Senior Quality Nurse

4 weeks ago


Albuquerque, New Mexico, United States UnitedHealth Group Full time
Senior Quality Nurse Job Description

We are seeking a highly skilled Senior Quality Nurse to join our team at UnitedHealth Group. As a Senior Quality Nurse, you will play a critical role in driving consistency, efficient processes, and sharing best practices with our provider and large or complex groups.

The ideal candidate will have a strong background in healthcare quality improvement and a proven track record of success in driving quality performance. You will be responsible for developing business plans to motivate providers to improve STARS measure performance, providing analytical interpretation and STARS/HEDIS performance summaries to provider groups, and being the subject matter expert for all STARS-related activities within your assigned territory.

Key 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 your assigned territory
  • Participate and present in weekly, monthly, bi-monthly, quarterly, and/or annual business review meetings related to STAR activities
  • 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

Requirements:

  • Registered Nurse within NM and/or a compact state
  • 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

We are 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.


  • Senior Quality Nurse

    4 weeks ago


    Albuquerque, New Mexico, United States Optum Full time

    Transforming Healthcare through Quality ExcellenceThe Sr. Clinical Quality Consultant (CQC) RN at Optum will drive consistency, efficient processes, and share best practices in a collaborative effort with providers and large or complex groups, designed to facilitate a minimum 4 STAR quality performance.Key Responsibilities:Develop business plans to motivate...


  • Albuquerque, New Mexico, United States Senior Helpers – Albuquerque, NM Full time

    Join Our Team as a Senior Care SpecialistAt Senior Helpers – Albuquerque, NM, we're dedicated to providing exceptional care and support to our clients. As a Senior Care Specialist, you'll play a vital role in delivering compassionate care and improving the quality of life for our clients and their families.Key Responsibilities: Assist with client...


  • 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...


  • 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 Assistant

    1 month ago


    Albuquerque, New Mexico, United States Five Star Senior Living Full time

    As a Caregiver at Five Star Senior Living, your responsibilities will include:Key ResponsibilitiesReporting any changes to the Nurse or designated charge personAssisting residents with medication management, including opening containers and reading labelsProviding personal care, such as showers and baths, and assisting with dressing and undressingMaintaining...

  • Caregiver - Part-time

    4 weeks ago


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

    At Amaran Senior Living, we're committed to providing exceptional care and support to our residents. As a Care Partner- PT, you'll play a vital role in helping them maintain their independence and live their best lives.Our Values: Wisdom, Excellence, Purpose, Innovation, Integrity, Grace, Gratitude, SynergyWe believe in treating our employees with respect...


  • Albuquerque, New Mexico, United States Morada Senior Living Full time

    About Morada Senior LivingMorada Senior Living, a proud member of the Discovery Senior Living family, operates care- and lifestyle-focused senior living communities in Texas, Oklahoma, New Mexico, and Colorado. Our company, built on the "Pillars of Excellence," employs thousands of vital Team Members and is committed to providing a positive work environment...

  • Home Health Caregiver

    4 weeks ago


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

    We are seeking a compassionate and skilled Home Health Caregiver to join our team at Senior Helpers of Albuquerque. As a Certified Nurse Assistant (CNA), you will have the opportunity to make a meaningful difference in the lives of our clients.Key Responsibilities:Provide personal care and companionship to seniors in their homesAssist with Activities of...


  • 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...


  • Albuquerque, New Mexico, United States Ambercare Full time

    Job OverviewWe are seeking a highly skilled and compassionate Bilingual Quality Assurance Specialist to join our team at Ambercare. As a key member of our senior services team, you will play a vital role in ensuring the highest quality of care for our clients.Key Responsibilities:Conduct in-home visits to monitor and report on the quality of services...

  • Memory Care Manager

    4 weeks ago


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

    Job DescriptionAt Palmilla Senior Living, we strive to create a community where seniors can live without limits and age fearlessly. As a Memory Care Manager, you will play a vital role in delivering exceptional care to our residents.Key Responsibilities:Recruit, select, train, supervise, and staff team members to ensure the highest level of care.Implement...

  • Nurse Director

    4 weeks ago


    Albuquerque, New Mexico, United States Ardent Health Services Full time

    Job SummaryThe Nurse Director at Ardent Health Services is a professional registered nurse responsible for overseeing assigned departments within established standards to achieve the organization's mission and vision. This leadership role requires a strong understanding of clinical excellence, quality improvement, and strategic planning to drive departmental...


  • 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...

  • Senior Case Manager

    4 weeks ago


    Albuquerque, New Mexico, United States Professional Case Management Full time

    Senior Case Manager Job DescriptionAt Professional Case Management, we are seeking a highly skilled and experienced Senior Case Manager to join our team. As a Senior Case Manager, you will be responsible for providing direct care and case management to assigned clients, collaborating with regional directors and other personnel to identify and correct issues,...


  • Albuquerque, New Mexico, United States Nurse First Full time

    Job DetailsNurse First is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing assignment in a dynamic healthcare setting.Key ResponsibilitiesProvide high-quality patient care in a Cardiac Cath Lab environmentCollaborate with interdisciplinary teams to ensure seamless patient careParticipate in ongoing education and training to stay up-to-date...

  • CNA Santa Fe Position

    1 month ago


    Albuquerque, New Mexico, United States Always Best Care Senior Service Full time

    Job Title: CNA Santa FeWe are seeking a compassionate and skilled Certified Nursing Assistant (CNA) to join our team in Santa Fe. As a CNA, you will provide high-quality care to our clients in the comfort of their own homes.About the Role:Provide personalized care to clients in a safe and secure environmentAssist with daily activities, such as bathing,...

  • Caregiver Assistant

    4 weeks ago


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

    Job Type:Part-time Description We are seeking compassionate caregivers to provide personal care and assistance to our residents, helping them maintain their independence and live their best lives. This highly valued position requires someone who is patient, friendly, hard-working, and maintains the highest integrity.What Makes Us a Great Place to Work?Our...


  • Albuquerque, New Mexico, United States Brookdale Senior Living Full time

    Business Office Manager Job SummaryBrookdale Senior Living is seeking a highly skilled Business Office Manager to lead our community office operations. As a key member of our team, you will be responsible for attracting, engaging, developing, and retaining associates to provide high-quality care and personalized services to our residents.Key...


  • 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...