HEDIS Improvement Nurse-RN Job at Alura Workforce Solutions, Rancho Cucamonga, CA

RnRrUnFpa084MFJjRFFxcWZZRHorMWhl
  • Alura Workforce Solutions
  • Rancho Cucamonga, CA

Job Description

POSITION

Title HEDIS Imrovement Nurse-RN Position Type: Temporary Schedule : M-F, HYBRID Assignment Lenghth: 6 Months

DESCRIPTION

Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and other departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related studies for medical management. This position maintains a working knowledge of the current medical management system (MedHOK), business processes and workflows. Maintains summarized information for Quality Systems related to modified and new regulatory requirements for medical management from DHCS, DMHC and CMS. Qualifications: Education & Experience Register Nurse, valid non-restricted California licensure. Three (3) or more years of any individual or combined experience in quality assurance, utilization management, case management, and/or health care informatics is required Experience preferably in an HMO or managed care setting Key Qualifications Working knowledge of NCQA HEDIS technical specifications, medical terminology, and health plan processes preferred INDH Alura Workforce Solutions

Job Tags

Temporary work,

Similar Jobs

Valley Services

Scale House Operator Job at Valley Services

As a Scale House Operator, you will be a key member in maintaining the day-to-day operations and administrative duties associated with operations of the scale(s) and office assistant functions. You will be responsible for operating the weight scale(s), scale computer and... 

Currency Exchange International

Retail Branch Manager Job at Currency Exchange International

 ...Currency Exchange International (CXI) is a Money Service Business based in Orlando, Florida. Currency Exchange International...  ..., expenses, and inventory levels for accounting purposes...  ...communicative, and sales skills Entry Level Management position Ability... 

Maverick Solutions Inc

Entry Level Junior Marketing Associate Job at Maverick Solutions Inc

 ...Were a forward-thinking marketing firm specializing in customized promotional strategies for top-tier clients. Our mission is to captivate audiences, strengthen brand loyalty, and deliver measurable results. Were looking for an enthusiastic Junior Marketing Associate... 

Domino's

MILEAGE PAID NIGHTLY $20 / hour as a Pizza Delivery Driver (03176) Full-time Job at Domino's

 ...Company Description Welcome to Paradise Pizza Inc, d.ba. Domino's ! Locally owned and...  ...efficient which allows you to take more deliveries per hour than other delivery places,...  ...members began their careers as delivery drivers and today are successful Domino's franchise... 

Mercy

Health Screening Specialist - Corporate Health Job at Mercy

 ...Part Time, 24 hours per week Mercy Corporate Health Services Springfield, MO ~ Tuition Reimbursement up to $2,000 for continuing...  ...Testing, EKGs, and Respirator Fit Testing. Promote additional wellness services while on-site with a detailed knowledge of services...