Centene Corporation Clinical Quality Specialist (Non CA) in Nashville, Tennessee
Analyze performance data to evaluate the efficiency and effectiveness of clinical processes
Perform quality audits of all clinical functions
Work with the clinical business units to develop and implement preventive and/or corrective action plans as needed
Performs quality audits of clinical functions
Analyzes performance data to evaluate the efficiency and effectiveness of clinical processes
Works with clinical business units to develop and implement preventive and/or corrective action to remedy or prevent performance failures
Tracks quality improvement activities, assesses trends and provides reporting to various departments and committees
Reviews and assesses the documentation used in clinical business units to ensure compliance with the control of documentation requirement
Facilitates process improvement in clinical business units
Bachelor’s degree in a clinical field. Minimum three years managed care experience.
RN license. Must have and maintain current, valid and unrestricted Registered Nurse (RN) license. Position requires CPHQ (Certified Professional in Healthcare Quality) certification.
This position is 100% remote.
Government Security/Clearance/Citizenship Requirements: Requires US Citizenship and current security clearance.
This position will be supporting a Federal government contract, therefore it requires U. S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF86 or higher security.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
TITLE: Clinical Quality Specialist (Non CA)
LOCATION: Nashville, Tennessee
COMPANY: Clinical & Care Management
POSITION TYPE: Both