Clinical Quality RN

4 days ago


San Antonio, Texas, United States UnitedHealth Group Inc. Full time

WellMed, a leading healthcare provider, is seeking a skilled Clinical Quality RN to join their team in San Antonio, Texas. As a key member of the Optum Care Delivery team, this role offers an unparalleled opportunity to shape the future of healthcare.

The ideal candidate will possess 5+ years of progressively responsible healthcare experience, including experience in managed care settings, hospital settings, and/or physician practice settings. A strong background in utilization management, combined with knowledge of CMS, URAC, and NCQA guidelines, is essential for success in this role.

This position requires a current unrestricted Registered Nurse (RN) license in Texas or other participating states. The successful candidate will be responsible for monitoring and reporting compliance issues, ensuring accuracy through data validation, and leading quality improvement initiatives for remediation. Strong communication and analytical skills are crucial for effective collaboration with managers, staff, and training teams.

A competitive salary of approximately $85,000 per year is offered, along with opportunities for professional growth and development within the UnitedHealth Group organization.



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