You’ll need
Licensure
✓Completion of an accredited Vocational Nursing School program OR become licensed by equivalency required
✓LVN - Current and valid Licensed Vocational Nurse license to work within the state of California required
Certifications
✓Free Continuing Education and certification
✓Clinical certification in area specialty
✓CPHRM - Certified Healthcare Risk Management
✓CPHQ - Certified Professional Healthcare Quality.
Education
✓High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required.
Associate’s Degree in Nursing, Health Administration, Public Health, Healthcare Quality, or related field preferred
Qualifications
✓3 years of commercial health plan managed care, quality improvement, medical record review, or clinical documentation review related healthcare experience required
✓High proficiency in Microsoft Excel (creating/managing spreadsheets) and PowerPoint (developing presentations).
✓High degree of organization, laser focus, ability to prioritize, and strong critical thinking.
Experience with PQI review, medical record audits, HEDIS, population health, provider follow-up, regulatory/accreditation support, or health plan quality operations preferred
Experience maintaining detailed trackers, audit-ready documentation, workplans, and quality reports preferred
Bilingual in Spanish is a strong preferred
Benefits
403(b)Tuition assistanceContinuing education
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About the role
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.