Senior Clinical Quality Nurse
Compensation
$84k – $110k /yr
Employment type
Full-time
Work setting
On-site
Location
Atlanta, GA
Schedule
Day shift
Posted
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Job overview
The Senior Clinical Quality Nurse role is remote for candidates residing in Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia. The stated annual pay range is $83,628–$109,761 in California, Connecticut, New Jersey, New York, and Washington, and $75,265–$98,785 in other locations. The nurse reports to the Nurse Supervisor, UM Clinical Quality, at Oscar Health. The nurse audits clinical documentation and care quality, supports regulatory readiness, and helps teams improve workflows through feedback, coaching, and training. The role contributes to consistent clinical decision-making and quality performance across the departments served.
What you'll do
- Audit clinical documentation
- develop audit surveys and rubrics
- select cases and track audit results
- support NCQA and regulatory audit readiness
- conduct delegate oversight audits and report results
- collaborate on corrective action plans
- coach staff and leaders
- develop training tools
- present quality data and trends
- participate in audit calibration and interrater reliability processes
- comply with applicable laws and regulations.
What we're looking for
- Skills & competencies
- senior clinical quality nurseremoteoscar healthclinical qualityquality auditsutilization reviewregistered nursencqaclinical documentationaudit readinessarizonafloridageorgiaillinois
- Work arrangement
- Weekend coverage required
Benefits & perks
- Medical, dental, and vision benefits
- unlimited vacation program
- annual performance bonuses
- paid holidays
- paid sick time
- paid parental leave
- 401(k)
- life and disability insurance
- paid wellness time and reimbursements.
Why this role
Remote eligibility is limited to the states listed in the posting. Occasional travel may be required for team meetings and company events.
About the employer
Oscar Health is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.
Additional details
- Industry sector
- 52
- Industry
- Direct Health and Medical Insurance Carriers
- Occupation code
- 29-1141.00
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Listing ID: 8b61a38f-0a69-484c-8c59-207c6528c3df