Remote Clinical Quality Nurse

Job Title: Clinical Quality SpecialistJob Description
We are seeking a dedicated Clinical Quality Specialist to ensure regulatory and accreditation compliance. The ideal candidate will maintain alignment with DHCS, NCQA, and CMS requirements through ongoing monitoring, documentation, and execution of quality-related processes. This role also involves leading quality and clinical review processes, managing the identification, documentation, and investigation of clinical grievances, quality concerns, and peer review issues in coordination with clinical leadership.
Responsibilities

+ Ensure regulatory and accreditation compliance by maintaining alignment with DHCS, NCQA, and CMS requirements.

+ Lead the quality and clinical review processes, managing the identification, documentation, and investigation of clinical grievances, quality concerns, and peer review issues.

+ Design, implement, and evaluate programs aimed at improving clinical outcomes, enhancing...