Variable Staffing Quality Compliance Professional 2 Nurses-Remote Opportunity

Profile

Description

The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Quality Compliance Professional 2 completes medical records reviews for Coordination of Care studies. Analyzes data and implement corrective actions as needed. Reviews medical records for supplemental data and enter data in supplemental data base. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Required Qualifications


Associate Degree
Registered Nurse (RN) license
Clinical background
Strong oral / written communication and presentation skills
Strong analytical skills, able to manipulate and interpret data
Office practice / hospital experience
Organizational and prioritization skills
Comprehensive knowledge of Microsoft Office Word, Excel and PowerPoint
This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Hours : Shifts available: 6 AM-6 PM (local time)

Monday-Friday (part-time options available starting minimum 24/hrs. per week)

Preferred Qualifications


Bachelor's Degree
Knowledge of HEDIS/Stars/CMS/Quality
Previous quality or process improvement experience in a hospital or physician office practice
Strong business skills, including sales and marketing objectives
Detail orientated and comfortable working with tight deadlines in a fast paced environment
Ability to work independently under general instructions, self-directed and motivated


Additional Information

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

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