Allegheny Health Network

Clinical Quality Management Analyst - Registered Nurse (Remote)

7 days ago

Pay$50200.00 / year
LocationHome/Pennsylvania
Employment typeFull-Time
  • Job Description

      Req#: J276626
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Salary up to $91,200.00
      - Opportunity for career advancement and growth within the organization
      - Supportive and collaborative work environment
      - Chance to make a positive impact on member care and documentation processes
      - Engage in process improvement initiatives to enhance service quality
      - Work in a role that involves continuous education and training for providers

      What to Expect (Job Responsibilities):
      - Develop and manage process improvement initiatives, including data analysis and report generation
      - Conduct audits and analyze medical record documentation to ensure proper coding and compliance
      - Monitor and adjust compliance plans based on regulatory changes and guidelines
      - Provide education to providers on quality measures and coding practices
      - Perform special studies and coordinate various medical record reviews and site visit requests

      What is Required (Qualifications):
      - Current state RN or LPN license or Bachelor’s degree in a healthcare-related field
      - Minimum of 3 years of experience in nursing or a healthcare-related field
      - Current State of PA RN or LPN licensure or multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)
      - CPC, CRC, RHIA, RHIT, or CCS Certification or must obtain within 4 months upon hire
      - Strong verbal and written communication skills with the ability to engage with medical administrators

      How to Stand Out (Preferred Qualifications):
      - 1 year of project management experience

      #HealthcareServices #QualityImprovement #CareerOpportunity #CompetitivePay #NursingJobs

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  • About the company

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