Make visits to local providers/clinics to upgrade quality of care for members
Perform chart audits
Connect with quality improvement staff, establishing and maintaining professional working relationships
Evaluate data, establish facts, and draw valid conclusions

2+ years experience in healthcare field
Current and unrestricted Registered Nurse (RN) license to practice in California
Knowledge of quality improvement theory, strategy, and practical methods to achieve rapid-cycle improvement
Effective oral and written communication skills
Ability to perform HEDIS medical record data abstraction
Bachelor’s Degree in a job-related field
A graduate degree in a healthcare
or management-related discipline is preferred (e.g., MBA, MPH)

Clinical Improvement Specialist

Key skills