Registered Nurse Quality Operations

Job Summary

A company is looking for a Senior Clinical Quality Nurse RN for a remote position in Quality Operations Call Center.

Key Responsibilities:

• Perform telephonic patient-centered clinical consults and assessments for older adults and transition of care
• Manage inbound and outbound calls, adhering to established protocols and metrics
• Educate patients on health conditions, assist with appointment scheduling, and document all interactions thoroughly

Required Qualifications:

• Active, unrestricted Registered Nurse eNLC Compact licensure in state of residency
• 5+ years of RN experience, including in a managed care setting
• 2+ years of experience in HEDIS/Star programs and telephonic outreach
• Experience with data analysis and quality chart reviews
• Proficient in Microsoft Office, particularly Excel