BlueCross BlueShield of South Carolina RN Training and Quality Assurance Coordinator in Birmingham, Alabama

RN Training and Quality Assurance Coordinator

Position Summary

  • Coordinates the quality control program for the medical review area.

  • Researches the Center for Medicare and Medicaid services (CMS) changes.

  • Trains new staff and provides continuing education to clinical staff.

Required Education

  • Associate degree in Nursing or a Graduate of an accredited School of Nursing.

Required Work Experience

  • Four years combination of clinical, utilization review, training, quality assurance or case management experience.

  • Medicare experience

Required Skills and Abilities

  • Excellent oral and written communication, customer service, organizational and analytical or critical-thinking skills.

  • Good judgment.

  • Proficiency in spelling, grammar, punctuation and basic business math.

  • Ability to persuade, negotiate with and influence others.

  • Ability to handle confidential or sensitive information with discretion.

  • Knowledge of mathematical or statistical concepts and medical terminology.

  • Microsoft Office skills.

  • Active unrestricted RN license in state of hire, OR, active unrestricted compact multistate RN license as defined by the Nurse Licensure Compact (NLC).

Work City Birmingham

Work State AL

EEO Statement

We are an Equal Opportunity/Affirmative Action Employer. We will consider all qualified applicants for employment regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status.