Quality Perform Specialist Clinical (RN)
Posted on: January 16, 2022
Job BriefGreat work from home opportunity for an RN with
Healthcare Quality Performance living in Northern Louisiana.Your
career starts now. We're looking for the next generation of health
care leaders.At AmeriHealth Caritas, we're passionate about helping
people get care, stay well and build healthy communities. As one of
the nation's leaders in health care solutions, we offer our
associates the opportunity to impact the lives of millions of
people through our national footprint of products, services and
award-winning programs. AmeriHealth Caritas is seeking talented,
passionate individuals to join our team. Together we can build
healthier communities. If you want to make a difference, we'd like
to hear from you.Headquartered in Philadelphia, AmeriHealth Caritas
is a mission-driven organization with more than 30 years of
experience. We deliver comprehensive, outcomes-driven care to those
who need it most. We offer integrated managed care products,
pharmaceutical benefit management and specialty pharmacy services,
behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.This position
is eligible for a $5,000 sign-on bonusResponsibilities:This
position is responsible for leading and coordinating the clinical
quality review process of member concerns and medical records
utilizing of care standards. In addition, responsibilities also
include supporting the annual medical record review activities
including HEDIS and, Clinical Practice Guidelines. The position
also supports accreditation and clinical quality performance
- Bachelors Degree in Nursing or an equivalent amount of
education and experience required.
- Registered Nurse with Clear/Active license in the state of
Louisiana or a Multi-State Compact license required.
- 1-3 years Managed Care experience preferred.
- 1-3 years quality improvement experience required.
- 2-4 years experience in project facilitation/management role
- Proficient with Microsoft Office applications including Word,
PowerPoint, Excel required.
- Knowledge and understanding of QI functions in an MCO
- Knowledge of Medicaid preferred.Back ShareApply Now
Keywords: Amerihealth, Shreveport , Quality Perform Specialist Clinical (RN), Healthcare , Shreveport, Louisiana
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