RN Quality Measure Specialist, Linked to EG R4446499

 Posted 2 hours ago
     
 $35.43 - $59.05 per hour
  
2-5 years experience
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AI Summary

Perform clinical data abstraction and validation to support regulatory programs and quality measures. Ensure data integrity and compliance through the application of clinical knowledge and established measure specifications.

Department Name:

Digital Transform Fdn Clin App

Work Shift:

Day

Job Category:

Clinical Support

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position performs clinical data abstraction and/or validation activities in support of regulatory programs and associated clinical quality measures, including IQR, OQR, IPFQR, Core Measures, TJC, and MIPS (CQM & eCQM). This role applies clinical knowledge and established measure specifications to ensure accurate, complete, and compliant data capture.

This position is primarily assigned to abstraction or validation functions with cross-training in both areas. Works within defined workflows and guidelines, contributing to data integrity, audit readiness, and overall quality performance.

CORE FUNCTIONS

1. Performs clinical data abstraction and validation in alignment with regulatory measure specifications and clinical documentation.

2. Applies clinical knowledge and established guidelines to support accurate, complete, and consistent data capture.

3. Identifies data and logic discrepancies and follows defined processes for escalation and resolution.

4. Adheres to standardized workflows, tools, and documentation requirements to ensure data integrity, regulatory compliance, and audit readiness.

5. Applies and expands knowledge of assigned regulatory programs and measure specifications.

6. Contributes to clinical quality data review and validation activities, including report logic review, to ensure data accuracy and alignment with regulatory intent.

7. Participates in cross-training, knowledge sharing, and quality-related initiatives through data review and collaboration.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

NOTE: The core functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.

SUPERVISORY RESPONSIBILITIES

DIRECTLY REPORTING

None

MATRIX OR INDIRECT REPORTING

None

TYPE OF SUPERVISORY RESPONSIBILITIES

N/A

Banner Health Leadership will strive to uphold the mission, values, and purpose of the organization. They will serve as role models for staff and act in a people-centered, service excellence-focused, and results-oriented manner.

PHYSICAL DEMANDS/ENVIRONMENT FACTORS

OE - Typical Office Environment: (Accountant, Administrative Assistant, Consultant, Program Manager)

Requires extensive sitting with periodic standing and walking.

May be required to lift up to 20 pounds.

Requires significant use of personal computer, phone and general office equipment.

Needs adequate visual acuity, ability to grasp and handle objects.

Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone.

May require off-site travel.

MINIMUM QUALIFICATIONS

Bachelor’s degree in Healthcare or a related field or equivalent level of education and experience.

Must possess a current valid Registered Nurse (RN) license.

Strong clinical background and knowledge as typically obtained through a minimum of three to five years of clinical experience in an acute care setting. Demonstrated ability to apply critical thinking, analytical reasoning, and problem-solving skills to complex medical cases.

Experience with electronic medical records and clinical documentation.

Strong communication and organizational skills.

Ability to work autonomously within a complex and quickly changing remote environment and navigate a variety of separate computer programs.

PREFERRED QUALIFICATIONS

Working knowledge of quality metric specifications, and clinical coding conventions.

Experience with clinical quality abstraction and/or validation processes.

Experience in high-acuity or critical care environments (e.g., ED, ICU, PACU, or comparable settings).

Experience supporting regulatory programs.

Exposure to report logic, external vendors, or regulatory audits (including IRR/ARR activities).

Experience with Oracle Health EHR (Cerner Millennium).

Experience contributing to process improvement initiatives.

Proficiency with Microsoft Office (Excel).

Additional related education and/or experience preferred.

DATE APPROVED 05/24/2026

Estimated Pay Range:

$35.43 - $59.05 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.

Anticipated Closing Window (actual close date may be sooner):

2026-10-24

EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

Privacy Policy:

Privacy Policy

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