Registered Nurse (RN) / Quality Management Specialist

We are a Managed Care Plan looking for a Registered Nurse or equivalent medical professional to perform quality management activities. The Quality Management Specialist will collect HEDIS data, analyze data for quality improvement activities and assist medical providers with quality improvement projects. Some medical case management activities may also be required.

 

Registered Nurse (RN) / Quality Management Specialist

 

Responsibilities:

·  Design and implement HEDIS and quality improvement projects for managed care plan

·  Interpret and analyze HEDIS statistical reports

·  Develop and implement provider education program to improve quality outcomes

·  Problem solve medical care related issues with providers

·  Participate in Quality Assurance Committee meetings and company activities 

 

Requirements:

The ideal candidate must be a Registered Nurse or equivalent medical professional. Knowledge of CPT coding is required. Strong computer skills especially in Microsoft Office Suite, knowledge of the HEDIS process, excellent communication and interpersonal skills are required. Individual must possess the ability to effectively present medical information one-on-one and to small groups. Prior managed care experience preferred.

 

Benefits:

We value our employees through our commitment to your success and growth. We offer unprecedented benefits to our employees including:

·  Competitive compensation

·  Medical, dental and life insurance

·  401K

·  Paid time off: vacations and holidays

·  And much more!

 

To Apply:

Please send your resumes to: BHAY@FHNCHICAGO.com

 

EOE

 Keywords: quality management, quality assurance, quality improvement, quality manager, quality improvement manager, qa, qm, r.n., nurse, HEDIS manager