Temporary HEDIS Improvement Nurse, RN (Hybrid Work Schedule) Job at Inland Empire Health Plans, Rancho Cucamonga, CA

ZmgwbTZkQUJXMkdXd3RGbmhvYzRSb2M9
  • Inland Empire Health Plans
  • 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 IEHPs 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!

#J-18808-Ljbffr

Job Tags

Temporary work,

Similar Jobs

Jobot

Senior Electrical Engineer Job at Jobot

 ...per year A bit about us: We are a multidisciplinary engineering firm driven by innovation, technical excellence, and a...  ...Job Details Qualifications + Bachelor of Science in Electrical Engineering (or higher)+ 6 or more years of experience in the... 

Everclean Resoration

Water Restoration Technician Job at Everclean Resoration

Job Description Job Description We are seeking a Water Restoration Technician to become a part of our team! You will perform necessary work to keep machines, mechanical equipment, and structure of an establishment in repair.

DICK'S Sporting Goods

Dedicated Store Visual Merchandiser - House of Sport Job at DICK'S Sporting Goods

 ...a difference in your community, apply to join our team today! OVERVIEW: Job Duties & Responsibilities Promotes visual merchandising excellence in assigned store location through understanding of brand strategies, gameplan integrity and thoughtful merchandising... 

National Jewish Health

Tobacco Cessation Health Coach - Keep It Sacred Program Job at National Jewish Health

Overview Tobacco Cessation Health Coach - Keep It Sacred ProgramJoin to apply for the Tobacco Cessation Health Coach - Keep It Sacred Program...  ...role at National Jewish Health.WORK FROM HOME - FULL TIME. Remote positions are available for candidates located in CO, TX, WI,... 

Core Communications LLC

Low Voltage Technician Job at Core Communications LLC

 ...Job Description Job Description The Low Voltage Technician we need on our team carries a sense of duty. Driven to do the right thing, nothing stops you from delivering organizational excellence. Your ability to solve complex puzzles and bring pride to your work has...