Manager, Quality Registered Nurse - Work at Home - Florida

Become a part of our caring community and help us put health first
 The Manager, Quality (Non-Calls) ensures that products meet certain standards of quality. The Manager, Quality (Non-Calls) works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

The Manager of Quality (Non-Calls) Registered Nurse (RN) is responsible for leading and guiding a team of auditors in delivering service and operational excellence through the consistent application of Humana Capital strategies which focus on continuous improvement in the areas of contributions, competencies and performance for the Grievance & Appeals Department.

• Provide guidance, direct and coordinates quality assurance programs.

• As part of the scope, the training and G&A quality manager also works to improve the organization’s efficiency and accuracy related to Medicare Part C/D Grievance and Appeals and to minimize compliance risk exposure to the company.

Use your skills to make an impact
 

Required Qualifications

• Minimum of Associate’s degree in Nursing (R.N.)

• A current, valid, and unrestricted license as a Registered Nurse (R.N.) in the state you reside in

• 3 plus years varied clinical nursing experience

• Experience conducting Root cause Analysis and providing insights/findings to Senior Leadership

• 2 or more years of leadership (Supervisor, Manager or above) experience

• Strong knowledge of Medicare standards and regulations

• Strong attention to detail, organizational and analytical skills with the ability to manage multiple priorities and/or projects

• Excellent communication and presentation skills to include the ability to communicate and present technical details to senior and/or executive level leadership

• Proficiency with Microsoft Office software (Word, Excel, Teams, Outlook)

• Must be passionate about contributing to an organization focused on …