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    CE

    CenCal Health

    Health Plan

    Clinical Improvement Specialist

    Santa Barbara, United StatesRemoteFull-time2+ yrs experience$78.6k – $121.8k / yearPosted 1mo ago
    All CenCal Health jobs

    Job description

    • We're looking for a RN that likes to make visits to local providers/clinics to upgrade our quality of care for our members.  Need to have 2+ years experience in healthcare field, outpatient care a plus.  Are you good at understanding clinical issues and medical diagnosis?  Performed chart audits?  We've got an opportunity for you!

    This role has a requirement of being in office 1 day per month in Santa Barbara

    • Strong team-oriented ability to connect with quality improvement staff, and establish and maintain positive professional working relationships, both within and outside CenCal Health

    • Knowledge of quality improvement theory, strategy, and practical methods to achieve rapid-cycle improvement;

    • Ability to perform effectively under pressure and maintain focus on daily responsibilities for long-term projects;

    • Ability to establish and nurture positive professional working relationships with CenCal Health customers;

    • Ability to evaluate data, establish facts and draw valid conclusions;

    • Effective oral and written communication skills;

    • Ability to perform HEDIS medical

    Education and Experience

    • Bachelor’s Degree in ajob-related field

    • 2 years’ experience in a managed care quality management setting (or combination of academic, professional or work experience that demonstrates ability to perform the duties of the position.

    • Current and unrestricted Registered Nurse (RN) license to practice in California

    DESIRED:

    • A graduate degree in a healthcare- or management-related discipline is preferred (e.g., MBA, MPH)

    • Certified Professional in
      Healthcare Quality (CPHQ) or similar certification

    • HEDIS medical record data abstraction

    An emphasis in Medicaid/Medi-Cal managed care

    Salary Range: $78,562 - $121,771

    To view our current job openings, please visit our website at www.cencalhealh.org.

    Job details are sourced from the employer's original posting.

    Open job posting
    CE

    About the company

    CenCal Health

    Looking for a career that makes a difference in people’s lives?  CenCal Health is a locally-run, not-for-profit health plan that serves nearly 180,000 people, with offices in both Santa Barbara and San Luis Obispo Counties.  For 35 years we’ve been improving the health and well-being of our neighbors through partnership and collaboration, and we’re looking for exceptional, mission-driven professionals to help us grow. We are an employer of choice in Santa Barbara, offering competitive salaries, generous vacation & holidays, comprehensive health/dental/vision benefits including a CalPERS pension plan and 457 deferred income plan, a wellness program, a gym in our headquarters and even parking lot BBQs. Come join our group of nice people doing good work at a great company.  For more information on who we are and what we do, please visit our website at www.cencalhealth.org

    View all CenCal Health jobs
    Industry
    Health Plan
    Open roles
    2

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