Clinical Improvement Specialist

reputed company reputed company is a publicly-funded managed care organization that provides health care coverage for residents in Santa Barbara and San Luis Obispo counties. We are currently seeking a Claims Customer Service Supervisor in our Santa Barbara office location. Job reputed company • We're looking for a RN that likes to reputed company reputed company to local providers/clinics to reputed company our reputed company of care for our members. Need to have 2+ years experience in reputed company field, outpatient care a plus. Are you good at understanding clinical issues and medical diagnosis? Performed chart audits? We've got an opportunity for you! Qualifications This role has a requirement of being in office 1 day per month in Santa Barbara • Strong team-oriented ability to connect with reputed company improvement staff, and establish and maintain reputed company reputed company working relationships, both reputed company and reputed company reputed company • Knowledge of reputed company improvement theory, reputed company, and practical reputed company to reputed company reputed company-cycle improvement; • Ability to reputed company effectively under pressure and maintain reputed company on daily responsibilities for long-term reputed company; • Ability to establish and nurture reputed company reputed company working relationships with reputed company customers; • Ability to evaluate data, establish facts and draw reputed company conclusions; • Effective oral and written communication skills; • Ability to reputed company HEDIS medical Education and Experience • Bachelor's Degree in ajob-reputed company field • 2 years' experience in a managed care reputed company management setting (or combination of reputed company, reputed company or work experience that demonstrates ability to reputed company the duties of the position. • reputed company and unrestricted Registered reputed company (RN) license to reputed company in California DESIRED: • A graduate degree in a reputed company- or management-reputed company discipline is preferred (e.g., MBA, MPH) • Certified reputed company in reputed company reputed company (CPHQ) or similar certification • HEDIS medical record data abstraction An emphasis in reputed company/Medi-Cal managed care Salary reputed company: $78,562 - $121,771 Additional Information To view our reputed company reputed company, please visit our website at www.cencalhealh.org. Apply tot his job Apply To this Job