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Quality Improvement RN
JOB SUMMARYQuality Improvement RN implements new and existing healthcare quality improvement initiatives and educational programs as required by Health and Human Services Commission (HHSC), Centers for Medicare and Medicaid Services (CMS), Texas Department of Insurance (TDI), or any other accrediting or regulatory bodies. Ensures maintenance of programs for members in accordance with prescribed quality standards as required by regulators and accrediting organizations. Reviews clinical data for clinical quality complaints; investigate and report on Abuse, Neglect, and Exploitation (ANE); conducts data collection, reporting and monitoring for key performance measurement activities. Provides direction an
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