Sr Clinical Quality RN
24 hours ago
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.The Sr. Clinical Quality RN (Sr. CQRN) will drive consistency, efficient processes and share best practices, in a collaborative effort with the provider and large or complex groups, designed to facilitate a minimum 4 STAR quality performance. The Sr. CQRN will participate in quality improvement initiatives, attend monthly or joint operating committee meetings, develop recommendations for quality remediation plans and create tools and databases to capture relevant data for each region. This position will work collaboratively with each regional/market team and their leadership in a matrix relationship.This position has responsibility for the assigned network's quality performance.Primary Responsibilities: Develop market business plans to motivate providers and large or complex group leadership to engage in improving Stars measures to be 4 STARS or higher Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups Be the primary subject matter expert for all STARS related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate operations and Regional/Market operations. Lead or participate and present in weekly, Monthly, Bi-monthly, Quarterly and/or Annual business Review meetings related to STAR activities which summarize provider and large group performance and market performance as requested by or required by Quality or Regional leadership. Analyze and evaluate provider and large group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies Assist in developing of training and analytical materials for Stars and HEDIS You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Active, Unrestricted RN License for Indiana 4+ years of healthcare experience, including experience in a managed care setting 2+ years of experience in HEDIS/Star programs, preferably in a clinical quality consultant role 2+ years of experience in provider facing interactions, including provider education. 2+ years of experience with data analysis and/or quality chart reviews. Must be able to review data and provide recommendations for improvement Billing and CPT coding experience Clinical data abstraction experience Experienced using Microsoft office applications, including databases, word-processing, and excel spreadsheets. Must be proficient in Excel Medicare experience 25% local travel with occasional overnight travel At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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Sr Clinical Quality RN
7 days ago
Indianapolis, United States UnitedHealth Group Full timeFor those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Sr. Clinical Quality RN (Sr. CQRN) will drive consistency, efficient processes and share best practices, in a collaborative...
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Quality Assurance Software Engineer
4 weeks ago
Indianapolis, Indiana, United States Clinical Architecture Full timeJob OverviewAbout UsAt Clinical Architecture, we are pioneers in healthcare technology solutions. Our team is a dynamic mix of innovative thinkers and skilled professionals dedicated to addressing complex challenges that have a meaningful impact. We foster a supportive and relaxed workplace culture where commitment to excellence and customer satisfaction is...
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Software Quality Assurance Specialist
4 weeks ago
Indianapolis, Indiana, United States Clinical Architecture Full timeJob OverviewAbout UsClinical Architecture is a leader in healthcare technology innovation. Our team comprises a diverse group of skilled professionals who blend creativity with technical expertise to tackle challenging issues that truly matter. We foster a supportive and relaxed environment, committed to delivering top-notch solutions and outstanding...
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Clinical Quality Nurse Specialist
3 days ago
Indianapolis, Indiana, United States UnitedHealth Group Full timeSenior Clinical Quality RN OpportunityWe are seeking a highly skilled and experienced Senior Clinical Quality RN to join our team at UnitedHealth Group. As a key member of our quality improvement team, you will play a critical role in driving consistency, efficient processes, and sharing best practices to facilitate a minimum 4 STAR quality performance.Key...
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Sr. Quality Assurance Manager
1 day ago
Indianapolis, United States AAR Full timeTitle: Sr. Quality Assurance Manager Location: United States-Indiana-Indianapolis Job Number: 15388 SUMMARY: Develop and maintain an effective Quality Assurance Program to ensure proper compliance with government contractual requirements, aircraft maintenance requirements, practices, and procedures with emphasis on compliance with Ground and Flight...
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PRD QA Sr. Director CT DP Manufacturing Lead
1 week ago
Indianapolis, Indiana, United States BioSpace, Inc. Full timeJob Title: PRD QA Sr. Director CT DP ManufacturingAt BioSpace, Inc., we are committed to delivering high-quality products to our customers. We are seeking a highly skilled and experienced PRD QA Sr. Director CT DP Manufacturing to join our team.Job Summary:The PRD QA Sr. Director CT DP Manufacturing will be responsible for leading the quality assurance team...
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Sr. Quality Technician
4 months ago
Indianapolis, United States HGC Industries Full timeJob DescriptionJob DescriptionHGC Industries is a worldwide leader in designing and manufacturing gaskets, sealing surfaces, and stamping. For over 50 years, our customers have trusted us to fulfill their advanced sealing & stamping requirements. We provide technical sealing and stamping solutions to customers around the globe through our excellence in...
