Top 11 Rn health Jobs in Potomac, Md

Quality Improvement Coordinator II
Coordinated Care —Washington, DC
- $33.71 - $60.67 an hour
- Full-time
- Remote
- Nursing
- LVN
- RN License
- Paid holidays
- Health insurance
10d
Risk Manager
University of Virginia —Manassas, VA
- $43.16 - $72.89 an hour
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Risk Manager
UVA Community Health —Manassas, VA
- $43.16 - $72.89 an hour
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quality Assurance Director for Assisted Living Community
HallKeen Assisted Living Communities —Washington, DC
- Full-time
- Nursing
- Management
- RN License
- Paid holidays
- Disability insurance
Quick Apply
2d
Home Health Coder
Acucare Health Strategies, Inc. —Fairfax, VA
- Mid-level
- High school diploma or GED
- Home Health
CLINICAL DOCUMENTATION IMPROVEMENT SPECIALIST/CDIS (ON-SITE)
LTSi - Laredo Technical Services, Inc. —Bethesda, MD
- $34 - $37 an hour
- 8 hour shift
- 5 years
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Director of Clinical Nursing Informatics (RN)
MedStar Health —Washington, DC
- $120,702 - $238,222 a year
- Full-time
- Nursing
- Computer Science
- RN License
6d
Clinical Informatics III
Gritter Francona —Washington, DC
- Full-time
- Remote
- Computer Science
- System design
- Master's degree
- AD&D insurance
- Disability insurance
Quick Apply
BSN/RN with QDDP and compliance experience
1st Option Home Care —Alexandria, VA
- From $45 an hour
- Full-time
- Background check
- Experience working with individuals with developmental disabilities
- Nursing
- Paid time off
- Retirement plan
Quick Apply
Lead Terminologist
Gritter Francona —Washington, DC
- Full-time
- Remote
- Nursing
- Master's degree
- Mentoring
- AD&D insurance
- Disability insurance
Quick Apply

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Unit Clerical Associate - All Available Units - Evergreen
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rn health jobs near potomac, md

Quality Improvement Coordinator II

Coordinated Care -
Washington, DC

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Job Details

Full-time
$33.71 - $60.67 an hour
10 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

CPHQ
Community health & wellness
Medical performance measurement report preparation
Incident reporting compliance
Healthcare incident report preparation
Contract management
Nursing
Committee work
Quality control experience within healthcare industry
LVN
RN License
Quality of care (regulatory compliance area)
Licensed Clinical Social Worker
Performance Reporting
Healthcare documentation compliance audits
Patient complaint handling
Contract performance monitoring
Research
Mid-level
Contract management experience in healthcare
Data summary reports
Quality reports
Audit Reporting
Meeting scheduling
Bachelor's degree
Quality risk management
Clinical outcome improvement
Medical credentialing
Document review
Meeting facilitation

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Strongly preferred qualifications:

RN licensed in WA state
Candidate residing in WA state

Position will work PST hours and requires some travel for intervention health events.

Position Purpose:
Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related to clinical initiatives such as health fairs and communicate with agencies and providers.

Perform quality on site reviews of delegated entities, physician office/clinics, resolve quality issues, generate written summary of findings and follow up as directed by the Medical Director and/or Credentialing and Quality Improvement Committee (QIC).
Document, investigate and resolve formal and informal complaints, risk management and sentinel events related to quality of care issues.
Audit medical records, review administrative claims and analyze data and interventions for quality improvement studies and activities
Function as the primary liaison between community resources/agencies and the company related to clinical initiatives and technical guidance.
Schedule and chair meetings with delegated entities in accordance with their contract.
Gather data and compile various utilization and quality improvement reports.
Develop and implement Corrective Action Plans.
Recommend changes/enhancements to the Quality Improvement policies and procedures.
Identify best practices, research new processes and recommend program enhancements.
Coordinate QIC activities and monthly meetings.
Oversee the enforcement of contract terms regarding data submission for delegated entities.
Participate in the development of reporting and data outcome reports.
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:
Bachelor’s degree in Nursing preferred. 3+ years of clinical, quality improvement or healthcare experience. 2+ years of experience in quality function in a healthcare setting.

License/Certification: LPN, LVN, RN, PA, or LCSW license preferred. CPHQ (Certified Professional in Healthcare Quality) preferred.

Strongly preferred qualifications:

RN licensed in WA state
Candidate residing in WA state

Position will work PST hours and requires some travel for intervention health events.

Pay Range: $33.71 - $60.67 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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Refine Your Search

rn health jobs in potomac, md

Quality Improvement Coordinator II

Risk Manager

Risk Manager

Quality Assurance Director for Assisted Living Community

Home Health Coder

CLINICAL DOCUMENTATION IMPROVEMENT SPECIALIST/CDIS (ON-SITE)

Director of Clinical Nursing Informatics (RN)

Clinical Informatics III

BSN/RN with QDDP and compliance experience

Lead Terminologist

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