Clinical Quality Nurse
Springfield, IL · On-site
The Clinical Quality Nurse is responsible for performing clinical care reviews using criteria outlined by the Clinic's various quality incentive programs (e.g., HEDIS, CMS, etc.). The Clinical ...
Springfield, IL · On-site
The Clinical Quality Nurse is responsible for performing clinical care reviews using criteria outlined by the Clinic's various quality incentive programs (e.g., HEDIS, CMS, etc.). The Clinical ...
Springfield, IL · On-site
The Clinical Quality Nurse is responsible for performing clinical care reviews using criteria outlined by the Clinic's various quality incentive programs (e.g., HEDIS, CMS, etc.). The Clinical ...
Springfield, IL · On-site
$33.21 - $49.83/hr
The Clinical Quality Nurse is responsible for performing clinical care reviews using criteria outlined by the Clinic's various quality incentive programs (e.g., HEDIS, CMS, etc.). The Clinical ...
Springfield, IL · On-site
$33.21 - $49.83/hr
The Clinical Quality Nurse is responsible for performing clinical care reviews using criteria outlined by the Clinic's various quality incentive programs (e.g., HEDIS, CMS, etc.). The Clinical ...
$35 - $46.50/hr
Collaborate with Clinical Quality Nurse and internal data analyst to oversee HEDIS quality gap distribution to health partners and member providers for HEDIS clinical data collection. * Participate ...
Quick apply
$35 - $46.50/hr
Collaborate with Clinical Quality Nurse and internal data analyst to oversee HEDIS quality gap distribution to health partners and member providers for HEDIS clinical data collection. * Participate ...
Houston, TX · On-site
$65 - $85/hr
This role applies clinical nursing expertise to evaluate care delivery, identify opportunities for improvement, and support evidence‑based practice changes. The Quality Nurse participates in ...
Houston, TX · On-site
$65 - $85/hr
This role applies clinical nursing expertise to evaluate care delivery, identify opportunities for improvement, and support evidence‑based practice changes. The Quality Nurse participates in ...
This role applies clinical nursing expertise to evaluate care delivery, identify opportunities for improvement, and support evidence-based practice changes. The Quality Nurse participates in clinical ...
This role applies clinical nursing expertise to evaluate care delivery, identify opportunities for improvement, and support evidence-based practice changes. The Quality Nurse participates in clinical ...
Redwood City, CA · On-site
$4.8K - $5.4K/wk
The Interim Quality Nurse Consultant provides expertise in clinical quality, patient safety, regulatory compliance, risk management, and infection prevention. This role analyzes quality data, leads ...
Redwood City, CA · On-site
$4.8K - $5.4K/wk
The Interim Quality Nurse Consultant provides expertise in clinical quality, patient safety, regulatory compliance, risk management, and infection prevention. This role analyzes quality data, leads ...
Houston, TX · On-site
This role applies clinical nursing expertise to evaluate care delivery, identify opportunities for improvement, and support evidence-based practice changes. The Quality Nurse participates in clinical ...
Houston, TX · On-site
This role applies clinical nursing expertise to evaluate care delivery, identify opportunities for improvement, and support evidence-based practice changes. The Quality Nurse participates in clinical ...
$4.8K - $5.4K/wk
The Interim Quality Nurse Consultant provides expertise in clinical quality, patient safety, regulatory compliance, risk management, and infection prevention. This role analyzes quality data, leads ...
Quick apply
$4.8K - $5.4K/wk
The Interim Quality Nurse Consultant provides expertise in clinical quality, patient safety, regulatory compliance, risk management, and infection prevention. This role analyzes quality data, leads ...
The Quality Nurse / Health Information Management (HIM) Director is responsible for the oversight, coordination, and continuous improvement of clinical quality, patient safety, and health information ...
The Quality Nurse / Health Information Management (HIM) Director is responsible for the oversight, coordination, and continuous improvement of clinical quality, patient safety, and health information ...
