Quality Management Specialist II

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The Opportunity

We're looking for a Quality Management Specialist II, working in the Insurance industry in Albuquerque, New Mexico, United States.

  • Perform on-site medical record reviews to evaluate delivery of care in relation to Enterprise clinical practice guidelines.
  • Facilitate and monitor assigned quality improvement projects.
  • Consult with network physicians, Medical Group/IPAs, providers, members, and other resources.
  • Gather information, analyze and communicate, and develop recommendations regarding clinical quality improvement projects.
Details

The pay we are offering is 20 per hour. This position may present an opportunity to go permanent.

Our Client

Our client is a fast-growing industry-recognized staffing firm.  Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent.  With 20+ years’ experience and growth. 

Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services.  Working to bring top talent together with premier organizations.

Big enough to have great opportunities.  Small enough to care about finding the right one for you. 

It’s about relationships based on mutual interest.  The results are low turnover, long-lasting partnerships and growth.  Want to work for a company invested in your success?

Experience Required for Your Success
  • Registered Nurse (RN), Licensed Practical Nurse (LPN), Respiratory Therapist, or Physicians Assistant
  • 3 years of clinical practice experience
  • 2 years of UM, Case Management, quality improvement and/or project management experience
  • Active unrestricted driver’s license
  • PC proficiency to include MS Word, Excel, and PowerPoint
What Do You Think?

Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible? Apply here.

Not exactly? Join Our Talent Community, and we'll let you know of additional opportunities.

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