Lvn - Quality Assurance- Full Time

3 weeks ago

Riverside, United States Riverside Medical Clinic Full time

**Responsibilities**:
**Come and join the RMC Family**

We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare.

Riverside Medical Clinic is the best place to work, practice medicine, and receive care.

**SUMMARY**:Prepare Health Plan required reports, Action plans from audits (CAPs), medical record audits, coordinate annual HEDIS Data Collection, conduct relevant QI studies, and coordinate CPPI. Review/respond to grievances and appeals, monthly medication inventory audit, and monitor any other quality indicators.

**QUALIFICATIONS**:To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

**HOURS**: Monday - Friday, 8:30 am - 5:30 pm

Qualifications:
**EDUCATION and/or EXPERIENCE**: High school diploma or general education degree (GED) required. Current California licensure as a Licensed Vocational Nurse. Graduate of accredited school of Licensed Vocational Nursing. One (1) year previous experience in an ambulatory care setting.

**CERTIFICATES, LICENSES, AND REGISTRATIONS**: Current California Licensed Vocational Nurse (LVN) license, current AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association and IV certification required. Current ACLS Certification (Advanced Cardiac Life Support) - American Heart Association certification preferred. CPHQ is a plus

**Benefit Highlights**:

- Challenging and rewarding work environment.
- Competitive compensation and paid time off.
- Excellent Medical, Dental, Vision and Life Insurance Plans.
- 401(K) with company match and discounted stock plan.

**ESSENTIAL FUNCTIONS**:
Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Note: (other duties may be assigned, deleted or changed at any time, at the discretion of management, formally, or informally, either verbally or in writing).

1. Prepare Health Plan required reports and coordinate annual audits.

2. Prepare Corrective Action Plans from audits and access issues.

3. Conduct mandatory annual medical record audits on all RMC practitioners.

4. Coordinate annual HEDIS Data Collection Project.

5. Conduct relevant Q.I. studies for both the clinic and surgery center areas and/or any other AAAHC

Regulatory preparation/requirements.

6. Perform periodic random mini
- surveys at all locations to maintain AAAHC “readiness”.

7. Assist Manager, Quality, and/or Regional Director, Quality and/or Medical Director with special projects.

8. Coordinate CPPI (California Physician Performance Initiative).

9. Review/respond to health plan or individual grievances and appeals in a timely manner.

10. Assist with QRMC and MPC preparation

11. Any other responsibilities requested by Manager, Regional Director, and Medical Director.

**EEO Statement**:
We believe that diversity and inclusion among our teammates is critical to our success.

**Notice**:
**Salary**: Starting from $26.11 to $37.86 an hour

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