North Carolina Licensed Clinical Auditor

A company is looking for a Clinical Quality Management Auditor.

Key Responsibilities

Evaluate and monitor staff or provider performance for quality excellence

Perform quality audits of member medical records to ensure compliance with HEDIS specifications

Provide feedback and recommendations based on audit results and support clinical quality leadership in operational activities

Required Qualifications

RN with 3 years of clinical experience or LPN with 5 years of clinical experience required

Previous work experience in HEDIS, Medical Record Review, or quality programs

Bachelor's degree or advanced degree preferred

Knowledge of clinical quality improvement operations, including HEDIS, strongly preferred

Experience in conducting patient chart reviews to obtain clinical measures is preferred