Clinical Improvement Specialist

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          "text": "<ul><li>We're looking for a RN that likes to make visits to local providers/clinics to upgrade our quality of care for our members. &#xa0;Need to have 2+ years experience in healthcare field, outpatient care a plus. &#xa0;Are you good at understanding clinical issues and medical diagnosis? &#xa0;Performed chart audits? &#xa0;We've got an opportunity for you!</li></ul><p>&#xa0;</p>",
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          "text": "<p>This role has a requirement of being in office 1 day per month in Santa Barbara</p><ul><li><p>Strong team-oriented ability to<br>\nconnect with quality improvement staff, and establish and maintain positive<br>\nprofessional working relationships, both within and outside CenCal Health</p></li><li><p>Knowledge of quality improvement<br>\ntheory, strategy, and practical methods to achieve rapid-cycle improvement;</p></li><li><p>Ability to perform effectively under<br>\npressure and maintain focus on daily responsibilities for long-term projects;&#xa0;</p></li><li><p>Ability to establish and nurture<br>\npositive professional working relationships with CenCal Health customers;</p></li><li><p>Ability to evaluate data,<br>\nestablish facts and draw valid conclusions;</p></li><li><p>Effective oral and written<br>\ncommunication skills;</p></li><li><p>Ability to perform HEDIS medical</p></li></ul><p>&#xa0;</p><p>&#xa0;</p><p>Education and Experience</p><ul><li><p>Bachelor’s Degree in ajob-related field</p></li><li><p>2 years’ experience in a managed care quality management setting (or combination of academic, professional or work experience that demonstrates ability to perform the duties of the position.</p></li><li><p>Current and unrestricted Registered Nurse (RN) license to practice in California</p></li></ul><p>DESIRED:</p><ul><li><p>A graduate degree in a<br>\nhealthcare- or management-related discipline is preferred (e.g., MBA, MPH)</p></li><li><p>Certified Professional in<br>\nHealthcare Quality (CPHQ) or similar certification</p></li><li><p>HEDIS medical record data abstraction</p></li></ul><p><br>\n<strong>An emphasis in Medicaid/Medi-Cal managed care</strong></p><p><strong>Salary Range: $78,562 - $121,771</strong><br>\n<br>\n&#xa0;</p>",
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          "text": "<p>CenCal Health 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.&#xa0;&#xa0;</p><p>&#xa0;</p>",
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