RN - Quality Improvement Coordinator - Managed Care
Nurse Resolutions - Milwaukee, WI

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Position Purpose: Analyze, develop, implement and monitor clinical QI initiatives to achieve healthy outcomes. Position Responsibilities: • Perform duties and functions to comply with quality improvement programs according to state requirements. • Support Quality Assurance Performance Improvement work plan/initiatives. • Schedule and assist with committee and sub-committee preparation. • Assist in investigation and resolution of member quality of care complaints. • Audit medical records and monitor performance measures for heath care risk management, sentinel events and trends.
Licenses/Certifications: RN (Registered Nurse), LPN or LVN required. CPHQ (Certified Professional in Healthcare Quality) preferred.Knowledge/Experience: Bachelors degree in nursing preferred. At least two years clinical nursing experience. At least one year experience in quality function in a healthcare setting. CONTACT: Abe GhebrehiwetSenior Account ExecutiveNurse Resolutions888.411.2228. X 204 Toll Free407.982.7508. Faxwww.NurseResolutions.comAbe@NurseResolutions.comcase manager' or case management' or utilization review' or utilization management' or concurrent review' or retrospective review' or 'care management' or 'care manager' or 'cpur' or 'ccm' or 'cmcn' or 'quality management' or 'quality assurance' or 'quality improvement' or 'performance improvement' or QI' or QA' or QM' or 'hedis' or 'ncqa' or 'national committee for quality assurance' or cphq' or 'medical management' or 'disease management' and nurse'

CareerBuilder - 17 months ago - save job - block
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