Quality Management Nurse Consultant
Core
Applies specialized clinical and industry knowledge to quality improvement efforts, analyzing workflow and organizational performance to ensure alignment with regulatory and accreditation standards.
Role type
Senior Quality Management Nurse Consultant
Builds
Quality improvement programs, performance improvement interventions, and policies/procedures for healthcare services.
Domain
Healthcare / Managed Care Quality
Required skills
Clinical nursing expertise, HEDIS and STARs measures knowledge, Performance improvement methodology, Data analytics (quantitative/qualitative), Regulatory compliance, Stakeholder collaboration, Training and education delivery, Policy development
Preferred skills
Master's degree in healthcare, Certified Professional in Healthcare Quality (CPHQ)
Technologies
HEDIS, STARs, POSC Council frameworks
Responsibilities
Develop and implement quality improvement programs; Drive evidence-based performance improvement interventions; Manage and coordinate workplans for assigned workgroups; Provide training on HEDIS and CAHPS performance; Collaborate with stakeholders to achieve quality performance goals.
Seniority
Senior, hands-on IC