Job Description
ResponsibilitiesCome 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, a - p
EDUCATION and/or EXPERIENCE: Associates degree from an accredited college or University. Two (2) to Three (3) years of experience.
CERTIFICATION, LICENSES, AND REGISTRATIONS: Current California LVN License required and CPHQ is a plus.
*Benefit Highlights:
*Full time employees. Part time employees could be eligible
LEAD QUALITY RISK MANAGEMENT (LVN - Grievance/Appeals)- Full Time • RIVERSIDE, California
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