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Quality Manager, Sr.
3 weeks ago
near Indianapolis, United States The Williams Company Full timeJob Description:We are seeking a highly skilled Quality Manager, Sr. to join our team at The Williams Company. As a key member of our organization, you will be responsible for ensuring the highest standards of quality in our food and beverage manufacturing processes.Key Responsibilities:Develop and implement quality control procedures to ensure compliance...
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Sr. Director â IT Manufacturing
3 months ago
Indianapolis, United States Eli Lilly and Company Full timeAt Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities...
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Sr. Director TS/MS
4 months ago
Indianapolis, United States Eli Lilly and Company Full timeAt Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities...
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RN Clinical Supervisor
2 weeks ago
Indianapolis, Indiana, United States Maxim Healthcare Services Full timeAbout the RoleWe are seeking a highly skilled and experienced Registered Nurse (RN) to join our team as a Clinical Supervisor. As a Clinical Supervisor, you will be responsible for the clinical oversight of homecare clients and patients served, ensuring the highest level of care and quality service.Key ResponsibilitiesSupervise care management and personnel...
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Sr. Quality Technician
3 weeks ago
Indianapolis, United States IEA Management Services, Inc. Full timeSummary For us, "family" doesn't describe our size or capabilities, rather it's a way of doing business. It means we put people first. From our committed and dynamic safety culture, to the way we treat our employees and clients, to how we interact with project stakeholders on a daily basis, our focus on people allows us to achieve our goal of doing a good...
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Clinical Liaison RN
3 days ago
Indianapolis, Indiana, United States SouthPointe Healthcare Center Full timeJob Title: Clinical Liaison RNWe are seeking an experienced Clinical Liaison RN to join our team at SouthPointe Healthcare Center. As a Clinical Liaison RN, you will play a critical role in building and maintaining relationships with physicians, discharge planners, and other healthcare professionals to ensure referrals and admissions to our...
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Clinic Supervisor
3 weeks ago
Indianapolis, United States Indiana Hemophilia & Thrombosis Center, Inc. Full timeJob DescriptionJob DescriptionWhat You Will DoAs a Clinic Supervisor at the IHTC, you will be responsible for promoting and supervising clinical staff in the daily operations of the clinic to assure comprehensive care management, a positive patient experience and efficient clinic workflows.The Opportunity· Provide direct oversight and day to day leadership...
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Clinic Supervisor
1 month ago
Indianapolis, United States Indiana Hemophilia & Thrombosis Center, Inc. Full timeJob DescriptionJob DescriptionWhat You Will DoAs a Clinic Supervisor at the IHTC, you will be responsible for promoting and supervising clinical staff in the daily operations of the clinic to assure comprehensive care management, a positive patient experience and efficient clinic workflows.The Opportunity· Provide direct oversight and day to day leadership...
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Director Clinical Quality Management
1 day ago
Indianapolis, United States Elevance Health Full timeDirector Clinical Quality Management Location: This position will work a hybrid model (remote and office). Must live within 50 miles/1 hour commute of an Elevance Health location. The Director Clinical Quality Management is responsible for the oversight of day-to-day operations of accreditation and quality infrastructure work performed to meet regulatory...
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PRD QA Sr. Director CT DP Manufacturing
2 months ago
Indianapolis, United States Eli Lilly and Company Full timeAt Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities...
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Clinical Access Nurse RN
4 days ago
Indianapolis, Indiana, United States Eskenazi Health Full timeJob Title: Clinical Access Nurse RNEskenazi Health is seeking a skilled Clinical Access Nurse RN to join our team. As a Clinical Access Nurse RN, you will serve as a main source of contact for clinical questions, refill requests, and prior authorizations for patients of the clinic.Key Responsibilities:Serve as a main source of contact for clinical questions,...
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RN Clinical Supervisor, Family Medicine
3 days ago
Indianapolis, Indiana, United States Community Health Network Full timeJob SummaryWe are seeking a highly skilled RN Clinical Supervisor to join our Family Medicine team at Community Health Network. As a key member of our clinical leadership team, you will be responsible for providing exceptional patient care, leading clinical staff, and driving quality and safety initiatives.Key ResponsibilitiesProactively work towards...
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RN Clinical Supervisor, Cardiac
3 weeks ago
Indianapolis, United States Community Health Network Full timeJoin Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and...