Quality Review RN (St. Louis, MO) at / RN Jobs

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Quality Review RN (St. Louis, MO)

at in St. Louis, MO

Essential Functions:
Supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies impacting plan compliance to regulatory and accreditation standards. Interfaces with a diverse range of clinical and administrative professionals, resolves complex issues, and performs data analytic and reporting activities.
Manages and monitors quality improvement initiatives including, but not limited to, development and implementation of preventive health and chronic disease outcome improvement interventions such as: newsletter articles, member education and outreach interventions, provider education, member outreach interventions, medical record reviews, focus groups, and surveys.
Education: A Bachelor's Degree in Healthcare, Nursing, Health Administration or related health field. Master's Degree in Healthcare preferred.
Experience: 2+ years clinical experience with clinical degree program. 3-5 years managed care experience. Experience in compliance, accreditation, service or quality improvement. Knowledge of accreditation, federal and state regulations/requirements Location: St. Louis, MO
Compensation: $26-$28 HR
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