Clinical Quality Nurse

ShiftMed, the leading and fastest-growing nursing jobs platform in the U.S. ShiftMed’s mission is to revolutionize the nurse staffing business, leveraging our technology to empower healthcare professionals to take control of their schedules. Our app enables them to connect directly with facilities to find the best opportunities that fit their needs while earning approximately 20% higher than the industry average.

The ideal candidate will be detail oriented, eager to learn, can effectively collaborate cross-functionally, and thrive in a fast-paced production environment. The Clinical Quality Nurse will be responsible for working cross-collaboratively across all teams in the Credentialing department and external stakeholders. This role will be reviewing and auditing healthcare professional files to ensure accuracy of all information verified. The Clinical Quality Nurse will work directly with Credentialing Department leaders to monitor quality adherence and drive continuous quality and process improvement initiatives. They will assist in the creation and rollout of education material for the department.

If this sounds like you, please apply today – we can’t wait to meet you!

Who we are:

• Our Mission is to empower healthcare professionals to make a living doing what they love, when and where they want.

In the news:

• Featured on NBC’s Today Show!
• Recognized on Inc. 5000 fastest growing company list!
• Business Insider exclusive article on our annual state of nursing survey
• ShiftMed has been featured in media outlets such as, USA Today, Yahoo! News, Huffington Post’s Thrive Global, Fortune, Nasdaq TradeTalks, Skilled Nursing News and Home Health Care News

ShiftMed Setting a New Standard:

• 350,000+ (and counting!) w2 credentialed workers
• Over 10,000,000 hours of care delivered
• 158 markets across 30 states nationwide (and growing!)
• $46,000,000 YTD cost savings for our clients
• Exclusive Uber Health Partnership, breaking the transportation barrier for healthcare professionals

About your role:

• Assist in creation and rollout of education and training materials for Credentialing Department needs
• Complete reviews/evaluations for the Credentialing department team members
• Reviews may consist of document verification decisions, written communications, phone calls, and additional component contributing to the onboarding of healthcare professionals
• Assist in Root Cause Analyses and other investigative events
• Ensure compliance with applicable laws, regulations, procedures, and policies.
• Review and report possible unauthorized disclosures
• Notify respective management of "Red Flag Events", as noted within departmental documentation, caused by colleagues
• Assist leadership with the Quality Analysis and Process Improvement (QAPI) Program
• Partner with leadership on projects tied to driving team and company goals.
• Act as a champion of change, bringing a lean-in attitude to your team, peers, and leaders daily.
• Maintain highest level of confidentiality and compliance (HIPAA)
• Complete understanding of ticketing systems, primary programs, and client/user process
• Remain up to date on any new process or system and/or changes in existing process, programs, or systems
• Other duties as assigned.

Requirements and Skills:

• Excellent attention to detail.
• Excellent verbal and written communication skills
• Excellent attendance and punctuality
• Expert level understanding of credentialing and licensure requirements
• Ability to work under the pressure of tight deadlines.
• Ability to prioritize multiple tasks simultaneously with frequent interruptions and time constraints.
• Ability to exercise good judgement and ethical standards in a variety of situations.
• Ability to maintain a positive and professional attitude towards teammates and customers
• Ability to thrive in a fast-growing always changing environment
• Intermediate knowledge of Microsoft Word, Outlook, Excel
• Computer keyboard proficiency and internet navigation skills required
• Technical troubleshooting, investigative, and research-based skills
• Proven track record of exceeding performance metrics
• Proven track record of working well under pressure
• Work effectively with others as part of a team
• 2+ years of practice as a Registered Nurse in an Acute Care setting
• 1+ year Quality Review experience or equivalent training

Preferred but not required:

• Bachelor’s Degree in Nursing
• Prior experience in ho