QM Nurse Consultant

Clinical Careers Page(20 days ago)

VirginiaOnsiteFull TimeSenior$60,522 - $129,615Quality Assurance and Compliance

About this role

The QM Nurse Consultant role involves conducting quality management reviews and supporting performance improvement projects for Medicaid-funded services. The position requires clinical judgment, audit skills, and collaboration with various stakeholders to ensure compliance with regulations and improve service quality. It combines clinical expertise with project management and data analysis in a healthcare quality setting.

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Required Skills

Regulatory Compliance
Audit
Data Analysis
Project Management
Clinical Judgment
Medicaid
Quality Improvement
Stakeholder Engagement
CMS Protocols
Healthcare Regulations

Qualifications

Associates Degree in Nursing
Virginia Registered Nurse License

About Clinical Careers Page

cvshealth.com

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.

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