Temporary HEDIS Improvement Nurse, RN (Hybrid Work Schedule) Job at IEHP, Rancho Cucamonga, CA

a0ZNeEx5L2ExVk1raDRKOFp2RWRkUTZLR1E9PQ==
  • IEHP
  • Rancho Cucamonga, CA

Job Description

This position is a temporary role facilitated through one of our contracted agencies and is not a direct employment opportunity with IEHP. The contracted agency offers an assignment length of up to six months, during which the candidate will provide support for IEHP.

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 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.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

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!

Pay Range

  • $43.87 USD Hourly - $43.87 USD Hourly

Job Tags

Hourly pay,

Similar Jobs

Working Families

Chief Brand Officer — Build a People‑Powered Movement Job at Working Families

 ...A progressive political organization is seeking a Chief Brand Officer to lead brand strategy and engagement. This remote role will focus on measurable brand growth, utilizing modern technology and working closely with leadership. Candidates should have extensive experience... 

TNV GROUP LLC

Fleet Owner Operator Truck Driver Job at TNV GROUP LLC

 ...Job Summary An Owner Operator is a self-employed driver who owns and operates their own vehicle such as a Sprinter Van, Cargo Van, or Box Truck to deliver freight for logistics companies or...  ...Pick up and transport cargo on local, regional, or nationwide routes.... 

Prairie View A&M University

Associate Vice President for University Marketing and Communications Job at Prairie View A&M University

 ...Prairie View A&M University Associate Vice President for University Marketing and Communications Job Title Associate Vice President...  ...for brand identity, advertising, enrollment marketing, creative services, and digital engagement to strengthen the university'... 

Boston Services

CNA Night Shift thur fri and Sat Job at Boston Services

 ...Skills High school graduate or equivalent with current CALIFORNIA CNA certificate required. BLS certification is required. Provides...  ..., and the general public. Basic computer skills required. Shift: Night Shift Thur Fri sat Specialty Type: Nursing Sub Specialties... 

Sysco

CDL A Backhaul Delivery Truck Driver Part-Time Job at Sysco

 ...approximately 330 distribution facilities worldwide and serves more than 600,000 customer locations. We are looking for talented, hard-working individuals to join our team and experience the Heart of Food and Service. Sysco has immediate job openings for dependable CDLA...