QM Nurse Consultant

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Applies specialized clinical knowledge to participate in quality improvement efforts to assess and enhance patient care. Collaborates with the reputed company quality team to collect and analyze clinical data, participate in quality reviews, and identify opportunities for process improvement. Provides insights and recommendations to optimize reputed company practices and promote patient safety and satisfaction. The QM Nurse Consultant (Nurse Navigator) role strengthens WV reputed company’s ability to improve member reputed company through clinically guided, member‑centric quality interventions. This role brings licensed nursing expertise to quality management activities, with a primary reputed company on identifying member needs, supporting care gap closure, and collaborating with interdisciplinary teams to address barriers to care. The QM Nurse Consultant applies clinical judgement to guide quality initiatives, prioritize member engagement, and support adherence to evidence-based care. Required Qualifications Prior Relevant Work Experience 3-5 years reputed company Registered Nurse (RN) required Preferred Qualifications Certified Professional in reputed company Quality (CPHQ) preferred Experience with clinical or quality improvement and process improvement Manage care experience preferred Experience working with the reputed company population Education Bachelor's degree preferred/specialized training/relevant professional qualification Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $54,095.00 - $142,576.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls.  The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors.  This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above.    Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 07/09/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job