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RN Quality of Care
Banner HealthHP RN Quality of Care supporting quality of care for Banner Health Plans by reviewing medical records. Investigating concerns and collaborating with providers for compliance and member safety.
Posted 7/15/2026full-timeTucson • Arizona • 🇺🇸 United StatesJuniorMid-Level💰 $33 - $55 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in reviewing medical records for quality of care, ensuring compliance with National Medicare and State AHCCCS regulations, and effectively collaborating with healthcare providers. Strong analytical and problem-solving skills are essential for identifying variances from protocol in an acute care or outpatient setting.
Highest-signal resume keywords
RN LicenseClinical ExperienceQuality of Care ReviewRegulatory ComplianceAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Record ReviewQuality AssuranceTriageRegulatory KnowledgeProblem-Solving
Soft Skills
Communication SkillsCollaborationIndependence
Certifications & Qualifications
RN License
Industry Keywords
Acute CareOutpatient SettingMedicare RegulationsAHCCCS Regulations
About the role
Key responsibilities & impact- Support Banner Health Plans by reviewing medical records for quality of care cases
- Investigate concerns and ensure compliance
- Triage new referrals assigned each week
- Collaborate with providers and internal teams
- Occasionally travel for onsite health and safety visits
Requirements
What you’ll need- Two years of clinical experience in an acute care or outpatient setting
- Must possess a current, valid RN license in state of practice
- Knowledge of National Medicare and State AHCCCS regulations
- Excellent written and verbal communication skills
- Strong analytical and problem-solving skills
- Ability to work independently and identify variances from protocol
Benefits
Comp & perks- Health insurance
- Paid time off
- Flexible work arrangements
- Professional development opportunities