Licensed Vocational Nurse, Quality Specialist

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.

Job Overview

The Quality Specialist is a California licensed nurse responsible for collecting, analyzing, and mining quality data metrics, as per the Quality Department's program description. Additionally, they will help devise provider report cards and/or program adjustments that support Star measures, HEDIS, pay-for-performance initiatives, and other quality oversight functions. Major responsibilities include processed data analytics and reports on performance improvement and quality of care interventions and efforts. Assists in the identification of quality of care issues pertaining to all managed care activities (e.g., UM, CM, Claims, Member Services, Appeals and Grievances, Credentialing, Provider Network) tracks and trends specified patients/populations conditions that support the clinical and care management of these patients; supports quality improvement projects and initiatives, measures effectiveness of programmatic interventions as needed; reviewing literature evidenced-based practices, performing workflow analyses and communicating with internal and external customers Formulates recommendations on program efficiencies and effectiveness.

Minimum Requirements

• Bachelor's degree is required.
• California license as a Registered Nurse or Licensed Vocational Nurse required.
• Minimum 4 years of experience in process improvement and/or other quality management/improvement related experience is preferred.
• Minimum 2 years of experience with HEDIS, Star Measures, and Peer Review Process required.
• A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines.

Compensation

$72,378.84 - $90,473.55 annually

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.