Quality Management Nurse Consultant - Remote

Overview

The Quality Management, Nurse Consultant at CVS Health ensures the delivery of evidence-based care and services for members, directing analysis and reporting of member and provider data to monitor interventions and effectiveness.

In Short

• Directs analysis and reporting of member and provider data.
• Plans and evaluates targeted member/provider initiatives.
• Supports development of HEDIS interventions within the Quality Management Team.
• Reviews documentation and interprets data from clinical records.
• Works closely with the Quality team to improve care and outcomes.
• Requires 5 years experience in managed care or healthcare field.
• 1 year of project management experience is necessary.
• Must hold a Registered Nurse (RN) license.
• Bachelor's Degree is required.
• Full-time position with 40 anticipated weekly hours.

Requirements

• 5 years experience in managed care or clinical healthcare.
• 1 year of project management experience.
• Registered Nurse (RN) license in the state of residence.
• Bachelor's Degree required.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs for all colleagues.
• Flexible work schedules and paid time off.
• Tuition assistance and financial coaching.
• Confidential counseling services.
• Dependent care resources.
• Retiree medical access.
• Comprehensive benefits package.