Quality Improvement RN

Healthcare Support Staffing; Columbia (SC); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Competitive salary

Medical benefits

Positive work environment

Fun and positive work environment

Job summary

A leading healthcare staffing firm in Columbia, SC, seeks an experienced Registered Nurse with a current RN license to perform medical record reviews and manage quality improvement initiatives. Candidates should have 3-5 years of managed care experience and familiarity with HEDIS. The role offers a competitive salary, benefits including medical, dental, and vision, and a positive work environment. This is a unique opportunity for dedicated nurses looking to advance their careers with a prestigious company.

Qualifications

• Clear and active RN license in the state of SC.
• 3-5 years of managed care experience required.
• Knowledge of HEDIS is essential.
• Minimum 2 years of clinical experience.

Responsibilities

• Perform medical record reviews and chart audits.
• Manage and monitor quality improvement initiatives.
• Analyze, update, and modify procedures to improve QI operations.
• Collect and summarize performance data.
• Participate in site visit preparation and execution.

Skills

HEDIS knowledge

Managed care experience

Clinical experience

Education

Clear and active RN license in the state of SC

3-5 years of managed care experience

2+ years of clinical experience

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 SC
• 3-5 years of managed care experience
• Knowledge of HEDIS
• 2+ years of clinical experience

Additional Information

Are you an experienced Registered Nurse or Licensed Practical Nurse 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!

If you are interested in applying for this position, please click Apply or contact Amanda Hammer at 407-636-7030 ext.201.