HEDIS IMPROVEMENT NURSE, RN
4 weeks ago
Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP 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.
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
* Associates degree required.
* 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.
Start your journey towards a thriving future with IEHP and apply TODAY
-
HEDIS Improvement Nurse, RN
4 weeks ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeWhat you can expect!Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP 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...
-
Quality Improvement Nurse, RN
4 weeks ago
Rancho Cucamonga, United States IEHP Full timeStart your journey towards a thriving future with IEHP and apply TODAY!Pay RangeUSD $43.87 - USD $58.13 /Hr.What you can expect! Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as...
-
Quality Improvement Nurse, RN
4 weeks ago
Rancho Cucamonga, United States IEHP Full timeStart your journey towards a thriving future with IEHP and apply TODAY!Pay RangeUSD $43.87 - USD $58.13 /Hr.What you can expect! Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as...
-
Quality Improvement Nurse, RN
4 weeks ago
Rancho Cucamonga, United States IEHP Full timeStart your journey towards a thriving future with IEHP and apply TODAY!Pay RangeUSD $43.87 - USD $58.13 /Hr.What you can expect! Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as...
-
Quality Improvement Nurse, RN
3 days ago
Rancho Cucamonga, United States IEHP Full timeStart your journey towards a thriving future with IEHP and apply TODAY!Pay RangeUSD $43.87 - USD $58.13 /Hr.What you can expect! Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as...
-
Quality Improvement Program Manager, RN
1 week ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeWhat 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 department leadership, the Quality Improvement Program Manager will drive quality improvement initiatives across the continuum of care...
-
Quality Improvement Program Manager, RN
21 hours ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeWhat 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 department leadership, the Quality Improvement Program Manager will drive quality improvement initiatives across the continuum of care...
-
Quality Improvement Nurse, RN
2 weeks ago
Rancho Cucamonga, CA, United States IEHP Full timeStart your journey towards a thriving future with IEHP and apply TODAY!Pay RangeUSD $43.87 - USD $58.13 /Hr.What you can expect! Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as...
-
Quality Improvement Program Manager
3 weeks ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeWhat 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 department leadership, the Quality Improvement Program Manager will drive quality improvement initiatives across the continuum of care...
-
Quality Improvement Program Manager
3 weeks ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeOverview: 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 department leadership, the Quality Improvement Program Manager will drive quality improvement initiatives across the continuum of care...
-
Quality Improvement Program Manager
1 week ago
Rancho Cucamonga, United States Inland Empire Health Plans Full timeWhat 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 department leadership, the Quality Improvement Program Manager will drive quality improvement initiatives across the continuum of care...
-
Quality Improvement Facilitator II
3 weeks ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeWhat 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 management, and with minimal supervision, the Quality Improvement (QI) Facilitator II works closely with front line leaders, external...
-
Clinical Practice Coach
4 weeks ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeWhat 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!The Clinical Practice Coach & Oversight, Enhance Care Management (ECM), RN will be under the work direction of the Practice Coach Manager for ECM. ECM is a...
-
Clinical Practice Coach
1 month ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeOverview: **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!** The Clinical Practice Coach & Oversight, Enhance Care Management (ECM), RN will be under the work direction of the Practice Coach Manager...
-
Clinical Practice Coach
1 month ago
Rancho Cucamonga, United States Inland Empire Health Plan 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!** The Clinical Practice Coach & Oversight, Enhance Care Management (ECM), RN will be under the work direction of the Practice Coach Manager for ECM....
-
Care Manager, Rn
1 week ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeOverview: **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 general supervision of the Manager and direct supervision of the Care Management Supervisor, this position is responsible for...
-
Care Manager, Rn
1 week ago
Rancho Cucamonga, United States Inland Empire Health Plan 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 general supervision of the Manager and direct supervision of the Care Management Supervisor, this position is responsible for working...
-
Care Manager, RN
3 days ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeOverview: 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 general supervision of the Manager and direct supervision of the Care Management Supervisor, this position is responsible for working effectively...
-
Care Manager, RN
3 weeks ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeOverview: 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 general supervision of the Enhanced Care Management Department Leadership this position is responsible for working effectively with the Enhanced...
-
Provider Relations Manager
1 week ago
Rancho Cucamonga, United States Inland Empire Health Plan 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!** Join us as a Provider Services Representatives at IEHP, where you’ll be the linchpin in cultivating and maintain robust relationships with our...