Quality Program Nurse, RN

4 weeks ago

California MD United States IEHP Full time

What you can expect

Find joy in serving others with IEHP 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 Manager, Quality Management Nurses, Quality Program Nurse (QPN), RN is responsible for the implementation of Quality Management policies, procedures, and activities. Quality Program Nurse, RN enforce DHCS regulatory requirements as pertaining to Facility Site Review (FSR) and Medical Record Review (MRR) criteria.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

* Competitive salary.
* Hybrid schedule.
* CalPERS retirement.
* State of the art fitness center on-site.
* Medical Insurance with Dental and Vision.
* Life, short-term, and long-term disability options
* Career advancement opportunities and professional development.
* Wellness programs that promote a healthy work-life balance.
* Flexible Spending Account - Health Care/Childcare
* CalPERS retirement
* 457(b) option with a contribution match
* Paid life insurance for employees
* Pet care insurance

Education & Experience

* High school diploma or GED
* Possession of an active, unrestricted, and unencumbered Certified Site Reviewer Certificate issued from DHCS or participating Medi-Cal Managed Health Plan Provider.
* If not a CSR, the candidate should be willing and able to get certified within one (1) year of hire.
* Three (3) or more years of any individual or combined experience in Quality Assurance, Utilization Management, Case Management, and/or provider liaison duties, preferably in an HMO or Managed Care setting.

Key Qualifications

* Computer applications: spreadsheet, database, and word processing.

Start your journey towards a thriving future with IEHP and apply TODAY

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