RN Quality Management Coordinator, Insurance Services
Community Medical Centers
Overview:
You love what you do, now love where you do it.
The RN Quality Management Coordinator is responsible for overseeing clinical activities as they relate to quality management and improvement, with significant emphasis on regulatory requirements of our governing entities. Provides support and guidance to assist the Quality Improvement Director to manage multiple functions that enhance cost effectiveness, ensure compliance with applicable state and federal regulatory requirements and improves health outcomes of CCH membership. Supports quality programs by remaining current in internal and external quality standards and programs, such as HEDIS, AMP, NCQA and other relevant programs.
Qualifications:
Education• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required• Bachelor's Degree in Nursing (BSN) preferred Experience• 5 years of acute care, managed care, quality or related experience required• Understanding and/or experience with Quality Improvement preferred Licenses and Certifications• RN - Current and valid Registered Nurse license to work within the state of California required• One of the following is preferredo Clinical certification in area specialtyo CPHRM - Certified Healthcare Risk Managemento CJCP - Certified Joint Commission Professionalo CPHQ - Certified Professional Healthcare Quality
*All positions are located in Fresno/Clovis CA*
Opportunities for you!
Join a Forbes Top 10 CA Employer!Tuition reimbursement, education programs, and scholarshipsVacation time starts building on Day 1, and builds with your seniority403(b) retirement plan with up to 8% matching contributions Free parking and electric chargingGreat food options with on-demand ordering
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care begins with taking care of our incredible teams. Want to learn more? Click here.
You love what you do, now love where you do it.
The RN Quality Management Coordinator is responsible for overseeing clinical activities as they relate to quality management and improvement, with significant emphasis on regulatory requirements of our governing entities. Provides support and guidance to assist the Quality Improvement Director to manage multiple functions that enhance cost effectiveness, ensure compliance with applicable state and federal regulatory requirements and improves health outcomes of CCH membership. Supports quality programs by remaining current in internal and external quality standards and programs, such as HEDIS, AMP, NCQA and other relevant programs.
Qualifications:
Education• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required• Bachelor's Degree in Nursing (BSN) preferred Experience• 5 years of acute care, managed care, quality or related experience required• Understanding and/or experience with Quality Improvement preferred Licenses and Certifications• RN - Current and valid Registered Nurse license to work within the state of California required• One of the following is preferredo Clinical certification in area specialtyo CPHRM - Certified Healthcare Risk Managemento CJCP - Certified Joint Commission Professionalo CPHQ - Certified Professional Healthcare Quality
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