RN Quality Management Coordinator, Insurance Services
Company: Community Health System - CA
Location: Fresno
Posted on: April 18, 2024
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Job Description:
Overview:
*All positions are located in Fresno/Clovis CA*
Opportunities for you!
Commitment to diversity and inclusion is a cornerstone of our
culture at Community. All are welcome as valued members of our
community.
We know that our ability to provide the highest level of care
begins with taking care of our incredible teams. Want to learn
more? Click here.
Responsibilities:
The RN Quality Management Coordinator is responsible for overseeing
clinical activities as they relate to quality management and
improvement, with significant emphasis on regulatory requirements
of our governing entities. Provides support and guidance to assist
the Quality Improvement Director to manage multiple functions that
enhance cost effectiveness, ensure compliance with applicable state
and federal regulatory requirements and improves health outcomes of
CCH membership. Supports quality programs by remaining current in
internal and external quality standards and programs, such as
HEDIS, AMP, NCQA and other relevant programs.
Qualifications:
Education
--- High School Diploma, High School Equivalency (HSE) or
Completion of a CHS Approved Individualized Education Plan (IEP)
Certificate required
--- Bachelor's Degree in Nursing (BSN) preferred
Experience
--- 5 years of acute care, managed care, quality or related
experience required
--- Understanding and/or experience with Quality Improvement
preferred
Licenses and Certifications
--- RN - Current and valid Registered Nurse license to work within
the state of California required
--- One of the following is preferred
o Clinical certification in area specialty
o CPHRM - Certified Healthcare Risk Management
o CJCP - Certified Joint Commission Professional
o CPHQ - Certified Professional Healthcare Quality
Disclaimers:
--- Pay ranges listed are an estimate and subject to change.
--- If any bonuses are noted, they are only applicable to external
hires meeting criteria.
Keywords: Community Health System - CA, Fresno , RN Quality Management Coordinator, Insurance Services, Healthcare , Fresno, California
Click
here to apply!
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