RN Quality Review & Risk Management Specialist

Lexington Health, Inc.; West Columbia (SC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Day ONE medical coverage

Dental and life insurance

403(b) match

Job summary

Lexington Health, Inc. in West Columbia, SC, seeks a Quality Review Specialist-RN to provide consultative services on quality assessment and trends across hospital staff and departments.

You will perform retrospective reviews using approved criteria, ensuring data accuracy and timely reporting. The role emphasizes risk management and performance improvement, requiring 4 years clinical experience with 2 years in quality, RN licensure, and strong data skills.

Qualifications

• RN licensure required and current licensure in SC or eligible.
• 4 years of clinical or hospital experience; 2 years in quality/utilization review.
• Proficient in data analysis and reporting.
• Familiar with regulatory requirements and quality improvement processes.

Responsibilities

• Performs retrospective chart reviews using approved criteria.
• Generates timely statistical analyses and reports for committees.
• Maintains data integrity across performance improvement databases.
• Leads or participates in quality improvement projects.
• Collaborates with risk, IS, and clinical teams on action plans.
• Supports continuing education and adherence to safety standards.

Skills

Quality assessment

Data analysis

Regulatory compliance

Cross-functional collaboration

Education

RN licensure

High School Diploma or Equivalent

Tools

Occurrence reporting system

Job description

Lexington Health, Inc. in West Columbia, SC, seeks a Quality Review Specialist-RN to provide consultative services on quality assessment and trends across hospital staff and departments.

You will perform retrospective reviews using approved criteria, ensuring data accuracy and timely reporting. The role emphasizes risk management and performance improvement, requiring 4 years clinical experience with 2 years in quality, RN licensure, and strong data skills.