Registered Nurse – Quality Assurance, Temporary

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🔥 1 minute ago

🌲 Oregon – Remote

🌲 Oregon – Remote

💵 $102.3k - $125.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔧 QA Engineer (Quality Assurance)

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CareOregon

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1994

🏥 Healthcare

📦 Logistics

🛡️ Insurance

Healthcare • Logistics • Insurance

CareOregon is a community-focused health plan that provides coordinated physical, behavioral, dental and social-support services to Oregon Health Plan members, serving more than 500,000 people. The organization operates provider and member portals, offers care coordination, telehealth, language and tribal services, community grants and outreach, and programs addressing social determinants of health such as housing, nutrition and transportation.

📋 Description

• Perform telephonic outreach to members in support of HEDIS and Stars measure gap closure and re-engagement • Provide evidence-based patient education regarding engagement and recommended health screenings • Use a trauma-informed, member-centric approach • Help members move through the continuum of care based on clinical or medical need • Make referrals to community partners as appropriate • Complete chart reviews for regulatory and quality improvement projects • Use EMR systems or PDF files to complete chart abstractions and enter data into HEDIS or other specialized software • Maintain a 95% accuracy rate in abstractions and data entry, validated through peer over-reads • Communicate collaboratively with CareOregon clinics, team members, and staff • Complete required ongoing HEDIS training and testing • Participate in other assigned projects • Perform work aligned with CareOregon’s mission, vision, values, policies, compliance requirements, and strategic goals

🎯 Requirements

• Current unrestricted license as a Registered Nurse in the State of Oregon • Minimum 3 years’ experience as an RN in the healthcare industry • Knowledge of or desire to learn current clinical practices, chronic diseases, health-screening guidelines, and health maintenance • Ability to use a trauma-informed approach for member-centric support • Ability to extract clinical information from medical records, accurately document it in HEDIS or specialized software, and save supporting documentation • Critical thinking skills • Strong attention to detail • Competency with PDF, MS Outlook, Word, Excel, and EMR systems • Ability to learn and adapt to new EMR systems, software, specification changes, and deadlines • Ability to maintain strict confidentiality of protected health information • Ability to prioritize work in a remote environment • Ability to manage multiple tasks and switch tasks as needed • Ability to work effectively with diverse individuals and groups • Ability to meet regulatory deliverable deadlines under pressure • Good written and verbal communication skills • Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours per day • Ability to stand and sit for at least 3–6 hours per day • Ability to speak clearly, bend, lift, carry, push, pull, and/or pinch small objects for at least 1–3 hours per day

🏖️ Benefits

• Bonus opportunity with a 5% annual SIP target • Medical insurance • Dental insurance • Vision insurance • Life insurance • AD&D insurance • Disability insurance • Health savings account • Flexible spending account(s) • Lifestyle spending account • Employee assistance program • Wellness program • Discounts • Supplemental benefits including voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, and 529 College Savings • Retirement plan with employer contributions • PTO • Paid State Sick Time • Paid holidays • Volunteer time • Jury duty leave • Bereavement leave • 401(k) contributions for non-benefits eligible employees