Senior Quality Nurse

4 months ago

Albuquerque, United States UnitedHealth Group Full time

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 Consultant (CQC) RN 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 CQC will be provider facing and participate in quality improvement initiatives, attend monthly or joint operating committee meetings, and develop recommendations for quality improvement. This position is responsible for quality performance in their assigned region and will work collaboratively with the market team and their leadership in a matrix relationship. Primary Responsibilities: Develop business plans to motivate providers to improve STARS measure performance Provide analytical interpretation and STARS/HEDIS performance summaries to provider groups Be the subject matter expert for all STARS-related activities within their assigned territory working within a matrix relationship Participate and present in weekly, Monthly, Bi-monthly, Quarterly and/or Annual business Review meetings related to STAR activities which summarize provider performance Analyze and evaluate provider structure and characteristics, including EMR utilization, office operations, and personnel to identify the most effective approaches and strategies to improve STARS measure performance Assist in developing STARS/HEDIS presentation materials for provider performance meetings 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: Registered Nurse within NM and/or a compact state. In lieu of RN license, Licensed Practice Nurse (LPN) with 5+ years of experience in HEDIS/STAR programs acceptable 4+ years of healthcare experience 2+ years of experience in provider-facing interactions Experience and proficiency using Microsoft Office applications, including Outlook, Word, PowerPoint, and Excel spreadsheets Ability to review clinical data and provide recommendations for improvement Valid NM Driver’s license and ability to travel 75% locally Preferred Qualifications: 2+ years of experience in HEDIS/STARS, preferably in a clinical quality consultant role 2+ years of data analysis and/or quality chart review and abstraction Billing and CPT coding experience Medicare and/or Managed Care experience Physical & Mental Requirements: Ability to lift up to 10 pounds Ability to push or pull heavy objects Ability to sit for extended periods of time Ability to stand for extended periods of time Ability to use fine motor skills to operate office equipment and/or machinery Ability to properly drive and operate a vehicle Ability to receive and comprehend instructions verbally and/or in writing Ability to use logical reasoning for simple and complex problem solving 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.

  • Senior Quality Nurse

    4 months ago

    Albuquerque, United States Optum Full time

    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 Consultant (CQC) RN will drive consistency, efficient processes and share best practices, in a...

  • Senior Quality Nurse

    3 weeks ago

    Albuquerque, United States Optum Full time

    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 Consultant (CQC) RN will drive consistency, efficient processes and share best practices, in a...

  • Senior Quality Nurse

    3 months ago

    Albuquerque, United States UnitedHealth Group Full time

    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 Consultant (CQC) RN will drive consistency, efficient processes and share best practices, in a...

  • Caregiver - Certified Nurse Assistant (CNA)

    1 month ago

    Albuquerque, New Mexico, United States Senior Helpers Full time

    Job SummarySenior Helpers is seeking a compassionate and skilled Certified Nurse Assistant (CNA) to join our team. As a CNA, you will play a vital role in providing high-quality care to our clients, ensuring their comfort, dignity, and well-being.Key ResponsibilitiesAssist clients with daily living activities, such as bathing, dressing, and meal...

  • Senior Nursing Supervisor

    3 weeks ago

    Albuquerque, New Mexico, United States University of New Mexico - Hospitals Full time

    UNM Hospitals offers a unique opportunity for experienced nursing professionals to advance their careers in a fast-paced and dynamic environment. As a Senior Nursing Supervisor, you will play a critical role in ensuring the highest level of patient care and satisfaction.Job Summary: We are seeking a skilled and experienced Senior Nursing Supervisor to join...

  • Caregiver - Certified Nurse Assistant (CNA)

    1 month ago

    Albuquerque, United States Senior Helpers – Albuquerque, NM Full time

    Urgently Hiring!  It’s more than just a job! We are looking for YOU to make a difference in someone life!Come join us! We are Great Place to Work Certified! Senior Helpers of Albuquerque is to help seniors age with dignity.  Senior Helpers of Albuquerque culture is based on strong core values, recognition of achievements and respect.Apply today! This...

  • Registered Nurse

    4 weeks ago

    Albuquerque, United States Senior Helpers – Albuquerque, NM Full time

    Great people deserve a great place to work and Senior Helpers of Albuquerque is hiring HHAs in Albuquerque ! Senior Helpers of Albuquerque is proud to be Great Places to Work Certified. Our HHAs (Home Health Aides) and staff are treated with respect in an inclusive environment, enjoy employee pride and camaraderie, and recognize that the work they do...

  • Senior Quality Nurse

    1 hour ago

    Albuquerque, NM, United States Optum Full time

    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 Consultant (CQC) RN will drive consistency, efficient processes and share best practices, in a...

