Quality Nurse Care Manager

Abode Care PartnersLouisville, KY

About The Position

The Quality Nurse Care Mgr supports population health and value-based care initiatives by identifying, tracking, and validating closure of quality gaps across assigned patient populations. This role works closely with Care Management and Value-Based Operations teams to ensure preventive and chronic care measures are addressed and accurately documented.

Requirements

  • Minimum 2–4 years of relevant healthcare experience (population health, care management, quality improvement, or value-based care preferred)
  • Experience with chart review and documentation validation
  • Experience with ACOs, MA plans, or risk-based models
  • Familiarity with EMRs, registries, and quality reporting tools
  • Active, unrestricted compact LPN or RN license
  • Strong organizational and attention-to-detail skills
  • Ability to follow standardized protocols
  • Effective communication skills
  • Collaborative and team-oriented
  • Comfortable working with metrics and dashboards
  • Travel up to 25%

Responsibilities

  • Identify and track open quality gaps using registries, chase lists, and population health tools
  • Prioritize gaps based on program and contract requirements
  • Validate closure of quality measures through chart review
  • Support coordination of outreach and follow-up activities
  • Review clinical records to confirm completion of screenings, labs, and preventive services
  • Verify documentation accuracy and completeness
  • Maintain quality trackers and dashboards
  • Collaborate with Care Management and Value-Based Operations teams
  • Participate in quality huddles and performance reviews
  • Support audit preparation and quality reporting activities
  • Provide feedback on documentation requirements
  • Assist with onboarding and training related to quality workflows
  • Attend care huddles and review all open gaps
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