CVS Health Registered Nurse - RN - Quality Review Nurse in Greensboro, North Carolina

Job Description

As a Quality Review Nurse you will be responsible for collaborating with Clinical Operations and the Medical Director. Support development and implementation of improvement and strategies to promote enhanced feedback, organizational efficiency, individual and team performance improvement and skill development for the Clinical Operations staff. The Registered Nurse in this role must have excellent written and verbal customer service skills and advanced computer skills in order to interact with key stakeholders. Challenge your analytical and operations skills to support, clinical case reviews, client audit and accreditation process by identifying opportunities for efficiency and effectiveness enhancements.

As Quality Review Nurse you will ...

Conduct and coordinate case reviews for designated Clinical Operations staff members and support audit/accreditation activities. Work with multiple teams to identify organizational opportunities for collaboration, staff training and feedback. Support clinical operations program goals. Provide project coordination for assigned program initiatives.

The Quality Review Nurse with Accordant/CVS Health has a uniquely rewarding setting to use your exceptional analytical and quality review skills. When you join our team, you’ll play an integral role in providing improvement and support for our clinical programs. As a national leader in the healthcare industry and a Fortune 7 company, we seek special RNs who not only possess strong clinical expertise with innovative ideas but who understand the deep compassion and sensitivity it takes to treat our members.

Required Qualifications

Registered Nurse with current license in state of residence with multi-state practicing privileges and the ability to be licensed in all states.

Minimum 5 years recent clinical experience preferably in a hospital, home care or similar setting.

Experience using Microsoft Office, including Word, Excel and Outlook

Preferred Qualifications

Quality Review/coaching

Project management experience

Accreditation/credentialing

Education

B.S. degree in nursing or RN Diploma/Associates degree in nursing with Bachelors degree in other field

Business Overview

CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking Advice and Counsel at mailto:Advice&Counsel@cvshealth.com

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/