Massachusetts Licensed Quality RN

A company is looking for a Senior Specialist, Quality Program Management & Performance RN (Remote in MA).

Key Responsibilities

Conducts quality of care investigations and ensures compliance with state requirements

Performs audits and quality monitoring activities across various healthcare services

Implements quality strategies and evaluates program activities for improvement opportunities

Required Qualifications

At least 3 years of healthcare experience, including 1 year in quality management

Active and unrestricted Registered Nurse license in the state of practice

Experience in quality auditing, peer review, and process improvement

Knowledge of HEDIS and NCQA standards

Experience in behavioral health may be required based on state regulations