Quality Improvement Auditor – Clinical

Role Overview

• Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to measure member outcomes
• Assess provider performance and quality of care through clinical case reviews
• Lead clinical audits for provider medical records both remotely via electronic medical records and on site to assess performance, determine trends and compile written reports summarizing findings
• Perform ongoing quantitative and statistical analysis of the business unit’s performance data

Requirements

• Bachelor’s degree in nursing, related field or equivalent experience and requires a clinical license
• 3+ years of nursing or quality improvement experience
• Current state’s clinical license (LPN, RN, etc.)

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules