This listing was posted on Tip Top Job.
Nurse Educator, RN (Remote)
Location:
Rancho Cucamonga, CA
Description:
Job Requisition ID: 10298 Position Summary/Position Under the direction of the Quality Management Nurse Manager, the Nurse Educator is responsible for the implementation of a variety of activities supporting Quality Management (QM) policies, procedures, and projects, as required by regulatory guidelines and by quality improvement initiatives. Provides clinical and quality improvement trainings to network Providers in the provider office setting. Is responsible for staying up to date on all quality measure requirements in support of IEHPs quality initiatives, including expertise in HEDIS (Healthcare Effectiveness Data and Information Set) and CAHPS (Consumer Assessment of Healthcare Providers and Systems) measures. Major Functions (Duties and Responsibilities) 1. Provide on:site clinical and regulatory trainings to the Provider network. Coordinate trainings with other departments such as Provider Services, Contracting, Medical Management, etc. to ensure comprehensive and effective delivery.2. Perform Facility Site Audit and Medical Record Audit trainings for Primary Care Providers in preparation for regulatory audits.3. Develop and facilitate trainings for targeted quality initiatives including HEDIS measures, Access standards, Referral management, Medical Record documentation, etc.4. Responsible for participating in the development, research, and implementation of HEDIS improvement activities, as directed.5. Responsible for understanding current HEDIS technical specifications with the ability to interpret changes for clarifications accurately, as assigned.6. Responsible for maintaining working knowledge of regulatory requirements as they relate to QM operations and protocols.7. Participate in medical record abstraction activities, including accuracy validations (over:reads) for HEDIS reporting that support audit requirements, as assigned.8. Perform Quality studies in coordination with the Quality Systems Department, as needed.9. Perform focused trainings/audits in targeted clinical areas, when indicated.10. Attend Site Review and Medical Record Survey training, as mandated by DHCS, to become a Certified Site Reviewer, as needed.11. Responsible for validating, reviewing, and making recommendations for CMS ancillary audits.12. Responsible for completing DHCS and other regulatory audits as assigned.13. Attendance and participation in Quality Management Committee or Subcommittee meetings, as directed.14. Demonstrate a commitment to incorporate LEAN principles into daily work. Experience Qualifications Three (3) or more years of any individual or combined experience in quality assurance, utilization management, case management, and/or provider liaison duties. Two (2) or more years experience working in a clinical setting. Preferred Experience Experience in quality assurance, utilization management, case management, and/or provider liaison duties, preferably in an HMO or Managed Care setting. Education QualificationsAssociates in Nursing or Bachelor of Science in Nursing from an accredited institution required. Preferred Education Bachelor of Science in Nursing from an accredited institution preferred. Professional Certification Possession of an active, unrestricted, and unencumbered Certified Site Reviewer Certificate issued from DHCS or participating Medi:Cal Managed Health Plan Provider is recommended. If not a CSR, the candidate should be willing and able to get certified within six (6) months of hire. Professional Licenses Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN. Drivers License Required Yes, must have a valid California Drivers License. Skills Requirement Excellent written and verbal communication skills that adapt to targeted audience. Abilities Requirement Ability to demonstrate critical thinking, strong p
Industry:
Manufacturing
Posted:
May 1 on Tip Top Job
Visit Our Partner Website
This listing was posted on another website. Click here to open: Go to Tip Top Job
Important Safety Tips
- Always meet the employer in person.
- Avoid sharing sensitive personal and financial information.
- Avoid employment offers that require a deposit or investment.
To learn more, visit the Safety Center or click here to report this listing.
More About this Listing: Nurse Educator, RN (Remote)
Nurse Educator, RN (Remote) is a Nurse & Healthcare Registered Nurse Job located in Rancho Cucamonga CA. Find other listings like Nurse Educator, RN (Remote) by searching Oodle for Nurse & Healthcare Registered Nurse Jobs.
Nurse Educator, RN (Remote) is a Nurse & Healthcare Registered Nurse Job located in Rancho Cucamonga CA. Find other listings like Nurse Educator, RN (Remote) by searching Oodle for Nurse & Healthcare Registered Nurse Jobs.