  • Senior Quality Nurse

    1 week ago

    Albuquerque, NM, United States Optum Full time

    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 Consultant (CQC) RN will drive consistency, efficient processes and share best practices, in a...

  • Server - Dining and Table Services Professional

    1 month ago

    Albuquerque, New Mexico, United States Sunrise Senior Living Full time

    Sunrise Senior Living is seeking a skilled Server to provide exceptional dining and table services to our residents and guests. As a Server, you will be responsible for ensuring a positive dining experience, providing excellent customer service, and maintaining a clean and safe environment.Responsibilities:Prepare dining areas for meal service, ensuring all...

  • Quality Supervisor

    2 weeks ago

    albuquerque, United States Employbridge Full time

    We are seeking an experienced Quality Supervisor to join one of our teams in the Albuquerque facility. The Quality Supervisor will be responsible for overseeing all aspects of quality assurance and control within the manufacturing process. This role involves developing and implementing quality management systems, ensuring compliance with industry standards,...

  • Quality Supervisor

    2 weeks ago

    Albuquerque, United States Employbridge Full time

    We are seeking an experienced Quality Supervisor to join one of our teams in the Albuquerque facility. The Quality Supervisor will be responsible for overseeing all aspects of quality assurance and control within the manufacturing process. This role involves developing and implementing quality management systems, ensuring compliance with industry standards,...

  • Quality Supervisor

    2 weeks ago

    Albuquerque, United States Employbridge Full time

    We are seeking an experienced Quality Supervisor to join one of our teams in the Albuquerque facility. The Quality Supervisor will be responsible for overseeing all aspects of quality assurance and control within the manufacturing process. This role involves developing and implementing quality management systems, ensuring compliance with industry standards,...

  • Quality Supervisor

    2 weeks ago

    albuquerque, United States Employbridge Full time

    We are seeking an experienced Quality Supervisor to join one of our teams in the Albuquerque facility. The Quality Supervisor will be responsible for overseeing all aspects of quality assurance and control within the manufacturing process. This role involves developing and implementing quality management systems, ensuring compliance with industry standards,...

  • Travel Nurse RN Position

    4 weeks ago

    Albuquerque, New Mexico, United States Nurse First Full time

    Nurse First is seeking a skilled travel nurse for an Emergency Department role in a dynamic healthcare setting.Job OverviewThis 13-week assignment will provide the successful candidate with the opportunity to work in a fast-paced environment, utilizing their expertise to deliver exceptional patient care.Key ResponsibilitiesProvide high-quality nursing care...

  • Server

    4 months ago

    Albuquerque, United States Morada Senior Living Full time

    Morada Senior Living proudly operates more than 20, care- and lifestyle-focused communities in the Southwestern United States. With a core concentration throughout Texas, and emerging presence in New Mexico, Arkansas and Oklahoma, Morada communities together account for more than 2,000 units and offer a full spectrum of senior living and care options,...

  • Quality Supervisor

    3 weeks ago

    Albuquerque, United States EmployBridge Full time

    We are seeking an experienced Quality Supervisor to join one of our teams in the Albuquerque facility. The Quality Supervisor will be responsible for overseeing all aspects of quality assurance and control within the manufacturing process. This role involves developing and implementing quality management systems, ensuring compliance with industry standards,...

  • Senior Software Developer

    4 weeks ago

    Albuquerque, New Mexico, United States Cynet Health Full time

    Job Title: Senior Software DeveloperAbout the Role:We are seeking a highly skilled Senior Software Developer to join our team at {company}.Key Responsibilities:• Design, develop, and maintain high-quality software applications• Collaborate with cross-functional teams to identify and prioritize project requirements• Ensure timely delivery of projects...

  • Office Manager

    1 month ago

    Albuquerque, New Mexico, United States Senior Helpers - Albuquerque, NM Full time

    Job Title: Office ManagerSenior Helpers of Albuquerque, NM is seeking a highly skilled and experienced Office Manager to lead our team to success. As our Office Manager, you will be responsible for coordinating general office activities, assisting with billing and payroll, maintaining physical and electronic files, and supporting other departments as...

  • Travel Nurse RN

    1 month ago

    Albuquerque, New Mexico, United States Travel Nurse Source Full time

    Travel Nurse Source is working with Advantis Medical Staffing to find a qualified Telemetry Registered Nurse in Albuquerque, New Mexico. The position offers a contract duration of 13 weeks and a Day shift. With Advantis Medical, you'll enjoy a superior pay and benefits package starting on day 1, along with personalized service where we set the gold standard...