Quality Management Nurse Consultant

Job not on LinkedIn

🕒 September 1

🏈 Alabama, Arizona, +22 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🍂 Massachusetts – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $66.6k - $142.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

👻 Ghost score 33%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Develop and implement quality improvement programs and initiatives • Analyze organizational systems, workflows, and performance against regulatory and accreditation standards • Implement evidence-based performance improvement interventions and monitor process and outcome measures • Prepare materials and organizational documents for POSC Forum, POSC Council, and workgroup discussions • Manage and coordinate assigned POSC workplans • Facilitate workgroups and committees and ensure stakeholder participation • Develop, revise, and implement policies, procedures, and guidelines • Address health disparities and health-related social needs to improve clinical quality and patient and provider experience • Participate in research efforts, scholarly publications, and research utilization • Provide HEDIS and CAHPS training and education to healthcare professionals, staff, and stakeholders • Collaborate with POSC stakeholders to establish, measure, and evaluate best-practice interventions

🎯 Requirements

• 5–7 years of prior relevant work experience in clinical, case management, administrative, quality/compliance, or HEDIS performance-based roles • In-depth knowledge of managed care quality, HEDIS and STARs measures, and performance initiatives • Working knowledge of quantitative and qualitative data analytics • Working knowledge of clinical and practice requirements essential to patient care • Strong interpersonal, critical thinking, analytical, communication, presentation, and technical writing skills • Ability to manage sensitive information ethically and responsibly • Ability to function in clinical settings with diverse cultural dynamics • Registered Nurse (RN) required • Bachelor's degree in Nursing (BSN) required • Master's degree in a healthcare-related field preferred • Certified Professional in Healthcare Quality (CPHQ) preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being