Senior Specialist, National Quality Improvement (RN) - Remote

JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality improvement programs, initiatives, audits, and quality improvement surveys and federal/state quality compliance activities. Contributes to overarching strategy to provide safe, efficient and cost-effective member care. Essential Job Duties • Provides project, program, and/or initiative related guidance to professionals within the quality department, and works collaboratively with other departments. • Implements key quality strategies that require a component of near real-time clinical decision-making; these activities may include initiation and management of interventions (e.g., removing barriers to care), preparation for quality improvement compliance surveys, review of potential quality of care and critical incident cases, review of medical record documentation for credentialing, model of care oversight, and any other federal and state required quality activities. • ...