Search jobs > Santa Clara, CA > Quality management

Quality Management Nurse California Licensed

VirtualVocations
Santa Clara, California, United States
Full-time

A company is looking for a Quality Management Nurse with an LVN / RN California License.Key Responsibilities : Perform internal clinical program auditing and provide analysis and feedbackInvestigate potential quality of care issues affecting member healthAssist with annual quality-related projects and evaluate compliance with clinical quality requirementsRequired Qualifications, Training, and Education : Minimum of 2 years' experience in quality management or process improvementActive, unrestricted California License for RN preferred;

LVN in good standing may be consideredAssociate or bachelor's degree in nursing, public health administration, or a related field preferredKnowledge of CMS guidelines, regulations, NCQA, and HEDISExperience with continuous quality improvement processes

13 days ago
Related jobs
Promoted
VirtualVocations
Santa Clara, California

A company is looking for a Quality Management Nurse with an LVN/RN California License. ...

California Correctional Health Care Services
Madera County, US

Under the supervision of the Supervising Registered Nurse (SRN) II/III, Correctional Facility (CF) and the clinical guidance of the Registered Nurse (RN), CF, the Licensed Vocational Nurse (LVN), California Department of Corrections and Rehabilitation (CDCR), provides a basic and technical level of ...

Promoted
VirtualVocations
Santa Clara, California

A company is looking for a Part-Time Nurse Practitioner - Occupational Health. ...

Blue Shield of California
CA, United States

Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. Provides Referral...

Promoted
VirtualVocations
Santa Clara, California

A company is looking for a Licensed Vocational Nurse (LVN) in Utilization Management - Remote. ...

Blue Shield of California
CA, United States

The Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi-Cal Team. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating ...

California Skin Institute Management LLC
Mountain View, California

California Skin Institute (CSI) is the largest and fastest growing private dermatology practice in California offering an unwavering commitment to excellence in medical, surgical, and cosmetic dermatology and plastic surgery. Follows all policies & procedures established by the practice in order...

Blue Shield of California
CA, United States

The Case Management Nurse, Senior will report to the CHP Manager. Responsible in assisting and working daily inventory, providing high-quality clinical reviews, performing efficient care management and care coordination, and ensuring compliance performance metrics are met. The Children’s Health Prog...

AMN Healthcare
California

Licensed Practical Nurse, Case ManagerExperience: 1 years 0 monthsLicenses: LPN-CACertifications: BLSShould not be more than 180 days of gap in last 3 years. We place nurses and allied healthcare professionals in high-demand healthcare strike jobs and provide competitive compensation. ...

Blue Shield of California
CA, United States

Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. Provides Referral...