Blue Cross and Blue Shield of Vermont

Clinical Quality Consultant – Registered Nurse | Full Time

Category: Health Care/Personal Care


Blue Cross and Blue Shield of Vermont is looking for a Clinical Quality Consultant – Registered Nurse to join our Quality Improvement team. Our company culture is built on an unwavering focus on our members and giving them the best service possible. We offer a balanced, flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401k, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.

COVID-19: Blue Cross is requiring all employees and covered consultants to be fully vaccinated (including booster if eligible) against COVID-19 and provide proof of vaccination as of January 1, 2022. Those with a medical condition or sincerely held religious belief preventing them from being vaccinated can request an exemption without fear of retaliation or an impact on job candidacy

REMOTE WORK: Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work two days per week in the office with flexibility to work remotely the rest of the week.

Clinical Quality Consultant – Registered Nurse Responsibilities:

  • Manage and implement a variety of clinical quality assurance and improvement activities including quality of care investigations and interventions, medical record reviews, and accreditation/regulation compliance activities.
  • Act as a consultant to other departments engaged in quality improvement activities, with a particular focus on the medical services and provider relations areas.
  • May work with key players in the health care delivery system, including other plans, state agencies, and provider groups, to develop and implement improvement strategies across the system.

Clinical Quality Consultant – Registered Nurse Qualifications:

  • BS/BA degree in nursing and current Vermont Registered Nurse license required.

  • Strong computer skills, including Microsoft Word, Excel, PowerPoint.

  • Project management experience required.

  • Knowledge of Vermont health care community and clinical protocol for preventive, chronic, and acute care required.
  • Knowledge of quality improvement methods and concepts, including NCQA and URAC standards, desired. Familiarity with Vermont managed care regulatory requirements desired.
  • This position requires occasional travel throughout the state of Vermont.   Valid driver’s license and own car is required for travel.

Clinical Quality Consultant – Registered Nurse Benefits:

  • Health insurance (including vision)
  • Dental coverage (free to employees)
  • Wellness Program
  • 401(k) with employer match + automatic employer contribution
  • Life Insurance
  • Disability Insurance
  • Combined time off (CTO) – 20 days per year + 9 paid holidays
  • Tuition Reimbursement
  • Student Loan Repayment
  • Dependent Caregiver Benefits

*full job description attached to ADP posting


To Apply:

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