Registered Nurse – Quality of Care

CareOregon

. Manage internal quality of care referrals and support quality initiatives under Clinical Services and CareOregon Quality Health Outcomes .

Posted 9/25/2026full-timeOregon • United StatesMid-LevelSenior💰 $102,330 - $125,070 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in quality improvement, population health, and case management within the healthcare sector, with a strong focus on regulatory compliance and effective collaboration across departments. Proficient in utilizing quality monitoring tools and maintaining accurate documentation to support health improvement programs.

Highest-signal resume keywords

Registered Nurse License in OregonQuality Improvement ExperiencePopulation Health KnowledgeEMR Systems ProficiencyCritical Thinking Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality of Care ReviewsClinical ExpertiseData Management ToolsRegulatory Standards ApplicationHealth Improvement Program AdministrationQuality MonitoringDocumentation MaintenanceTraining DevelopmentRisk-Reduction StrategiesBehavioral Health Experience

Soft Skills

Attention to DetailCollaborationCommunication SkillsCustomer Service SkillsAdaptability

Tools & Technologies

QNXTSharePointSmartsheetPDFMS OutlookMS WordMS ExcelEMR Systems

Certifications & Qualifications

Current RN License

Industry Keywords

Quality Health OutcomesClinical ServicesSocial Determinants of HealthEquity First ApproachHealthcare Industry

About the role

Key responsibilities & impact

Manage internal quality of care referrals and support quality initiatives under Clinical Services and CareOregon Quality Health Outcomes
Complete Quality of Care reviews
Work with the Director of Quality of Care to address quality and clinical issues in a timely and thorough manner
Maintain accurate and complete documentation for quality of care files
Use QNXT, SharePoint, and Smartsheet for quality monitoring
Coordinate and facilitate risk-reduction strategies for quality and patient safety issues
Collaborate with other departments to ensure quality of care processes work effectively
Conduct annual and other trainings as needed
Lead implementation and ongoing administration of health improvement programs
Provide feedback to the Quality of Care Director and others
Identify education and training programs for network providers, members, healthcare workers, and CareOregon staff supporting appeals and grievance processes
Develop and monitor tracking systems for quality-of-care issue data, provider trends, and related clinical quality sources
Provide clinical expertise in evaluating program outcomes and planning program activities
Apply CMS, OAR, contract requirements, and other regulatory standards
Apply and help develop and implement the Equity First approach
Participate in contract review, peer review, and quality oversight committees
Participate in provider site visits as needed

Requirements

What you’ll need

Minimum 3 years of experience as an RN in the healthcare industry
Current unrestricted license as a registered nurse in the State of Oregon
Prior primary care and/or specialty clinic practice experience and behavioral health experience highly desired
RN experience with quality improvement, population health and/or case management
Knowledge of or desire to learn about current clinical practices, specifically issues related to quality of care
Ability to glean clinical information from medical records or specialized software and save supporting documentation in appropriate data management tools
Critical thinking skills
Strong attention to detail
Competency with PDF, MS Outlook, Word, Excel, and EMR systems
Ability to learn and adapt to new EMR systems, software programs, specification changes, and deadlines
Ability to maintain strict confidentiality of protected health information
Awareness of social determinants of health
Ability to work with diverse individuals and groups
Initiative and motivation; ability to collaborate and plan effectively
Ability to manage multiple tasks and switch tasks as needed
Ability to work under pressure and meet regulatory deliverable deadlines
Good written and verbal communication skills
Excellent customer service skills and ability to work across departments
Ability to prioritize work in a remote environment
Ability to learn, focus, understand, evaluate information, and determine appropriate actions
Ability to accept direction and feedback, and tolerate and manage stress
Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
Ability to hear and speak clearly for at least 3–6 hours/day
Ability to lift, carry, push, pull, and/or pinch small objects for at least 1–3 hours/day

Benefits

Comp & perks

Bonus opportunity: SIP Target, 5% Annual
Medical, dental, vision, life, AD&D, and disability insurance
Health savings account
Flexible spending account(s)
Lifestyle spending account
Employee assistance program
Wellness program
Employee discounts
Supplemental benefits, including voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, and 529 College Savings
Retirement plan with employer contributions
Paid time off (PTO)
Paid State Sick Time
Paid holidays
Volunteer time
Jury duty leave
Bereavement leave
Other perks depending on eligibility