Facility Site Review Nurse (Remote in Los Angeles Area)

Molina Healthcare; Los Angeles (CA); Remote; USD 84,000 - 164,000; Full time

Job summary

A leading healthcare company is seeking a Facility Site Review Nurse to oversee quality improvement initiatives and compliance activities. The role involves conducting facility reviews, collaborating with healthcare practitioners, and ensuring adherence to quality standards. This remote position requires strong clinical experience and an active RN license.

Benefits

Competitive benefits

Qualifications

• Minimum 3 years clinical experience.
• Active, unrestricted RN license in good standing.

Responsibilities

• Conduct timely facility reviews for compliance.
• Collaborate with practitioners and present issues to management.

Skills

Collaboration

Confidentiality

Education

RN program

Bachelor's in Nursing

Bachelor of Science in Nursing

Job description

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Facility Site Review Nurse (Remote in Los Angeles Area) New

Job Summary
Molina's Quality Improvement function oversees, plans, and implements healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with quality standards; conducts data collection, reporting, and monitoring for key performance activities; and manages NCQA accreditation surveys and federal/state QI compliance activities.

Job Description
This role involves timely performance of facility reviews, ensuring compliance with DHS requirements, NCQA Standards, and Molina policies. Responsibilities include collaborating with practitioners, maintaining confidentiality, updating databases, participating in internal reviews, and presenting issues and solutions to management.

Job Qualifications

• Required Education: Completion of an accredited RN program or Bachelor's in Nursing.
• Required Experience: Minimum 3 years clinical experience.
• Required License: Active, unrestricted RN license in good standing.

Preferred Education: Bachelor of Science in Nursing.

Preferred Experience: 1+ year in Managed Care.

Current Molina employees interested in this position should apply through the intranet. Molina offers competitive benefits. We are an Equal Opportunity Employer (EOE M/F/D/V).

Pay Range: $84,067 - $163,931 annually. Actual compensation may vary based on location, experience, education, and skills.