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Quality Improvement Coordinator II

Spectraforce Technologies

United States, North Carolina, Raleigh

500 West Peace Street (Show on map)

Dec 17, 2025

Position Title: Quality Improvement Coordinator II

Work Location: Remote - AZ

Assignment Duration: 3 months with possible extension or conversion

Work Arrangement: Remote

Position Summary

Receive 1-2 QOC investigations daily that are due 60 days from the assignment date.

Reviewing medical records, provider policies/manuals and statutes to ensure providers are rendering appropriate care to members per the guidelines.

Key Responsibilities

Receive 1-2 QOC investigations daily that are due 60 days from the assignment date.
Review medical records, provider policies/manuals and statutes.
Ensure providers are rendering appropriate care to members per guidelines.
Write investigative reports of findings and submit reports.
Complete 1 investigative report per day.
Identify quality concerns and develop quality improvement plans to address concerns with the provider.

Qualifications & Experience

Bachelor's degree in nursing or license preferred.
Counselor/Social Worker preferred.
LPN, LVN, RN, PA, LPC, LAC or LCSW license preferred.
CPHQ (Certified Professional in Healthcare Quality) preferred.
3+ years of clinical, quality improvement, or healthcare experience.
MUST have Behavioral Health or Physical Health setting experience.
2+ years of experience in a quality function in a healthcare setting.

Disqualifiers

No clinical Behavioral Health or Physical Health experience.

Candidate Requirements
Education/Certification	Required:	Preferred: Bachelor's degree in nursing or license (COMPACT IS OK) counselor/ SW preferred.
Licensure	Required:	Preferred: LPN, LVN, RN, PA, LPC, LAC or LCSW license. CPHQ (Certified Professional in Healthcare Quality) preferred.
Years of experience required: 3+ years of clinical, quality improvement or healthcare experience. MUST have BH or physical health setting experience. 2+ years of experience in quality function in a healthcare setting. Disqualifiers: No clinical BH or physical health experience Additional qualities to look for: Self driven, fast learner, critical thinker
Top 3 must-have hard skills stack-ranked by importance	1	Clinical knowledge
2	Critical thinker, independent work, tech savvy
3	Self driven