Registered Nurse – Quality Assurance, Temporary

This is a fully remote position, open to applicants in Oregon.

📋 Description

• Conduct telephonic outreach to members to support the closure of HEDIS and Stars measure gaps and facilitate re-engagement.

• Deliver evidence-based patient education focused on engagement and recommended health screenings.

• Employ a trauma-informed, member-centered approach.

• Assist members in navigating the continuum of care based on their clinical or medical requirements.

• Make referrals to community partners when appropriate.

• Perform chart reviews for regulatory compliance and quality improvement initiatives.

• Utilize EMR systems or PDF files to carry out chart abstractions and input data into HEDIS or other specialized software.

• Maintain a 95% accuracy rate in data abstractions and entries, validated through peer reviews.

• Collaborate effectively with CareOregon clinics, team members, and staff.

• Complete required ongoing HEDIS training and assessments.

• Engage in additional assigned projects.

• Conduct work in alignment with CareOregon’s mission, vision, values, policies, compliance standards, and strategic objectives.

⛳️ Requirements

• Must hold a current unrestricted Registered Nurse license in the State of Oregon.

• At least 3 years of experience as an RN in the healthcare sector is required.

• Understanding of or a willingness to learn about current clinical practices, chronic diseases, health-screening guidelines, and health maintenance.

• Capability to utilize a trauma-informed approach for member-centric assistance.

• Proficient in extracting clinical information from medical records, accurately documenting it in HEDIS or specialized software, and saving supporting documents.

• Strong critical thinking abilities.

• Excellent attention to detail.

• Proficient in PDF, MS Outlook, Word, Excel, and EMR systems.

• Ability to learn and adapt to new EMR systems, software updates, and changing specifications.

• Commitment to maintaining strict confidentiality of protected health information.

• Skills in prioritizing tasks in a remote work environment.

• Capacity to manage multiple responsibilities and switch tasks as necessary.

• Effectiveness in working with diverse individuals and groups.

• Ability to meet regulatory deadlines under pressure.

• Strong written and verbal communication skills.

• Capability to see, read, and perform repetitive finger and wrist movements for at least 6 hours per day.

• Ability to stand and sit for a minimum of 3–6 hours daily.

• Ability to speak clearly, and perform tasks such as bending, lifting, carrying, pushing, pulling, and/or pinching small objects for at least 1–3 hours per day.

🏝️ Benefits

• Opportunity for bonuses with a 5% annual SIP target.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Life insurance coverage.

• Accidental Death & Dismemberment (AD&D) insurance.

• Disability insurance.

• Health savings account options.

• Flexible spending account(s).

• Lifestyle spending account.

• Employee assistance program.

• Wellness program.

• Discounts available.

• Supplemental benefits, including voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, and 529 College Savings.

• Retirement plan with employer contributions.

• Paid time off (PTO).

• Paid State Sick Time.

• Paid holidays.

• Time off for volunteering.

• Jury duty leave.

• Bereavement leave.

• 401(k) contributions available for non-benefits eligible employees.