Quality Outreach RN Care Coordinator

Tenavi Staffing; Pennsylvania; Remote; USD 70,000 - 100,000; Full time

Job summary

Tenavi Staffing is seeking an experienced Quality Outreach RN to support quality outreach initiatives and member engagement in a fully remote contract role. The courier will leverage clinical knowledge and quality program expertise to conduct member outreach, support care gap closure, and contribute to improved quality performance and member outcomes.

The ideal candidate has HEDIS experience, managed care background, and strong communication and documentation skills.

Qualifications

• Requires HEDIS experience with gap closure and quality outreach.
• Experience in Medicare/Medicaid or government programs populations preferred.
• Minimum 3–5 years in managed care, population health, or quality programs.
• Strong written and verbal communication and documentation skills.
• Experience in remote or telehealth environments is preferred.

Responsibilities

• Conduct outbound member outreach to support HEDIS gap closure and preventive care compliance.
• Coordinate care across providers and settings to support continuity of care.
• Monitor member progress and identify barriers to treatment adherence.
• Review medical records, claims data, and HEDIS measures to identify intervention opportunities.
• Support quality initiatives focused on improving HEDIS, Stars, and member experience metrics.
• Document outreach activities, barriers, and outcomes accurately and timely.
• Collaborate with clinical and quality teams to support reporting and compliance initiatives.
• Maintain HIPAA compliance and adhere to regulatory requirements.

Skills

HEDIS experience

Quality outreach

Managed care

Communication skills

Documentation skills

Remote work experience

Telehealth experience

Tools

EMR systems

Quality documentation platforms

Job description

We are seeking an experienced and motivated Quality Outreach RN to support quality outreach initiatives and member engagement efforts. This contract opportunity is ideal for nurses with strong HEDIS, quality improvement, and managed care experience who thrive in a remote, performance-driven environment.

The Quality Outreach RN will leverage clinical knowledge and quality program expertise to conduct member outreach, support care gap closure, and contribute to improved quality performance and member outcomes.

Key Responsibilities

• Conduct outbound member outreach to support HEDIS gap closure and preventive care compliance
• Coordinate care across providers and healthcare settings to support continuity of care
• Monitor member progress and identify barriers to treatment adherence
• Review medical records, claims data, and HEDIS measures to identify intervention opportunities
• Support quality initiatives focused on improving HEDIS, Stars, and member experience metrics
• Document outreach activities, barriers, and outcomes accurately and in a timely manner
• Collaborate with clinical and quality teams to support reporting and compliance initiatives
• Maintain HIPAA compliance and adhere to all regulatory requirements

Qualifications

• Required HEDIS experience, including gap closure and quality outreach work
• Experience with Medicare, Medicaid, or other government programs populations strongly preferred
• Minimum 3–5 years of clinical experience in managed care, population health, or quality programs
• Strong communication, organization, and documentation skills
• Experience working in remote or telehealth environments preferred
• Proficiency with EMR systems and quality documentation platforms
• Fully remote contract role