Clinical Quality Registered Nurse

Registered Nurse, Quality Assurance — In-Home Clinical Services

The candidate must reside in the Greater Baltimore area and be willing to travel throughout the state of MD.

Position Summary

The Registered Nurse, Quality Assurance is responsible for driving the clinical quality and consistency of practitioners who perform in-home assessments, laboratory tests, and diagnostic services across the member's home or any alternate location where services are delivered. This role combines clinical oversight, data-driven performance analysis, and direct coaching to ensure every encounter meets evidence-based standards, regulatory requirements, and the organization's quality benchmarks. The RN Quality Assurance partner serves as both an auditor and an educator — translating quality data into actionable feedback that elevates practitioner performance and improves member outcomes.

Key Responsibilities

Quality Oversight & Auditing

• Conduct routine and targeted audits of in-home assessments, lab specimen collection, and diagnostic procedures performed by field practitioners (NPs, RNs and LPNs

• Review documentation, chart notes, and encounter data for completeness, clinical accuracy, and adherence to protocols.

• Perform ride-along and virtual observation visits to assess clinical technique, member interaction, infection control, and specimen handling.

• Identify deviations from clinical standards and document findings in the quality management system.

Data Analysis & Reporting

• Analyze quality metrics, audit results, lab rejection rates, redraw rates, and member-experience data to identify trends and root causes.

• Build and maintain dashboards and reports that surface practitioner-level and program-level performance to operations and clinical leadership.

• Translate quantitative findings into prioritized improvement opportunities with measurable targets.

• Partner with data and analytics teams to refine quality measures and benchmarks over time.

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