Prepare for, coordinate, and participate in various QA Committees. Prepare quarterly CMS HPMS narratives for ER and Hospital Readmissions. Prepare clinical narratives for all CMS HPMS Level 2 incidents. Organize and facilitate service utilization reviews. Assist in revision and updates of Infection Control Plans. Licensure and Audit Coordination. Perform Quality Assurance and Improvement Studies including the collection, analysis and reporting on quality assurance and improvement data and implementation of corrective action plans.
Bachelor’s degree from an accredited college or university. Advance degree in nursing or healthcare management desirable. Possess a current and valid California Registered Nurse license. Three to five years previous experience in Managed Care.
Competitive Compensation and Full Benefits package!
- 20 months ago - save job