Ohio Licensed Clinical Quality Specialist

A company is looking for a Quality Performance Specialist - Clinical. Key Responsibilities Lead and coordinate clinical quality review processes for member concerns and medical records Assist with Quality Assessment and Performance Improvement Committee (QAPI) activities and documentation Support annual medical record review activities including HEDIS and Clinical Practice Guidelines Required Qualifications Associate's Degree or equivalent work experience; Bachelor's Degree preferred Minimum of 3 years in clinical or service quality improvement or relevant healthcare experience An unrestricted Clinical license (RN) in the relevant state is required Prior experience with project facilitation/management is preferred Proficient in Microsoft Office applications including Word, PowerPoint, and Excel

Mar 14, 2025 - 15:34

A company is looking for a Quality Performance Specialist - Clinical. Key Responsibilities Lead and coordinate clinical quality review processes for member concerns and medical records Assist with Quality Assessment and Performance Improvement Committee (QAPI) activities and documentation Support annual medical record review activities including HEDIS and Clinical Practice Guidelines Required Qualifications Associate's Degree or equivalent work experience; Bachelor's Degree preferred Minimum of 3 years in clinical or service quality improvement or relevant healthcare experience An unrestricted Clinical license (RN) in the relevant state is required Prior experience with project facilitation/management is preferred Proficient in Microsoft Office applications including Word, PowerPoint, and Excel