California Licensed Quality Improvement Nurse

A company is looking for a Quality Improvement Nurse PQI (RN).

Key Responsibilities

Develops and manages healthcare strategies in alignment with DHCS standards to improve member health outcomes

Evaluates patient safety and quality issues, communicating findings to stakeholders and partners

Collaborates with internal stakeholders and network providers to promote evidence-based practices

Required Qualifications, Training, and Education

Experience in process improvement, practice coaching, or healthcare quality improvement

Experience performing PQI activities

Working knowledge of managed care, the Medi-Cal program, and related policy

Familiarity with conducting and interpreting quantitative and qualitative analysis

Some knowledge of NCQA HEDIS abstracting guidelines and CPT / ICD coding principles