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Sr. Clinical Quality RN - Remote in state of TX
Sr. Clinical Quality RN - Remote in state of TX-April 2024
Missouri City
Apr 22, 2025
ABOUT UNITEDHEALTH GROUP
With offices around the world, UnitedHealth Group's headquarters are located in the Minneapolis metropolitan area.
10,000+ employees
Healthcare
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About Sr. Clinical Quality RN - Remote in state of TX

  At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

  As a Senior Quality RN, you will monitor and support health plan quality improvement initiatives with particular emphasis on compliance with state and federal regulatory and accreditation requirements including Performance Improvement Projects (PIP) and P4Q program. You will be responsible for the reporting and analysis of member care quality and for the development of plans and programs to support continuous quality improvement using HEDIS and other tools.

  Looking for a self-motivated healthcare professional with Quality Improvement (QI) experience. In this position, you will develop and support quality improvement activities and performance improvement projects by gathering and analyzing data, preparing written reports and annual core documents, presenting analyses to customers and working collaboratively to improve the member experience. The Quality team is focused on improving the health of our members, enhancing our operational effectiveness and reinforcing brand and reputation for high - quality health plan.

  If you are located in the state of Texas, you will have the flexibility to work remotely * as you take on some tough challenges.

  Primary Responsibilities:

  Monitor and support health plan quality improvement initiatives with particular emphasis on compliance with state and federal regulatory and accreditation requirements including Performance Improvement Projects (PIP) and P4Q program Responsible for the reporting and analysis of member care quality and for the development of plans and programs to support continuous quality improvement using HEDIS and other tools Develop and support quality improvement activities and performance improvement projects by gathering and analyzing data, preparing written reports and annual core documents Present analyses to customers and working collaboratively to improve the member experience

  You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

  Required Qualifications:

  Unrestricted and active RN license in state of TX 3+ years of experience in health plan Quality Improvement (QI) 2+ years of experience in writing, developing, and implementing health care quality Performance Improvement Projects (PIPs) using CMS Protocols 2+ years of experience in quality improvement models and tools (PDSA, Six Sigma) 2+ years of experience collecting and analyzing data for summary reports 1+ years of experience leading presentations (present reports to leadership) 1+ years of experience writing documents being sent to review by regulatory bodies 1+ years of experience in managing multiple projects independently while meeting project deadlines Knowledge and experience with national QI standards (NCQA, HEDIS®) Exemplary writing skills Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook Access to high-speed internet services along with space for home setup Reside in the state of Texas

  Preferred Qualifications:

  Proven solid writing skills Proven resilient and analytical Proven detail oriented Project Management Experience

  *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

  At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

  Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

  UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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