Location: Rancho Cucamonga, California - hybrid schedule
Schedule: 8a t 5p Monday through Friday
Pay: $30/hour
Requirements: LVN license for State of California, 3 years UM/ CM/ QA or QI experience
Job Type: 6 month contract

Overview:

Do you find joy in serving others? We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS Clinical Review, LVN provides support to the CQI Supervisor, HEDIS Nurse RN, and other departments on HEDIS and quality improvement-related activities. This position maintains a working knowledge of the organization’s current medical management systems, business processes, and workflows to support HEDIS and Quality-related activities.  The HEDIS Clinical Review Nurse, LVN supports the CQI Supervisor and HEDIS Nurse RN with compliance with DHCS, CMS, and NCQA regulatory requirements related to Quality Improvement Systems.

Commitment to Quality: The Team is committed to incorporate the Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Education & Experience

Three (3) or more years in healthcare administration in the areas of Utilization Management, Care Management, Quality Improvement or Quality Assurance, where medical record review, preferably in an HMO or managed care setting, is required
Minimum one (1) year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting required
Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians required

Key Qualifications

Computer applications, including word processing, database, and spreadsheets. Proficient in Microsoft Office Suite
Excellent interpersonal/communication skills