Anthem, Inc RN Consultant, Clinical Quality (Southern California) - "REMOTE" PS15383VMJ in Riverside, California

RN Consultant, Clinical Quality (Southern California) - "REMOTE" PS15383VMJ

Location: California, United States

Field: Medical

Requisition #: PS15383

Post Date: Dec 06, 2018

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

RN Practice Consultant, Clinical Quality (Southern California) – PS15383VMJ

Location: Remote – Southern California, travel 3-4 days per week with overnight stay within the Southern State of CA

The RN Practice Consultant if responsible for creating a partnership relationship with providers and other initiatives to achieve this fully integrated and accountable system of care.

Primary duties may include, but are not limited to :

  • Assesses current practice patterns, assets and challenges utilizing available EPHC and non EPHC quality data.

  • In partnership with the PCP and the local provider solutions team, evaluates results of the initial assessment.

  • Establishes a project plan with the practice that establishes goals and objectives for HEDIS and CAHPS improvement.

  • Provides ongoing practice support and sustains the partnership.

  • Establishes regular meetings to track progress.

  • Support provider outreach to review health plan quality measures and to implement quality outreaches for provider groups.

  • 5 years of managed care experience;

  • 2 years of clinical experience;

  • 2 years of professional presentations to small and large audiences; or any combination of education and experience, which would provide an equivalent background.

  • Medical office operations experience

  • LEAN/Process Improvement experience, preferred

  • This position requires local travel 3-4 days a week. Experience with HEDIS and CAHPS focused quality improvement, and provider experience strongly preferred

  • Current, unrestricted RN license

  • BSN or MSN preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.