Ohio Licensed Clinical Quality Specialist
Location: Remote
Compensation: To Be Discussed
Reviewed: Fri, Mar 14, 2025
This job expires in: 30 days
Job Summary
A company is looking for a Quality Performance Specialist - Clinical.
Key Responsibilities
- Lead and coordinate clinical quality review processes for member concerns and medical records
- Assist with Quality Assessment and Performance Improvement Committee (QAPI) activities and documentation
- Support annual medical record review activities including HEDIS and Clinical Practice Guidelines
Required Qualifications
- Associate's Degree or equivalent work experience; Bachelor's Degree preferred
- Minimum of 3 years in clinical or service quality improvement or relevant healthcare experience
- An unrestricted Clinical license (RN) in the relevant state is required
- Prior experience with project facilitation/management is preferred
- Proficient in Microsoft Office applications including Word, PowerPoint, and Excel
COMPLETE JOB DESCRIPTION
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