Quality Assurance Officer - Part-Time RN

Telligen
United States, Oklahoma, Edmond
5801 North Broadway (Show on map)
Mar 20, 2025
The Part-Time Quality Assurance Officer - RN (20 hours a week) will be responsible for the coordination, monitoring, auditing, and documentation of the requirements for designated contracts in coordination with the program director/manager and client. Will also assist in staff orientation and education related to the requirements. Essential Functions Assists the program director/manager in the development, coordination and facilitation of the quality assurance (QA), quality improvement (QI) or internal quality control (IQC) programs for designated contracts. Tracks all contract deliverables/requirements to ensure timely, accurate and complete submissions; assists management in proactive problem-solving when potential issues are identified in meeting client expectations. Ensures compliance with the plan and supports all Plan Do Study Act (PDSA) or improvement efforts. Facilitates development and follow through of action plans in resolving issues in collaboration with the program director/manager. Assists in orientation of staff regarding contract requirements; auditing staff performance under the guidance of the program director/manager; and follow-up staff education as a result of audit findings. Facilitates routine discussions and meetings with staff regarding the QA/QI/IQC activities as well as meetings with the contractor as directed. Prepares correspondence, risk reports and routine updates on key performance measures and targets for designated contracts. Handles telephone and written inquiries as directed. Participates and supports URAC activities for designated contracts. Requirements Current, valid Registered Nurse (RN) license in Oklahoma required. Must reside in state of Oklahoma. Four or two year degree in nursing; at least 2 years experience with implementing QA, QI, or IQC programs or processes. Demonstrated experience with coordinating, tracking, monitoring, and documenting project development and program compliance. Positions working on specific contracts may require U.S. Citizenship. Because of the nature and immediacy of the work, the ability to maintain regular and predictable attendance is essential. Knowledge of Medicaid and understanding of the Oklahoma Health Care Authority preferred. Motivational Interviewing skills and health coaching experience preferred. Experience with NCQA Standards and CMS Core Set Measures preferred. Experience with Microsoft Office, specifically Excel, Word, and PowerPoint, preferred. COMMITMENT TO SAFETY As part of our commitment to health and safety, some roles may require additional health protocols (i.e. personal protective equipment or vaccination) Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise. Health has changed a lot through our 50-year history, but what has remained constant is that we care deeply about who we serve and what we do. Our success is built on our ability to adapt, respond to client needs, and offer innovative solutions. Our business is our people and we're looking for talented individuals who not only believe in our mission but who are ready to take ownership and make a difference in the lives of people, in the world of health. Learn more about who we are and what we do at www.telligen.com/about-us Are you Ready? We're on a mission to transform lives and economies by improving health and getting there means following through on our values of Ownership, Community, Ingenuity & Integrity. Ownership: As a 100% employee-owned company, our employee-owners drive our business, our solutions, and share in our success. When employee-owners grow and thrive, we all win. Community: Putting others first and being a good corporate partner wherever we work, and play makes us who we are. We Show Up. For our clients, for our communities, and for each other. Ingenuity: We're a team of passionate professionals driven by hard work and big ideas. We understand that high-value breakthroughs come from taking calculated risks. If it will benefit our clients and advance our mission, we're all ears. We celebrate free-thinking and challenge the status quo, so brainstorm away! Integrity: Smiling faces (virtual or in-person) are the norm around here. We enjoy a friendly work environment where everyone is dedicated to mutual trust, respect, and excellence. Thank you for your interest in Telligen! Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed. Telligen and our affiliates are Affirmative Action, Equal Opportunity Employers (EOE/M/F/Vet/Disability), and E-Verify Participants. Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. Telligen does not accept 3rd party solicitations from outside staffing firms.