Nurse (RN) - Full-time / Part-time

Aerotek Scientific is currently seeking RNs to work for our client, a leading Healthcare company, in Nashville.

Nurse candidates should have solid knowledge of Microsoft Word and Excel and also have a skillset with chart review and HEDIS. All candidates should computer skills.

JOB SUMMARY

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.

Key Duties and Responsibilities

• 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.
• Monitors and investigates all quality of care and collaborates with medical directors to determine impacts and next steps for actions. Monitors provider quality complaints to identify trends and educational opportunities for improvement.
• Analyzes, updates, and modifies procedures and processes to continually improve QI operations.
• Collects and summarizes performance data and identifies opportunities for improvement.
• Serves as knowledge expert for continuous quality improvement activities, QIPS, PIPs and QIAs.
• Monitors and analyzes outcomes to ensure goals. objectives, outcomes, accreditation and regulatory requirements are met.
• Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies. CMS, AAAHC, URAC, NCQA, EQRO).
• Conducts internal auditing of compliance with regulatory and accreditation standards.
• Supports the implementation of the quality reporting infrastructure.
• Pursues methods to ensure receipt of data required for trending and reporting of various QI work plan metrics. performs adequate data/barrier analysis. develops improvement recommendations. and deploys actions as approved.
• Assists in activities to prioritize clinical and service improvement initiatives.
• Participates in various QI committees and work groups convened to improve process and/or health outcomes.

MINIMUM QUALIFICATIONS

• A High School or GED with a current unrestricted RN license Required
• A Bachelor's Degree in Healthcare, Nursing, Health Administration, Public Health or related health field Preferred
• 2+ years of experience in Quality Improvement Required
• 3+ years of experience in Managed Care Required
• Licensed Registered Nurse (RN) Required

Interested applicants should apply directly to the posting to be contacted with further details.

About Aerotek: Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit aerotek.com. Aerotek is acting as an Employment Agency in relation to this vacancy.