Remote Quality Management Nurse Consultant

CVS Health; Alton (IL); Remote; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking an RN with clinical and performance-improvement expertise to lead quality initiatives. The role analyzes workflows, supports POSC Council activities, and advances HEDIS and CAHPS objectives to elevate care quality and patient outcomes.

The position emphasizes evidence-based interventions, cross-functional collaboration, and ongoing education for healthcare professionals, with a remote work arrangement.

Qualifications

• RN required with clinical and care coordination background.
• Experience in quality/performance improvement and healthcare regulations.
• Knowledge of HEDIS and STARs measures and accreditation standards.

Responsibilities

• Develops and implements quality improvement programs and initiatives.
• Analyzes workflow and performance to drive improvements.
• Coordinates POSC workplans and facilitates related workgroups.
• Provides training on HEDIS/CAHPS performance and related processes.
• Supports policy development to improve patient safety and provider experience.

Skills

HEDIS knowledge

Quality improvement

Analytical skills

Communication skills

Critical thinking

Ethical handling of sensitive data

Interpersonal skills

Education

BSN

Master's degree (preferred)

Tools

None specified

Job description

CVS Health is seeking an RN with clinical and performance-improvement expertise to lead quality initiatives. The role analyzes workflows, supports POSC Council activities, and advances HEDIS and CAHPS objectives to elevate care quality and patient outcomes.

The position emphasizes evidence-based interventions, cross-functional collaboration, and ongoing education for healthcare professionals, with a remote work arrangement.