Clinical Quality Assurance Analyst (RN) - Remote

Description & Requirements

Maximus is seeking a dedicated Clinical Quality Assurance Analyst, RN to join our growing team-this is a 100% remote opportunity.

In this role, you will play a key part in ensuring excellence across our clinical division contracts by conducting thorough quality assurance evaluations on sample cases using established QA tools and processes.

Your expertise as a licensed RN will help drive accuracy, compliance, and high-quality outcomes that make a real impact on our clients and the individuals we serve.

Why Maximus?

- Work/Life Balance Support - Flexibility tailored to your needs!

- • Competitive Compensation -Bonuses based on performance included!

- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.

Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.

- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.

- • Unlimited Time Off Package - Enjoy UTO, Holidays, and

extended sick leave, along with Short and Long Term Disability coverage.

- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).

- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.

- • Tuition Reimbursement - Invest in your ongoing education and development.

- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.

- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.

- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.

- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.

Essential Duties and Responsibilities:

- Collects data related to assessments and assessment outcomes

- Completes quality audits utilizing proprietary QA Tools

- Reviews QA data and reports on trends and scores found through the quality audits

- Analyzes recommended scores in relation to Clinical Assessor determinations

- Develops / completes reports that track and trend activities / outcomes

- May provide QA training to staff to incorporate quality measures into their daily practice

- Performs other duties as may be assigned

Minimum Requirements

- Current Registered Nurse (RN) license valid in the state of practice is required
- Preferred Specialties for Registered Nurse: Internal Medicine, Adult Health, Community Health, Family Practice, Psychiatry
- Two (2) or more years practicing experience as a Registered Nurse required
- 2+ years previous work experience in Quality and Risk Management in a hospital setting conducting peer reviews preferred
- Strong working ability with all forms of technology, ability...