Clinical Quality RN - Sunrise Florida

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Company:
 
UnitedHealth Group
Company Profile | Current Opportunities (14)
Job Location(s): Sunrise
Employment Term: Regular
Employment TypeFull Time
Start Date:As soon as possible
Starting Salary Range:Not Provided
Required Education: Bachelor's Degree
Required Experience: Open
Related Categories:Healthcare - Nursing, Hospital Positions

Position Description

Clinical Quality RN - Sunrise Florida-333120
Description
Position Description:
Positions in this function include RN (with current licensure) roles responsible for performance measures, member and provider quality improvement initiatives, quality of care investigations, and quality auditing. Ability to prioritize activities while working on multiple projects and working without direct supervision required. Excellent interpersonal skills and ability to communicate effectively with all levels of the organization.
AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
Qualifications

Qualifications:

  • Clinical Registered Nurse with current licensure required
  • 4 years of quality improvement experience in a managed care environment
  • Experience in long-term care and/or Nursing Home Diversion Programs preferred
  • Experience working in Medicaid and/or Medicare health care and insurance industry, including regulatory and compliance requirements
  • Bachelors degree in Science or equivalent work experience required; Masters degree preferred
  • This position requires basic computer skills, including Microsoft Word and Excel, with knowledge of PowerPoint and Access preferred
  • HEDIS experience preferred

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Clinical Quality Mgt
Primary LocationUS-FL-Sunrise
Organization AMC Florida
Schedule Full-time
Number of Openings 1

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