AltaMed Health Services
Registered Nurse
AltaMed Health Services, Montebello, California, United States, 90640
Grow Healthy
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.
Job Overview
The Quality Specialist is a California licensed nurse responsible for collecting, analyzing, and mining quality data metrics, as per the Quality Department's program description. Additionally, they will help devise provider report cards and/or program adjustments that support Star measures, HEDIS, pay-for-performance initiatives, and other quality oversight functions. Major responsibilities include processed data analytics and reports on performance improvement and quality of care interventions and efforts. Assists in the identification of quality of care issues pertaining to all managed care activities (e.g., UM, CM, Claims, Member Services, Appeals and Grievances, Credentialing, Provider Network); tracks and trends specified patients/populations conditions that support the clinical and care management of these patients; supports quality improvement projects and initiatives, measures effectiveness of programmatic interventions as needed; reviewing literature evidenced-based practices, performing workflow analyses and communicating with internal and external customers-Formulates recommendations on program efficiencies and effectiveness.
Minimum Requirements:1. Bachelor's degree is required.2. California license as a Registered Nurse or Licensed Vocational Nurse required.3. Minimum of 4 years of experience in process improvement and/or other quality management/improvement related experience required.4. Minimum of 2 years of experience with HEDIS, Star Measures, and Peer Review Process required.
Compensation
$70,270.72 - $87,838.40 annually
Compensation Disclaimer
Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.
Benefits & Career DevelopmentMedical, Dental and Vision insurance403(b) Retirement savings plans with employer matching contributionsFlexible Spending AccountsCommuter Flexible SpendingCareer Advancement & Development opportunitiesPaid Time Off & HolidaysPaid CME DaysMalpractice insurance and tail coverageTuition Reimbursement ProgramCorporate Employee DiscountsEmployee Referral Bonus ProgramPet Care Insurance
Job Advertisement & Application Compliance Statement
AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.
Job Overview
The Quality Specialist is a California licensed nurse responsible for collecting, analyzing, and mining quality data metrics, as per the Quality Department's program description. Additionally, they will help devise provider report cards and/or program adjustments that support Star measures, HEDIS, pay-for-performance initiatives, and other quality oversight functions. Major responsibilities include processed data analytics and reports on performance improvement and quality of care interventions and efforts. Assists in the identification of quality of care issues pertaining to all managed care activities (e.g., UM, CM, Claims, Member Services, Appeals and Grievances, Credentialing, Provider Network); tracks and trends specified patients/populations conditions that support the clinical and care management of these patients; supports quality improvement projects and initiatives, measures effectiveness of programmatic interventions as needed; reviewing literature evidenced-based practices, performing workflow analyses and communicating with internal and external customers-Formulates recommendations on program efficiencies and effectiveness.
Minimum Requirements:1. Bachelor's degree is required.2. California license as a Registered Nurse or Licensed Vocational Nurse required.3. Minimum of 4 years of experience in process improvement and/or other quality management/improvement related experience required.4. Minimum of 2 years of experience with HEDIS, Star Measures, and Peer Review Process required.
Compensation
$70,270.72 - $87,838.40 annually
Compensation Disclaimer
Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.
Benefits & Career DevelopmentMedical, Dental and Vision insurance403(b) Retirement savings plans with employer matching contributionsFlexible Spending AccountsCommuter Flexible SpendingCareer Advancement & Development opportunitiesPaid Time Off & HolidaysPaid CME DaysMalpractice insurance and tail coverageTuition Reimbursement ProgramCorporate Employee DiscountsEmployee Referral Bonus ProgramPet Care Insurance
Job Advertisement & Application Compliance Statement
AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.