External Quality Nurse

Description

Job Summary: The professional will monitor technical care quality, overseeing processes, adverse events, and action plans to drive continuous improvement across the provider network. Key Highlights: 1. Technical monitoring of care quality at external providers 2. Monitoring of adverse events and action plans 3. Focus on patient safety and continuous improvement **We are Unimed Cuiabá!** With 50 years in the Supplementary Health market, Unimed Cuiabá is part of the world’s largest medical cooperative. We were founded with a vocation for care—and that remains our driving force. We are over one thousand employees united by the same ideal: caring for health. Our own network comprises a hospital, adult and pediatric emergency care units, a pharmaceutical distributor, pharmacies, a vaccination center, a wound care center, a biological infusion center, a preventive medicine center – “Viver Bem”, physiotherapy services, specialized therapy clinics, outpatient clinics, “Ambulatório Fácil”, telemedicine, a continuous care network, and an administrative headquarters. We value diversity, inclusion, and respect, believing these principles foster innovation, enhance the work environment, and generate exceptional results. Everyone is welcome here! **Want to join this team? Check whether any of our current openings align with your profile—and join us on this journey.** **Responsibilities and Duties** **A brief overview of your day-to-day activities:** * Conducts technical monitoring of care quality at external providers, evaluating processes, workflows, records, and clinical evidence to ensure adherence to best practices in healthcare and patient safety; * Monitors adverse events, non-conformities, and clinical vulnerabilities, analyzing root causes, severity, recurrence, and impact on care delivery—supporting corrective and preventive actions with providers; * Oversees action plans agreed upon with the provider network, verifying deadlines, evidence of implementation, and effectiveness of measures taken—promoting continuous improvement in care quality; * Assesses compliance of clinical records, clinical protocols, institutional routines, and quality indicators—identifying improvement opportunities and risks associated with delivered care; * Interfaces with provider clinical and administrative teams, conducting technical alignments, guidance, and structured feedback to strengthen care processes; * Consolidates quality information and indicators, preparing technical reports, comparative analyses, and expert opinions to support provider network management and operator decision-making; * Participates in technical meetings with providers, patient safety centers, and internal departments—discussing adverse events, indicators, clinical vulnerabilities, and improvement strategies; * Supports implementation and strengthening of clinical governance, quality, and patient safety routines—contributing to standardization, traceability, and effectiveness of processes; * Conducts on-site technical visits and evaluations at external providers when necessary—observing infrastructure, clinical processes, protocol compliance, and patient safety conditions; * Documents analyses and interventions in standardized formats within designated systems, spreadsheets, or tools—ensuring information traceability and supporting follow-up actions; * Identifies clinical risks, process failures, and network qualification opportunities—proposing technical referrals and improvement actions to responsible departments; * Maintains ethical, professional, and institutional communication with external providers and internal departments—ensuring clarity in guidance, alignment of practices, and adherence to established workflows. **Requirements and Qualifications** **What you need to have:** * Bachelor’s degree in Nursing; * Postgraduate degree in Health Services Auditing and/or Health Quality; * Knowledge of health auditing, medical record analysis, prescriptions, clinical progress notes, DRG methodology, as well as clinical protocols, care guidelines, and best practices in healthcare; * Basic proficiency in Microsoft Office Suite; * Active professional council registration (COREN); * Availability to work Monday through Friday, from 8:00 AM to 5:00 PM. **Additional Information** **We highly value our employees—the driving force behind our institution. We focus on well-being, offering benefits and promoting optimal working conditions.** **Check out some of the available benefits:** * **Unimed Fácil** health plan covering spouses and children (with co-payment); * Dental plan covering spouses and children; * Meal allowance; * On-site meals; * Daycare assistance, subject to eligibility; * Life insurance; * Transportation allowance; * Birthday gift; * Asfunimed — Employees’ Association offering volleyball and functional training classes, plus partnerships with educational institutions and beauty salons; **If you meet the position’s prerequisites, do not hesitate to apply—and please observe the following instructions:** Throughout the selection process, all communication will occur via email or phone. Please ensure your contact details remain up to date and regularly check your inbox—including your spam folder. In case of negative feedback, stay motivated and watch for other emerging opportunities. **Join the Unimed Cuiabá team and be part of the challenge to transform supplementary health in MT!** We seek committed professionals ready to face the greatest challenge for any health operator: delivering the best possible care to our beneficiaries in a dynamic and demanding environment. In a world where demand for healthcare services continues to grow, it is essential that we stand out in excellence of care, operational efficiency, and continuous innovation. Unimed Cuiabá provides comprehensive care to its customers so they can fully enjoy life. Our services and care are grounded in safety, humanization, and promotion of quality of life. As part of our team, you will experience the Unimed way of caring—collaborating to find creative and effective solutions and contributing to the well-being and quality of life of our community. If you are passionate about healthcare and aspire to make a difference in people’s lives, join our team! Explore our available positions and join us! For 50 years in the Supplementary Health market, Unimed Cuiabá has been part of the world’s largest medical cooperative. We were born with a **vocation for care**, and that drives us. Our commitment is to **provide high-quality health services to our beneficiaries**, aligned with technological innovations and ensuring maximum patient safety. To achieve this, we **prioritize an engaged team**, a **healthy work environment**, and **ongoing training initiatives**. We value diversity, inclusion, and respect, believing these values foster innovation, improve the work environment, and yield exceptional outcomes. Everyone is welcome here! **\#SouUnimed \#UnimedCuiaba \#SangueVerde \#Unimedianos**