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Full Time Ncqa Accreditation Jobs (NOW HIRING)

Oscar Health

Sr. Quality of Care Review Nurse

Dallas, TX · Remote

$83K - $109K/yr

Experience with NCQA accreditation standards for utilization management, case management or ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Oscar Health

Sr. Quality of Care Review Nurse

Atlanta, GA · Remote

$83K - $109K/yr

Experience with NCQA accreditation standards for utilization management, case management or ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Oscar Health

Sr. Quality of Care Review Nurse

Tempe, AZ · Remote

$83K - $109K/yr

Experience with NCQA accreditation standards for utilization management, case management or ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Oscar Health

Sr. Quality of Care Review Nurse

Miami, FL · Remote

$83K - $109K/yr

Experience with NCQA accreditation standards for utilization management, case management or ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

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How much do full time ncqa accreditation jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for full time ncqa accreditation in the United States is $37.04, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $41.35 per hour, depending on experience, location, and employer.
What are the most commonly searched types of Ncqa Accreditation jobs? The most popular types of Ncqa Accreditation jobs are:
Full Time Ncqa Accreditation jobs near you

Integrated Care Management Optimization and Training Coordinator, Ambulatory Care, Full Time, Days

Prisma Health

Greenville, SC • On-site

Full-time

Posted 19 days ago

Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 349 frontline employees who took The Breakroom Quiz

378th of 887 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Responsible for implementing workflow education and training for the care management staff throughout the Prisma Health Integrated Care Management department. Workflow training may include new employee orientation, ongoing staff development training that is in compliance with internal and external guidelines as well as standard current practice. Escalates team needs for technology systems, reports and analytics, and the care management teams to ensure appropriate training is developed to support the development of workflows, care pathways and guidelines to manage a large patient population across the Prisma Health footprint.
Job Description

Essential Functions

  • All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.

  • Leads training for Integrated Care Management IT technologies. Works extensively with the care management team and leaders to ensure workflow is comprehensive and supports the patient populations they serve.

  • Remains current and knowledgeable about care management and population health training, current practices, documentation, and reporting in the healthcare industry. Works to drive innovation into the integrated care management education and training programs.

  • Assists in the development of new processes, pathways, guidelines, and workflows for use by the interdisciplinary care management team

  • Performs ongoing audits to ensure compliance with workflows and maintains operational dashboards for process improvement efforts. Coordinates with leaders to help identify targets and coordinate efforts to achieve said targets.

  • Conducts new employee orientation and ongoing staff development that is in compliance with national quality standards and standard current practice.

  • Serves as program liaison to communicate across multiple teams with key stakeholders to identify needs for new value-based programs, refine existing programs, and conclude idle programs using a population health lens and in alignment with enterprise-level strategic initiatives, CMS regulations and/or NCQA accreditation.

  • Performs other duties as assigned.

Supervisory/Management Responsibilities

  • This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

  • Education - Bachelor's degree in Nursing/Health Informatics or Master's degree in Social Work.

  • Experience - Two (2) years inpatient nursing, care or case management experience, education, training, workflow development experience with healthcare/care coordination technology systems and reporting

In Lieu Of

  • NA

Required Certifications, Registrations, Licenses

  • LMSW (Licensed Master Social Worker) or LISW (Licensed Independent Social Worker) in South Carolina or holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working.

Knowledge, Skills and Abilities

  • Capable of and experience in clearly conveying learning objectives and creating a positive learning experience.

  • Communication techniques to drive positive learning experiences

  • Computer skills (word processing, spreadsheets, databases, data entry)

  • Knowledge of office equipment

  • Knowledge of how to conduct learning needs assessments, evaluate learning outcomes and monitor training costs preferred

Work Shift

Day (United States of America)

Location

Prisma Health Corporate Office

Facility

7002 Value-Based Care and Network Services

Department

70028455 Ambulatory Care Management

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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