QI Clinical Supervisor Job in Monterey Park 91755, California Us

Care1st Health Plan is a managed care organization that strives to continuously improve the quality of services rendered to its members.  Through better coordination of care, broadened access and quality services, Care1st has been instrumental in bringing more choices to those Californians who have not enjoyed such benefits in the past.

The mission of Care1st is exemplified in its commitment to the provision of health care that is medically excellent, ethically driven and delivered in a patient centered environment that recognizes the positive relationship between health education, a culture of wellness, an emphasis on prevention and cost effective delivery of care.


We currently have the following job opportunity in our Monterey Park, CA (Los Angeles County) office:


QI Clinical Supervisor

Description: Duties to include but not limited to directly supervising the operations of the QI Potential Quality Issue (PQI) review process and is responsible for the day to day functions and activities. Plans, develops, organizes, monitors, communicates, and recommends modifications to the QI Clinical Review process.

Qualification: Candidate must have current RN license. 3 years QI 2 years supervisory experience preferably at the HMO level. Ability to effectively supervise and develop subordinates to ensure the smooth operation of the clinical review process.  Ability to communicate effectively to develop written reports and oral presentations for use within the organization, committees and regulatory bodies. Knowledge of CMS, Medi-Cal, NCQA and DHCS regulations. Computer literacy required.


Care1st Health Plan offers a competitive and attractive benefits package.  Qualified candidates can submit a resume, including salary history, to Jobs@Care1st.com or by fax to (323) 889-6300.  Please reference the job opportunity in your submission.  Care1st is an equal opportunity employer.