Quality Improvement RN Lead — Data-Driven Healthcare

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

Job summary

A national healthcare staffing firm is seeking a Quality Improvement specialist in Newark, NJ. The role requires a licensed RN with 3-5 years of Managed Care experience. Responsibilities include analyzing procedures to improve quality, leading teams, and ensuring regulatory compliance. Ideal candidates should be knowledgeable in HEDIS and have experience with Medicare and Medicaid. This position offers immediate opportunities with competitive compensation.

Qualifications

• 3-5 years of Managed Care experience/Chart Review.
• Knowledge of federal and state regulations.
• Experience with Medicaid and Medicare.

Responsibilities

• Analyze and modify procedures for quality improvement.
• Lead quality improvement teams.
• Monitor and analyze outcomes for regulatory compliance.
• Conduct internal audits for compliance.

Skills

Managed Care experience

Knowledge of compliance

Knowledge of HEDIS

Patient assessment skills

Education

Licensed RN

Job description

A national healthcare staffing firm is seeking a Quality Improvement specialist in Newark, NJ. The role requires a licensed RN with 3-5 years of Managed Care experience. Responsibilities include analyzing procedures to improve quality, leading teams, and ensuring regulatory compliance. Ideal candidates should be knowledgeable in HEDIS and have experience with Medicare and Medicaid. This position offers immediate opportunities with competitive compensation.