Quality Improvement Coordinator

Centene Corporation

8d • $27 - $49 • Hybrid

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Registered Nurse (RN), Licensed Practical Nurse (LPN), or Licensed Clinical Social Worker (LCSW) with prior behavioral health experience preferred. Comfortable with high‑volume phone outreach. Excellent communication and presentation skills. Position Purpose: Analyze, develop, implement and monitor clinical quality improvement initiatives to achieve healthy outcomes. Perform duties and functions to comply with quality improvement programs according to state requirements. Support Quality Assurance Performance Improvement work plan/initiatives. Schedule and assist with committee and sub-committee preparation. Assist in investigation and resolution of member quality of care complaints. Audit medical records and monitor performance measures for health care risk management, sentinel events and trends.

Requirements

• Bachelor’s degree in nursing preferred.
• 2+ years clinical, quality management or healthcare related experience.
• At least one year experience in quality function in a healthcare setting.

Nice To Haves

• Registered Nurse (RN), Licensed Practical Nurse (LPN), or Licensed Clinical Social Worker (LCSW) with prior behavioral health experience preferred.
• LPN, LVN, RN, PA, or LCSW license preferred.
• Utilization management certification preferred.
• Certified Professional in Healthcare Quality preferred.

Responsibilities

• Analyze, develop, implement and monitor clinical quality improvement initiatives to achieve healthy outcomes.
• Perform duties and functions to comply with quality improvement programs according to state requirements.
• Support Quality Assurance Performance Improvement work plan/initiatives.
• Schedule and assist with committee and sub-committee preparation.
• Assist in investigation and resolution of member quality of care complaints.
• Audit medical records and monitor performance measures for health care risk management, sentinel events and trends.

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees