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Clinical Quality Nurse Consultant at Blue Cross and Blue Shield of Kansas - ApplyBlast

Clinical Quality Nurse Consultant

Blue Cross and Blue Shield of Kansas

3 months ago

3.4 on Glassdoor

Missouri, United States

Hybrid

Full Time

Senior

0 applicants

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About this role

The Clinical Quality Nurse Consultant acts as a clinical liaison between Blue Cross Blue Shield of Kansas, providers, and members to support quality improvement and value-based care initiatives. This role involves partnering with providers to implement data-informed clinical processes, improving quality outcomes, and supporting regulatory requirements through expertise in quality measurement and care coordination.

Responsibilities

Support clinical quality improvement and value-based care initiatives
Provide clinical expertise related to quality measurement and HEDIS metrics
Collaborate with provider offices to implement workflows for population health
Participate in quality oversight activities including medical record reviews
Prepare and contribute to quality reports supporting corporate objectives

Skills

Qualifications

Associate Degree in NursingKansas Registered Nurse LicensureCertified Professional Coder (CPC)

About Blue Cross and Blue Shield of Kansas

bcbsks.com

Headquarters

Topeka, Kansas, United States

Company Size

1001-5000 employees

Founded

1942

View Profile

Health insurance and dental plans, related health care benefits for Medicare, individual or group health insurance. Manage your health care choices with BCBSKS.