Quality Improvement RN implements new and existing healthcare quality improvement initiatives and educational programs. Ensures maintenance of programs for members in accordance with prescribed quality standards. Reviews clinical data for clinical quality complaints; conducts data collection, reporting and monitoring for key performance measurement activities. Provides direction and implementation of URAC accreditation surveys and federal/state quality improvements/compliance activities. QUALIFICATIONS: Associate Degree in Nursing and RN License required. License must be active and in good standing. Bachelor's Degree in Nursing preferred. Clinical Quality, Public Health or Healthcare, Certified Professional in Health Quality (CPHQ), Certified
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