The Quality Nurse / Health Information Management (HIM) Director is responsible for the oversight, coordination, and continuous improvement of clinical quality, patient safety, and health information ...
The Quality Nurse / Health Information Management (HIM) Director is responsible for the oversight, coordination, and continuous improvement of clinical quality, patient safety, and health information ...
The Quality Nurse / Health Information Management (HIM) Director is responsible for the oversight, coordination, and continuous improvement of clinical quality, patient safety, and health information ...
Quick apply
The Quality Nurse / Health Information Management (HIM) Director is responsible for the oversight, coordination, and continuous improvement of clinical quality, patient safety, and health information ...
The Quality Nurse / Health Information Management (HIM) Director is responsible for the oversight, coordination, and continuous improvement of clinical quality, patient safety, and health information ...
The Quality Nurse / Health Information Management (HIM) Director is responsible for the oversight, coordination, and continuous improvement of clinical quality, patient safety, and health information ...
Astoria, OR · On-site
NON-PRIORITY RECRUITMENT The Clinical Quality Nurse Specialist (QNS) is responsible for supporting quality improvement activities, by analyzing trends in reporting and through ongoing review of ...
Astoria, OR · On-site
NON-PRIORITY RECRUITMENT The Clinical Quality Nurse Specialist (QNS) is responsible for supporting quality improvement activities, by analyzing trends in reporting and through ongoing review of ...
Astoria, OR · On-site
NON-PRIORITY RECRUITMENT The Clinical Quality Nurse Specialist (QNS) is responsible for supporting quality improvement activities, by analyzing trends in reporting and through ongoing review of ...
Astoria, OR · On-site
NON-PRIORITY RECRUITMENT The Clinical Quality Nurse Specialist (QNS) is responsible for supporting quality improvement activities, by analyzing trends in reporting and through ongoing review of ...
Magnolia, MS · On-site
$75 - $90/hr
The Quality Nurse / Health Information Management (HIM) Director is responsible for the oversight, coordination, and continuous improvement of clinical quality, patient safety, and health information ...
Magnolia, MS · On-site
$75 - $90/hr
The Quality Nurse / Health Information Management (HIM) Director is responsible for the oversight, coordination, and continuous improvement of clinical quality, patient safety, and health information ...
$102K - $112K/yr
Float connects nurses with patients so they can get treatments for their chronic conditions in the ... The Role Float is seeking a Clinical Quality Lead to own the nursing judgment at the center of our ...
$102K - $112K/yr
Float connects nurses with patients so they can get treatments for their chronic conditions in the ... The Role Float is seeking a Clinical Quality Lead to own the nursing judgment at the center of our ...
Drives the strategic vision for how technology will enhance clinical quality practice and workflow for nurses and allied health professionals, clinical quality and patient safety for the entire ...
Drives the strategic vision for how technology will enhance clinical quality practice and workflow for nurses and allied health professionals, clinical quality and patient safety for the entire ...
Provide quality oversight for decentralized clinical trial activities, including nursing services, home healthcare, investigational product handling, source documentation, and patient-facing clinical ...
Provide quality oversight for decentralized clinical trial activities, including nursing services, home healthcare, investigational product handling, source documentation, and patient-facing clinical ...
Provide quality oversight for decentralized clinical trial activities, including nursing services, home healthcare, investigational product handling, source documentation, and patient-facing clinical ...
Provide quality oversight for decentralized clinical trial activities, including nursing services, home healthcare, investigational product handling, source documentation, and patient-facing clinical ...
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
Quick apply
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
$31K - $42.3K
13% of jobs
$42.3K - $53.5K
1% of jobs
$53.5K - $64.8K
4% of jobs
$70.3K is the 25th percentile. Wages below this are outliers.
$64.8K - $76.1K
15% of jobs
The median wage is $85.9K / yr.
$76.1K - $87.4K
20% of jobs
$87.4K - $98.6K
20% of jobs
$101.2K is the 75th percentile. Wages above this are outliers.
