DSNP RN Clinical Quality Specialist
4 weeks ago
Transforming Healthcare Together
At UnitedHealth Group, we're committed to simplifying the healthcare experience and creating healthier communities. As a DSNP RN Clinical Quality Specialist, you'll play a vital role in removing barriers to quality care and making a meaningful impact on the lives of millions.
Key Responsibilities:
- Close care gaps through telephonic and follow-up with members
- Provider outreach to address care gaps, utilizing various communication channels
- Chart upload in Practice Assist to close care gaps
- Support HEDIS chart chase efforts by retrieving medical records from providers
- Contribute to STARS improvement projects, HEDIS, and CAHPS measures, providing clinical guidance
- Collaborate with Health Plans as a Subject Matter Expert on STARS and HEDIS Technical Specifications, project plans, and reporting logistics
- Identify and implement opportunities to improve data collection efficiency
- Support National Team efforts and educate providers on general policies and procedures
- Engage providers to introduce new initiatives and monitor their success
Requirements:
- Registered Nurse with no restrictions in state required to practice
- 3+ years of experience working in a healthcare environment
- 3+ years of experience in project management, data analysis, and tracking
- 2+ years of experience in Medicare, DSNP Lines of business
- 2+ years of experience in Stars, HEDIS measure technical specifications
- Intermediate or higher level of proficiency with Excel and PowerPoint
Preferred Qualifications:
- UnitedHealth Group, Optum, or UnitedHealthcare experience
- Community & State and or Medicare & Retirement experience
- Demonstrated ability to communicate ideas clearly and concisely
- Flexibility and quick adaptation to change
About UnitedHealth Group:
We believe everyone deserves the opportunity to live their healthiest life. Our mission is to help people live healthier lives and make the health system work better for everyone. We're committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.
Equal Employment Opportunity:
UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.
-
RN Quality Specialist
1 month ago
Tucson, Arizona, United States Tucson Medical Center Full timeJob SummaryThe RN Quality Specialist supports clinical performance by abstracting and reviewing medical records, reporting clinical documentation to drive quality improvement initiatives. This role will also take hands-on steps to close patient care gaps related to quality improvement initiatives and population health goals. Responsibilities include...
-
RN Quality Specialist
4 weeks ago
Tucson, Arizona, United States Tucson Medical Center Full timeJob Summary:The RN Quality position at Tucson Medical Center supports clinical performance by chart abstraction, chart review, and reporting of medical record clinical documentation to support initiatives related to quality improvement, accreditation, and regulatory requirements.This role will also take hands-on steps to close patient care gaps related to...
-
Clinical Anesthesia Specialist
2 weeks ago
Tucson, Arizona, United States Community Health Systems Full timeAbout The JobWe are seeking a skilled Clinical Anesthesia Specialist to join our team at Northwest Tucson Surgery Center. As a Clinical Anesthesia Specialist, you will play a vital role in providing quality care to our patients.Responsibilities:Assist anesthesia providers as directed.Care for and maintain anesthesia machines.Set up equipment and prepare...
-
RN Clinical Care Guide
4 weeks ago
Tucson, Arizona, United States Blue Cross Blue Shield of Arizona Full timeAbout Us:Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our goal is to deliver affordable, convenient, and personalized care to the communities we serve. Our Advanced Primary Care model is focused on providing a signature...
-
RN Concurrent Utilization Review Lead
1 month ago
Tucson, Arizona, United States Tucson Medical Center Full timeJob SummarySupports Clinical Utilization team's work through education and oversight of Concurrent Utilization Review staff in their daily duties. Serves as experienced Concurrent Utilization subject matter resource for inter- & intra-departmental needs.Key ResponsibilitiesServes as expert internal resource for Concurrent Utilization RNs and other Clinical...
-
Tucson, Arizona, United States Northwest Medical Center Full timeMedical Staff Professional Practice Evaluation Specialist RN OpportunityThis is a Full Time, Day Shift opportunity supporting Northwest Medical Center. As a Medical Staff Professional Practice Evaluation Specialist RN, you will be responsible for medical care evaluation and assessment of events, outcomes and processes. You will initiate and oversee efforts...
-
Quality Assurance Specialist
4 weeks ago
Tucson, Arizona, United States R. E. Darling Co., Inc. Full timeJob Summary:R. E. Darling Co., Inc. is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will be responsible for ensuring the quality of our products by conducting inspections and testing.Key Responsibilities:Conduct visual, dimensional, and 1st article inspections on rubber and composite...
-
Clinical Laboratory Specialist
4 weeks ago
Tucson, Arizona, United States Tucson Medical Center Full timeJob Summary:We are seeking a skilled Clinical Laboratory Specialist to join our team at Tucson Medical Center. The ideal candidate will have a strong background in clinical laboratory protocols and procedures, with the ability to perform lab analyses and recognize abnormal or unusual test results.Key Responsibilities:• Processes specimens and performs...
