What are the responsibilities and job description for the Remote RN - Interventions in Quality of Care | WFH position at Get It - Real Estate?
Quality of Care Registered Nurse - Interventions (Remote)
Are you an accomplished Registered Nurse (RN) eager to contribute to transformative patient care? Do you excel in a team-oriented environment where your insights can enhance healthcare quality and patient outcomes? If so, we invite you to explore this full-time remote Quality of Care RN - Interventions opportunity based in Boston, MA.
Join Our Mission: Enhancing Healthcare for Every Individual
We are a reputable health insurance organization with 25 years of dedicated service in providing accessible and efficient health plans. Our commitment lies in fostering the well-being of our members, and we are actively seeking skilled professionals like yourself to further our mission.
Your Role: Advocating for Quality Improvement and Patient Empowerment
As a Quality of Care RN - Interventions, you will be instrumental in executing and refining healthcare quality improvement strategies and educational initiatives. Your responsibilities will include ensuring compliance with quality standards, engaging with members, providing essential education, and tracking intervention activities. Your contribution will be vital in our Quality Team’s efforts to elevate key performance metrics while enhancing our members’ overall health.
Key Responsibilities
This position offers avenues for professional advancement and participation in quality-focused initiatives, which can significantly enhance your expertise and career trajectory within the healthcare domain.
What We Provide: Competitive Compensation and Comprehensive Benefits
If you are a dedicated RN seeking a fulfilling opportunity to elevate healthcare quality, we encourage you to apply today. Join our dynamic team and make a meaningful impact on the lives of our members!
Employment Type: Full-Time
Are you an accomplished Registered Nurse (RN) eager to contribute to transformative patient care? Do you excel in a team-oriented environment where your insights can enhance healthcare quality and patient outcomes? If so, we invite you to explore this full-time remote Quality of Care RN - Interventions opportunity based in Boston, MA.
Join Our Mission: Enhancing Healthcare for Every Individual
We are a reputable health insurance organization with 25 years of dedicated service in providing accessible and efficient health plans. Our commitment lies in fostering the well-being of our members, and we are actively seeking skilled professionals like yourself to further our mission.
Your Role: Advocating for Quality Improvement and Patient Empowerment
As a Quality of Care RN - Interventions, you will be instrumental in executing and refining healthcare quality improvement strategies and educational initiatives. Your responsibilities will include ensuring compliance with quality standards, engaging with members, providing essential education, and tracking intervention activities. Your contribution will be vital in our Quality Team’s efforts to elevate key performance metrics while enhancing our members’ overall health.
Key Responsibilities
- Conduct outreach to members with identified gaps in preventive care.
- Educate members regarding the significance of preventive care and necessary screenings.
- Follow up with members requiring assistance to address care gaps.
- Assess health-related social determinants impacting service accessibility.
- Evaluate ongoing care management requirements and facilitate appropriate referrals.
- Actively participate in Quality Workgroups focusing on critical performance measures and quality initiatives.
- Maintain accurate documentation of member interactions in the clinical system.
- Generate reports to interpret specifications, elucidate programs and results, and document findings.
- Uphold quality and timeliness standards in individual and departmental objectives.
- Stay updated on necessary systems, procedures, forms, and manuals.
- Adhere to all pertinent state and federal regulations.
- Organize quality improvement meetings and discussions.
- Identify and escalate any process gaps needing remedial action.
- Develop and uphold policies and standard operating procedures to guarantee compliance.
- Support clinical best practices aimed at enhancing health outcomes, preventing readmissions, ensuring member safety, and advocating for wellness.
- Execute additional duties as assigned.
- Associate's degree or nursing diploma; Bachelor's or Master's degree preferred.
- Minimum of 2 years of experience as a practicing RN in a hospital or healthcare environment; health insurance experience preferred.
- Active, current, and unrestricted RN license in Massachusetts.
- Proficient in office equipment and software (e.g., word processing, spreadsheets, databases).
- Strong collaborative and process improvement abilities.
- Exceptional oral and written communication skills.
- Commitment to superior customer service.
- Understanding of contemporary healthcare trends.
- Capability to align processes and individuals to achieve organizational goals.
- Familiarity with healthcare payer operations.
- Ability to maintain confidentiality.
- Strong investigative, analytical, and critical thinking skills.
- Knowledge of managed care, utilization management, and quality management.
- Proficiency in building and nurturing relationships with providers, members, and colleagues.
- Strong interpersonal and active listening skills.
- Excellent organizational skills and task prioritization.
- Awareness of relevant state and federal regulations.
This position offers avenues for professional advancement and participation in quality-focused initiatives, which can significantly enhance your expertise and career trajectory within the healthcare domain.
What We Provide: Competitive Compensation and Comprehensive Benefits
- Full-time remote work.
- Competitive salary.
- Comprehensive benefits package designed to support your needs.
If you are a dedicated RN seeking a fulfilling opportunity to elevate healthcare quality, we encourage you to apply today. Join our dynamic team and make a meaningful impact on the lives of our members!
Employment Type: Full-Time
