste

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Applies specialized clinical knowledge to participate in quality improvement efforts to assess and enhance patient care. Collaborates with the healthcare quality team to collect and analyze clinical data, participate in quality reviews, and identify opportunities for process improvement. Provides insights and recommendations to optimize healthcare practices and promote patient safety and satisfaction.

• Develops and implements quality assurance programs and initiatives to monitor and improve healthcare services and processes.
• Communicates with healthcare professionals to develop and implement quality improvement initiatives that enhance the quality and consistency of patient care.
• Monitors and ensures compliance with relevant laws, regulations, and accreditation standards by conducting regular reviews, assessments, and audits to identify and address areas of non-compliance.
• Contributes to the development, revision, and implementation of policies, procedures, and guidelines that focus on improving clinical quality and ensuring patient safety.
• Collaborates with cross-functional teams, such as legal, clinical operations, and regulatory affairs, to ensure policies are up-to-date, aligned with industry best practices, and reflect regulatory requirements.
• Analyzes data, identifies trends, and implements evidence-based practices that address areas for improvement, reduce variations in care, and enhance clinical effectiveness.
• Provides training and education to healthcare professionals, staff, and stakeholders on quality assurance, patient safety, and compliance-related topics.
• Contributes to enhancing healthcare services, improving patient outcomes, and ensuring adherence to regulatory requirements and industry standards.
• Stays up-to-date on healthcare quality studies and evidence-based practices by participating in research efforts, contributing to scholarly publications, and/or facilitating research utilization to improve clinical care and outcomes.

Required Qualifications

• Registered Nurse (RN) or other related clinical licensure.
• Certified Professional in Healthcare Quality (CPHQ) preferred.

Preferred Qualifications

• Certified Professional in Healthcare Quality (CPHQ) preferred.
• Working knowledge of problem solving and decision making skills.
• Working knowledge of medical terminology.
• Working knowledge of digital literacy skills.
• Ability to deal tactfully with customers and community.
• Ability to handle sensitive information ethically and responsibly.
• Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option.
• Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.

Education

Bachelor's degree preferred/specialized training/relevant professional qualification.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $116,760.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/26/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.