LVN - Quality Assurance- Full Time

Job Description

Responsibilities

Come and join the RMC Family!

We have been in the community since 5. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare.
Riverside Medical Clinic is the best place to work, practice medicine, and receive care.

SUMMARY: Prepare Health Plan required reports, Action plans from audits (CAPs), medical record audits, coordinate annual HEDIS Data Collection, conduct relevant QI studies, and coordinate CPPI. Review/respond to grievances and appeals, monthly medication inventory audit, and monitor any other quality indicators.

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

HOURS: Monday - Friday, 8: am - 5: pm

Qualifications

EDUCATION and/or EXPERIENCE: High school diploma or general education degree (GED) required. Current California licensure as a Licensed Vocational Nurse. Graduate of accredited school of Licensed Vocational Nursing. One (1) year previous experience in an ambulatory care setting.

CERTIFICATES, LICENSES, AND REGISTRATIONS: Current California Licensed Vocational Nurse (LVN) license, current AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association and IV certification required. Current ACLS Certification (Advanced Cardiac Life Support) - American Heart Association certification preferred. CPHQ is a plus

Benefit Highlights:
• Challenging and rewarding work environment.
• Competitive compensation and paid time off.
• Excellent Medical, Dental, Vision and Life Insurance Plans.
• (K) with company match and discounted stock plan.

ESSENTIAL FUNCTIONS:

Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Note: (other duties may be assigned, deleted or changed at any time, at the discretion of management, formally, or informally, either verbally or in writing).

1. Prepare Health Plan required reports and coordinate annual audits.

2. Prepare Corrective Action Plans from audits and access issues.

3. Conduct mandatory annual medical record audits on all RMC practitioners.

4. Coordinate annual HEDIS Data Collection Project.

5. Conduct relevant Q.I. studies for both the clinic and surgery center areas and/or any other AAAHC

Regulatory preparation/requirements.

6. Perform periodic random mini- surveys at all locations to maintain AAAHC “readiness”.

7. Assist Manager, Quality, and/or Regional Director, Quality and/or Medical Director with special projects.

8. Coordinate CPPI (California Physician Performance Initiative).

9. Review/respond to health plan or individual grievances and appeals in a timely manner.

. Assist with QRMC and MPC preparation

. Any other responsibilities requested by Manager, Regional Director, and Medical Director .

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.