Quality Improvement RN - Managed Care (MO)

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

Benefits offered by this job

Referral bonuses up to $100.00

Job summary

A leading healthcare recruiting firm in the United States seeks a Quality Improvement Manager to oversee healthcare quality initiatives. The ideal candidate will be a licensed RN in Missouri with 3-5 years of experience in Managed Care and knowledge of compliance and HEDIS. Responsibilities include managing quality studies, analyzing data, and ensuring compliance with state regulations. This role offers the opportunity to work with top healthcare providers and access to rewarding career opportunities.

Qualifications

• Must be a licensed RN in MO.
• 3-5 years of Managed Care experience/Chart Review.
• Knowledge of compliance, accreditation, service or quality improvement.

Responsibilities

• Manage and monitor quality improvement initiatives.
• Analyze, update, and modify procedures to improve QI operations.
• Collect and summarize performance data for Quality Improvement Committees.

Skills

Managed Care experience

Chart Review

Knowledge of compliance

Knowledge of HEDIS

Knowledge of federal and state regulations

Patient assessment skills

Effective presentation

Treatment plan interpretation

Education

Licensed RN in MO

Job description

A leading healthcare recruiting firm in the United States seeks a Quality Improvement Manager to oversee healthcare quality initiatives. The ideal candidate will be a licensed RN in Missouri with 3-5 years of experience in Managed Care and knowledge of compliance and HEDIS. Responsibilities include managing quality studies, analyzing data, and ensuring compliance with state regulations. This role offers the opportunity to work with top healthcare providers and access to rewarding career opportunities.