$98.6K - $109.9K
11% of jobs
$109.9K - $121.2K
7% of jobs
$121.2K - $132.5K
4% of jobs
$132.5K - $143.7K
3% of jobs
$143.7K - $155K
2% of jobs
$31K
$89.9K
$155K
| Aspect | Clinical Quality Nurse | Clinical Nurse Specialist |
|---|---|---|
| Credentials | RN license, possibly certification in quality or patient safety | RN license, often with advanced practice certification (e.g., CNS certification) |
| Work Environment | Hospitals, clinics, quality departments | Hospitals, specialty clinics, healthcare organizations |
| Primary Focus | Monitoring and improving healthcare quality and compliance | Providing expert clinical care and specialized patient management |
The Clinical Quality Nurse primarily focuses on quality assurance, compliance, and patient safety initiatives within healthcare settings. In contrast, the Clinical Nurse Specialist provides advanced clinical expertise and direct patient care in specialized areas. Both roles require RN licensure, but their core responsibilities and work environments differ significantly.
States with the most job openings for Clinical Quality Nurse jobs include:
The top searched job categories for Clinical Quality Nurse jobs are:

6.9
Based on 60 frontline employees who took The Breakroom Quiz
453rd of 898 rated healthcare providers
The Clinical Quality Nurse is responsible for performing clinical care reviews using criteria outlined by the Clinic's various quality incentive programs (e.g., HEDIS, CMS, etc.). The Clinical Quality Nurse works with the providers and nursing staff to implement actions to improve performance, close gaps in care, and assist with the proactive management of the Clinic's attributed patients. In addition, the Clinical Quality Nurse will assist in the validation of the quality metrics and measures used within the Clinic's quality dashboards.
Job Relationships
Reports to the Quality Incentive Programs Manager
Principal Responsibilities
Participate in the review of quality measures and research the literature to determine the appropriate supporting documentation under the direction of the Quality Incentive Programs Manager.
Partner with Clinic's internal departments to develop workflows to ensure quality measures are being captured appropriately and identify opportunities to improve current workflows to reduce the administrative burden on providers and front line staff.
Work directly with the providers and staff to review the results of clinical care reviews and assist in the development of interventions to improve performance.
Conduct follow-up clinical care reviews as needed.
Participate in planning and goal setting for the Department.
Conduct follow-up clinical data review as needed.
Working with Agilon/pod leaders to stay current with incentives.
Traveling to assigned sites (primarily care offices) and working with leadership.
Participate in planning and goal setting for the Department.
Comply with the Springfield Clinic incident reporting policy and procedures.
Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
Perform other job duties as assigned.
Education/Experience
Healthcare management or leadership experience preferred.
Minimum of five (5) years experience in a health care setting; medical office preferred.
Familiarity with EHR clinical products and experience with the implementation of clinical software.
Experience in medical record review and statistical data extrapolation.
Licenses/Certificates
RN or LPN with license in good standing in the State of Illinois. CPR certification per American Heart Association guidelines required within 30 days of hire.
Knowledge, Skills and Abilities
Ability to travel to multiple Clinic locations.
Expertise in Microsoft Office products (Word, Excel, Access, Outlook).
Must be able to meet deadlines and work under pressure while providing a positive image.
Ability to work independently in all levels of the organization.
Ability to learn applicable skills and adapt easily to changes in processes or workflow.
Maintaining relationships with payers to stay current on incentive programs and requirements.
Excellent organizational, verbal and written communication skills.
Strong leadership and motivational skills.
Strong background in business and integrated health care delivery.
Working Environment
Work in multiple clinic environments.
Requires sitting and standing for long periods of time.
PHI/Privacy Level
HIPAA1
Get the full story on Breakroom
Sourced by ZipRecruiter
Health care and social assistance
1,001 - 5,000 Employees
Springfield, IL, US
1939