Hiring: RN Clinical Quality Assurance Auditor ( Nashville) Company: BlueCross BlueShield of Tennessee Location: Nashville, TN Job Posted Time: 2026-09-12 12:37:42 Employment Type: Contract Target Skills & Keywords : Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Project Management, Quality Assurance About the job Experience: •4 years - Health Care experience required. •1 year - Managed care experience or experience with Quality Medical Record Review. •Demonstrated presentation and team facilitation skills •Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) •Excellent oral and written communication skills Required Skills: •Presenting and communicating audit results to appropriate parties; participates in the development of procedures and standards that support and enhance all lines of business' quality of care goals. •Schedule and perform routine facility, practitioner site, and medical record reviews, utilizing established clinical audit tools reflective of national accreditation standards and regulatory agency requirements. •Providing required documents and consulting support for quality and compliance audits. •Various immunizations and/or associated medical tests may be required for this position. Qualifications: •Bachelor's Degree in Health Care related field or equivalent work experience. •Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law. Compensation: •Flexible work environment (work from home / hybrid options) Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!