Quality Assurance Nurse

CorVel Corporation

Quality Assurance Nurse overseeing quality assurance and mentorship in CorVel case management. Focusing on compliance, performance measurement, and staff training in operational processes.

Posted 7/22/2026full-timeRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $61,053 - $98,334 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management processes, quality assurance, and regulatory compliance, with a strong focus on training and mentoring case management staff to uphold organizational standards. Proficient in performance measurement and reporting tools to drive operational improvements.

Highest-signal resume keywords

Case Management ExperienceQuality Assurance OversightRegulatory Compliance ManagementTraining and DevelopmentClinical Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Performance MeasurementManagement ReportingQuality Assurance CalibrationCase Management System UsageProcess Improvement

Soft Skills

MentoringCollaborationCommunication

Certifications & Qualifications

Current RN LicensureNational Certification (CRC, CIRS, CCRN, CVE, CCM)

Industry Keywords

URAC ComplianceClinical RehabilitationOperational StandardsCase Management LeadershipTraining Program Development

About the role

Key responsibilities & impact

Develop, implement, and provide ongoing quality assurance calibration of processes as well as a case management mentoring, both managed and delivered at the operational level
Educate and equip operations with performance measurement and reporting tools that can be used to objectively measure and grow operations
Provide national account and regulatory quality oversight
As applicable, provide oversight and management of URAC compliance and renewals
Work with executive, general and case management department management to ensure the case management department successfully implemented and is adhering to CorVel standards (including quality assurance, reporting, and management processes)
Work closely with new hires to ensure consistent and full integration/training of all case management managers to CorVel standards as well as training for system usage pertaining to case management and reporting
Identify developmental needs and and participate in training of case management leadership, including the training/re-training of all offices on standards and procedures, and usages of the CorVel case management and reporting system
Develop, run and interpret management reports to ensure the case management operations are utilizing the tools available to manage compliance of services delivery within company standards
Facilitate peer-to-peer quality reviews to ensure delivery of quality case management
Review results and outcomes with general management and case management leadership and develop action plans where warranted
Make recommendations in collaboration with field operations to ensure actions toward improvement are identified
Develop and oversee case management manager mentor program to facilitate the onboarding of new supervision and management to equip field with the tools for compliance and consistency of CorVel standards and procedures
Implementation, oversight and communication of regulatory requirements within case management services to include, state, federal and URAC
Identify trends and recommend action plans to management for continuous process improvement
Ability to travel up to fifty percent of the time

Requirements

What you’ll need

Graduate of accredited school of nursing with a diploma/Associates degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred)
3 or more years of recent clinical experience, preferably in rehabilitation
National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred
Four year degree from an accredited college or university preferred
Certified Trainer and/or Quality Assurance distinction preferred
Four (4) years of case management experience preferred or equivalent experience
Prior quality assurance and/or training a plus
Current RN licensure

Benefits

Comp & perks

Medical (HDHP) w/Pharmacy
Dental
Vision
Long Term Disability
Health Savings Account
Flexible Spending Account Options
Life Insurance
Accident Insurance
Critical Illness Insurance
Pre-paid Legal Insurance
Parking and Transit FSA accounts
401K
ROTH 401K
paid time off