-
Clinical Documentation Specialist
1 month ago
Tucson, Arizona, United States Amity Foundation Full timeJob SummaryAmity Foundation is seeking a Clinical Documentation Specialist to assist the clinical team with the collection and writing of various clinical documents. The ideal candidate will have a strong organizational skills, excellent written and verbal communication skills, and the ability to prioritize tasks and delegate them when appropriate.Key...
-
Clinical Specialist
4 weeks ago
Tucson, Arizona, United States Sevita Full timeJob Summary:We are seeking a skilled Clinical Specialist to join our team at Sevita. As a Clinical Specialist, you will provide essential support to individuals with intellectual and developmental disabilities, helping them achieve their goals and live fulfilling lives.Key Responsibilities:Provide services in residential, vocational, or in-home settings,...
-
Quality Assurance Specialist
4 weeks ago
Tucson, Arizona, United States Areté Full timeAreté is seeking a Quality Assurance Specialist to join our team in Tucson. As a Quality Assurance Specialist, you will be responsible for providing QA support for the development and production of lidar products in our production facility.Key Responsibilities:Provide QA support for the development and production of lidar productsReview requirements,...
-
Housing Quality Assurance Specialist
4 weeks ago
Tucson, Arizona, United States HOM, Inc. Full timeHousing Inspector Role at HOM, Inc.HOM, Inc. is a national leader in housing assistance programs dedicated to building communities where the promise of home is a reality for everyone. As a Housing Inspector, you will play a crucial role in advancing our mission of ending homelessness in Arizona through housing.Key Responsibilities:Perform initial, annual,...
-
Aircraft Quality Control Specialist
4 weeks ago
Tucson, Arizona, United States Segula Technologies Full timeJob Title: Aircraft Quality Control SpecialistJob Summary:We are seeking a highly skilled Aircraft Quality Control Specialist to join our team at Segula Technologies. As a key member of our quality assurance team, you will be responsible for ensuring the highest standards of quality in our aircraft maintenance and inspection processes.Key...
-
Aircraft Quality Control Specialist
4 weeks ago
Tucson, Arizona, United States SEGULA Technologies Full timeJob Title: Aircraft Quality Control SpecialistJob Summary: We are seeking a highly skilled Aircraft Quality Control Specialist to join our team at SEGULA Technologies. As a key member of our quality assurance team, you will be responsible for ensuring the highest standards of quality in aircraft maintenance and inspection.Key Responsibilities:Perform hidden...
-
Quality Assurance Specialist
6 days ago
Tucson, Arizona, United States Fluidra North America Full timeJob OverviewWe are seeking a highly skilled Quality Assurance Specialist to join our team at Fluidra North America. This is an exciting opportunity for a motivated individual to contribute to our company's success by ensuring the highest quality standards in our products and processes.The successful candidate will be responsible for maintaining quality...
-
Medical Assistant
4 weeks ago
Tucson, Arizona, United States El Rio Health Full timeJob SummaryThe Medical Assistant - Clinical Support Specialist will provide high-quality patient care and support to the healthcare team at El Rio Health. This role requires a strong understanding of clinical procedures and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesComplete all clinical and non-clinical assigned duties,...
-
RN Manometry Specialist
1 month ago
Tucson, Arizona, United States Community Health Systems Full timeJob Title: RN Manometry SpecialistJoin our team as a skilled RN Manometry Specialist at Northwest Medical Center in Tucson, AZ. This part-time position is scheduled for 32 hours weekly in our GI Lab Endoscopy department.Key Responsibilities:Assist in the nursing care of GI and endoscopic patients by performing duties and related activities.Assist physicians...
-
Clinical Specialist
4 weeks ago
Tucson, Arizona, United States Boston Scientific Full timeAbout the RoleThe AF Solutions Clinical Specialist will promote and support the Watchman product line through education of current and potential customers within a defined area. The clinical will provide clinical education, sales strategy and support in order to assist in achieving or exceeding projected sales goals and increasing sales revenues within...
-
Quality Assurance Specialist
4 weeks ago
Tucson, Arizona, United States Nationwide Technical Resources Corp Full timeJob OverviewThe Quality Assurance Specialist will play a critical role in improving the quality and manufacturing process at Nationwide Technical Resources Corp. This position will focus on developing and implementing systems and methods to ensure compliance with industry standards and customer requirements.Key Responsibilities:Develop and approve inspection...
-
Travel Nurse RN Specialist
4 weeks ago
Tucson, Arizona, United States OneStaff Medical Full timeJob Title: Travel Nurse RN SpecialistWe are OneStaff Medical, a nationally-recognized and independently-owned staffing firm. Our mission is to provide exceptional care to patients and support our healthcare professionals.As a Travel Nurse RN Specialist, you will provide care for patients before, during, and after surgery. You will also educate the patient,...