Licensed Vocational Nurse Job at Yoh, A Day & Zimmermann Company
QI Supervisor (RN or LVN) needed for a remote permanent opportunity with Yoh’s client located in French Camp, CA!
Top Skills Should You Possess:
What are you waiting for? Apply Now!
Recruiter: Annie Gill
Yoh makes finding and applying for jobs simple. Partner with Yoh to find the right opportunities across multiple industries in the US and UK.
Note: Any pay ranges displayed are estimations. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Visit https://www.yoh.com/applicants-with-disabilities [1]to contact us if you are an individual with a disability and require accommodation in the application process.
Links:
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[1] https://www.yoh.com/applicants-with-disabilities
#IND-SPG
Please Note :
www.epokagency.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.epokagency.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
Top Skills Should You Possess:
- Unrestricted California LVN or RN Licensure required
- Experience working with MediCal, Medicare or other state or federally sponsored programs in areas of Grievance and Appeals
- Ability to work remotely full-time (M-F) and travel to French Camp, CA for quarterly meetings as needed
- Responsible for providing oversight of and coordinating daily operations for quality improvement, grievances and appeals consistent with internal and external requirements.
- Supervise Grievance Coordinators, Senior Appeals Nurse, Grievance and Appeals Nurses, and QI Nurses.
- Plans and assigns work; monitors workload; makes timely and effective adjustments.
- Participates in HEDIS activities as required including but not limited to acting as clinical lead, performing overreads, and training on the HEDIS medical record review process.
- Oversees activities related to the Facility Site Review Process and may serve as the plan’s master trainer.
- Participates in state-wide collaboratives; assists with the planning, implementation, monitoring and reporting of the collaborative initiatives, PIPs, QIPs and PDSAs as outlined by DHCS or DMHC.
- Promotes and maintains an environment that supports client’s strategy, vision, mission and values.
- Perform additional duties as required.
- Active and unrestricted California RN or LVN license
- Graduation from an accredited nursing school
- Three (3) years of clinical nursing experience
- Two (2) years of experience working with MediCal, Medicare or other state or federally sponsored programs in areas of Grievance and Appeals
- Experience participating in facility site reviews and other HEDIS-related activities
- Valid California driver license and reliable transportation or, the ability to obtain transportation on demand in the counties served by client if prohibited from getting a driver license due to a medically documented disability
- Strong Supervisory or Leadership experience and skills
- Experience in an HMO or managed care setting highly preferred
- Intermediate skills in Windows, Outlook, Word, Excel and PowerPoint.
What are you waiting for? Apply Now!
Recruiter: Annie Gill
Yoh makes finding and applying for jobs simple. Partner with Yoh to find the right opportunities across multiple industries in the US and UK.
Note: Any pay ranges displayed are estimations. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Visit https://www.yoh.com/applicants-with-disabilities [1]to contact us if you are an individual with a disability and require accommodation in the application process.
Links:
------
[1] https://www.yoh.com/applicants-with-disabilities
#IND-SPG
Please Note :
www.epokagency.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.epokagency.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.