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Quality Improvement Specialist (Clinical)

Sacramento, California Apply Now Job ID 1171729 Additional Locations El Centro,California,US;Woodland Hills,California,US Category Quality Assurance Organization Health Net of California Schedule Full-time
Description:
Position Purpose: Support the development and maintenance of quality improvement related projects and reporting.

  • Monitor performance on established contractual quality indicators. Analyze, track and trend results. Prepare formal written reports for the Quality Management Committee and Executive Management.
  • Recommend, develop, and implement quality performance improvement plans (PIPs) with management utilizing the PDSA model. Monitor and report PIPs progress through closure.
  • Train providers and staff in methodologies and tools of continuous quality improvement.
  • Prepare for and participate in meetings with various committees, State agencies, providers, and stakeholders.
  • Provide clinical support to the medical record audit processes.
  • Qualifications:

    Education/Experience: Bachelor’s degree in related field. 3+ years of quality improvement experience in a behavioral health setting. 1+ years of quality improvement experience in a physical health setting or completion of Cenpatico Physical Health Workforce Development modules within 6 months of hire will the requirement for physical health experience. Master's degree preferred.

    License/Certificates: Licensed Clinical Social Worker (LCSW), Licensed Marriage & Family Therapist (LMFT), Licensed Professional Counselor (LPC), Licensed Independent Substance Abuse Counselor (LISAC) or a Registered Nurse (RN) required. Certified Professional in Health Care Quality preferred. 


    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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