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Licensed Practical Nurse

Licensed Practical Nurse

The Judge GroupSan Antonio, TX, United States
17 hours ago
Job type
  • Full-time
Job description

Job Title : Clinical Quality LPN

Location : San Antonio - TX

Contract : 3-months assignment with possible extension.

Shift Timing : 08 : 00 AM – 05 : 00 PM CST (Monday to Friday)

Hours Per Week : 40 hours per week

What is the top 5-10 responsibilities for this position :

  • Identifies patients with the missing measures and works to close the measures through education / counseling, appointment setting, and other means as appropriate.
  • Conduct a high volume of outbound calls to members to discuss reasons for non-compliant to medication(s), schedule pharmacy telephonic appointments, and / or obtain important follow up information from providers.
  • Outbound calls are made primarily using an auto dialer requiring precision to detail and adaptability to type of response needed.
  • May answer inbound calls from members and assist them with their inquiries.
  • Routes calls to appropriate department if necessary.
  • Follows system scripting and validates member demographic information.
  • Documents the provider or member's record with accurate information obtained on the call.
  • Works closely with local leadership to execute quality strategies.
  • Supports and assists PCPs / clinics with quality data collection.
  • Provides reports and monitors performance at local level.
  • Engages PCP and clinic staff in developing strategies to close quality gaps.
  • Maintains education / knowledge base of HEDIS / STARs standards and guidelines.
  • Performs all other related duties as assigned.

Please describe the team the candidate will be working with (number of team members break-down of the team’s skill sets team culture etc.) : Team of 30- (24 LVN / LPN) (3 CTAs) (2 Sups) (1 BA) (1 director)

What does the ideal candidate background look like : Someone detail-oriented familiar with multiple computer programs at once who can document while on call with member or provider

Minimum Required Education, Experience & Skills :

  • Licensed Vocational / Professional Nurse.
  • Prior HEDIS / STAR experience or participation with similar regulatory reporting.
  • Three or more years of healthcare experience to include experience in a managed care setting.
  • Three or more years of experience with data analysis / quality chart reviews.
  • Must be able to review data and provide recommendations for improvement.
  • Experienced using Microsoft office applications, including databases, word-processing, and excel spreadsheets.
  • Preferred Education, Experience & Skills :

  • Two or more years of college, in pursuance of a bachelor’s or associate degree.
  • Two or more years of experience working with HEDIS / STAR measures.
  • Does this position require a professional license or certification If so, please list : Current Unrestricted LVN license in state of Texas.

    What is the dress code (ex : business casual scrubs etc.) : business casual

    How would you prefer to interview (Video phone or in person and how many rounds) : video or in person- 1 round

    In case, you are interested in the opportunity, kindly forward your updated resume along with contact information at Pjoshi@judge.com or you can Call or Text me at (610)-423-1961.

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    Licensed Practical Nurse • San Antonio, TX, United States

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