RN Quality Measure Specialist

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🔥 0 minutes ago

🏈 Alabama, Alaska, +3 more states – Remote

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote

💵 $36 - $60 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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👻 Ghost score 0%

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Banner Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Perform clinical validation to ensure measure accuracy and compliance with CMS requirements • Conduct medical record abstraction for assigned measures • Identify and resolve data and logic discrepancies with internal teams and external vendors • Support timely and accurate regulatory submissions • Perform clinical data abstraction and validation for IQR, OQR, IPFQR, Core Measures, TJC, and MIPS (CQM and eCQM) • Apply clinical knowledge and established measure specifications to ensure accurate, complete, and compliant data capture • Follow defined processes for discrepancy escalation and resolution • Adhere to standardized workflows, tools, and documentation requirements • Contribute to clinical quality data review and validation, including report logic review • Participate in cross-training, knowledge sharing, and quality-related initiatives • Work primarily in either validation or abstraction, with cross-training in both areas

🎯 Requirements

• Bachelor’s degree in Healthcare or a related field or equivalent level of education and experience • Current valid Registered Nurse (RN) license • Minimum of three to five years of clinical experience in an acute care setting • Strong clinical background and knowledge • Critical thinking, analytical reasoning, and problem-solving skills for complex medical cases • Experience with electronic medical records and clinical documentation • Strong communication and organizational skills • Ability to work autonomously in a complex and quickly changing remote environment • Ability to navigate a variety of separate computer programs • Working knowledge of Cerner Millennium EHR (Oracle Health's EHR) • Preferred: working knowledge of quality metric specifications and clinical coding conventions • Preferred: experience with clinical quality abstraction and/or validation processes • Preferred: experience in high-acuity or critical care environments, such as ED, ICU, or PACU • Preferred: experience supporting regulatory programs • Preferred: exposure to report logic, external vendors, or regulatory audits, including IRR/ARR activities • Preferred: experience with Oracle Health EHR (Cerner Millennium) • Preferred: experience contributing to process improvement initiatives • Preferred: proficiency with Microsoft Office (Excel) • Scheduled availability between 8:30AM and 4:30PM Arizona Time

🏖️ Benefits

• Flexible scheduling may be available after orientation • Cross-training provided to support workload balancing and team flexibility • Banner Health total rewards package (not itemized in the posting)