Corporate Quality Nurse
This unique position will allow the qualified person to serve in a clinical and provider services role, will be the liaison between Corporate Quality and provider offices. Will maximize CHG’s quality scores by performing chart review in provider offices to assure proper performance, coding, and encounter submission of quality measures. Based on audit results, will work with providers to develop plan for continuously improvement. Will also be responsible for identifying underperforming provider offices. The position requires previous experience in managed care. Experience in Quality Management, Utilization Management preferred. Also requires valid CA RN and driver’s license with proof of auto insurance. Strong organizational skills, excellent written and oral communication skills, ability to interface effectively with internal and external customers. Bilingual (English/Spanish) preferred.