FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Clinical Quality Coordinator, RN
Centene Corporation. Educate members about needed screenings, including diabetic and breast cancer screenings .
Posted 10/16/2026full-timeRemote • Florida • United StatesJuniorMid-Level💰 $56,200 - $101,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Clinical Nursing and Case Management, focusing on member education, care gap closure, and coordination of services among healthcare providers. Proficient in conducting assessments and supporting quality initiatives within managed care settings.
Highest-signal resume keywords
Bachelor's Degree NursingClinical Nursing ExperienceCase ManagementRegistered Nurse LicensureQuality Improvement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient EducationAssessment CompletionCare Gap ClosureChart ReviewRisk ManagementOutreach CoordinationDocumentationCommunity-Based Services CoordinationQuality Initiatives SupportManaged Care Experience
Soft Skills
AdaptabilityCommunicationCollaborationProblem-SolvingInterpersonal Skills
Certifications & Qualifications
RN - Registered Nurse LicensureCompact State Licensure
Industry Keywords
HEDISManaged CareGovernment Sponsored ProgramsAcute Care SettingQuality Standards
About the role
Key responsibilities & impact- Educate members about needed screenings, including diabetic and breast cancer screenings
- Encourage members to schedule appointments and assist with scheduling as needed
- Complete assessments, including the Conditions of Older Adults assessment
- Conduct member outreach, provider outreach, and chart review to support HEDIS care gap closure
- Coordinate services between PCPs, specialists, medical providers, and non-medical staff
- Provide patient and provider education
- Facilitate member access to community-based services
- Identify and report risk management quality concerns
- Support direct care gap closure through member outreach, assessment, and documentation
- Provide clinical support to outreach coordinators working with high-risk members and/or providers
- Support quality initiatives and outreach to noncompliant members
- Maintain a caseload and educate members/guardians through care gap closure activities
- Adapt to changing outreach campaigns, priorities, and processes
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor's Degree Nursing required
- 2+ years Clinical Nursing in an acute care setting required
- 1+ years Case management or quality improvement in a managed care setting required
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
- Master's Degree Nursing preferred
- Experience in a government sponsored managed care program preferred
- Ability to work from home in the Eastern or Central time zone
- Approximately 8:00 a.m.–5:00 p.m., with adjustments based on your time zone and business needs
- Complies with all policies and standards
Benefits
Comp & perks- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation