Overview • Lead quality assurance programs to enhance healthcare delivery and community wellness initiatives in a dynamic, hybrid work environment. • Provide clinical oversight to Wellness RNs and Health Educators, ensuring compliance with healthcare standards and promoting impactful outcomes. • Collaborate with healthcare providers to address care gaps and optimize chronic condition management strategies effectively. • Analyze healthcare data to identify trends, implement quality improvement measures, and drive evidence-based decision-making. • Engage in community outreach initiatives, including health fairs and screenings, to enhance public health awareness and education. • Support vaccination campaigns and health testing programs to improve overall community health outcomes. • Contribute to the development and execution of corrective action plans aligned with organizational quality improvement goals. Key Responsibilities & Duties • Coordinate and implement quality improvement initiatives using HEDIS specifications to achieve healthcare objectives. • Review patient charts and population data to ensure compliance with healthcare standards and identify areas for improvement. • Monitor and address care gaps for chronic conditions and mental health concerns in collaboration with healthcare providers. • Supervise and guide Wellness RNs and Health Educators in executing quality assurance projects effectively. • Educate members on health conditions and promote healthier lifestyle choices through targeted outreach programs. • Participate in community health initiatives, including outreach events and screenings, to promote wellness. • Analyze quality-related issues, recommend enhancements, and implement corrective actions to improve care delivery. • Serve as a clinical liaison to address quality-of-care concerns and foster collaboration among healthcare providers. Job Requirements • Valid Registered Nurse (RN) license required; Bachelor’s degree in Nursing preferred. • Minimum one year of quality improvement experience and managerial responsibilities in a healthcare setting. • Proficiency in clinical assessment, patient education, and motivational interviewing techniques. • Familiarity with HEDIS specifications and NCQA standards is highly desirable. • Intermediate computer skills, including proficiency in Microsoft Outlook, Word, and Excel. • Bilingual in Spanish and possession of a valid driver’s license are preferred qualifications. • Ability to work flexible hours, including evenings and weekends, as required. • Associate of Applied Science (AAS) degree required; advanced education is advantageous.