Quality Improvement Registered Nurse

Healthcare Support Staffing; Brentwood (TN); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive salary

Medical benefits

Dental benefits

Vision benefits

Positive work environment

Job summary

A national healthcare recruiting firm is looking for an experienced Registered Nurse in Tennessee to perform medical record reviews and manage quality improvement initiatives. Candidates must hold an active RN license and have 3-5 years of managed care experience, along with knowledge of HEDIS. This role offers competitive salary, benefits, and a positive work environment. If you're keen on advancing your career in the healthcare sector, apply now.

Qualifications

• Registered Nurse license active in Tennessee.
• 3-5 years experience in managed care.
• Proficient in HEDIS data.
• 2+ years of clinical experience.

Responsibilities

• Perform medical record reviews to assess patient service appropriateness.
• Manage quality improvement initiatives within the organization.
• Analyze and modify quality improvement operations.
• Collects and summarizes performance data.
• Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, AAAHC, URAC, NCQA, EQRO).

Skills

Clear and active RN license in the state of TN

3-5 years of managed care experience

Knowledge of HEDIS

2+ years of clinical experience

Education

RN - Tennessee

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Daily Responsibilities:

• Performs medical record reviews/chart audits to determine appropriateness of patient services provided
• Manages and monitors quality improvement initiatives
• Analyzes, updates, and modifies procedures and processes to continually improve QI operations.
• Collects and summarizes performance data
• Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, AAAHC, URAC, NCQA,EQRO)

Hours for this Position:

• Monday-Friday daytime hours

Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment

Qualifications

Requirements:

• Clear and active RN license in the state of TN
• 3-5 years of managed care experience
• Knowledge of HEDIS
• 2+ years of clinical experience

Additional Information

Are you an experienced Registered Nurse with HEDIS experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Interested in hearing more about this great opportunity?

Please click the "Apply" button for immediate consideration.