Quality Management Specialist I

Job ID: CH-1018980 Description:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can email us here to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "my account" and click on "View your job submissions".

BASIC FUNCTION:

This position is responsible for facilitating all aspects of assigned BCBSIL clinical quality improvement projects and evaluation of PCP/MG/IPA compliance with BCBSIL clinical practice guidelines; consults with MG/IPAs, physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implement, coordinate, monitor and evaluate options and services required to meet clinical quality improvement project objectives; uses available resources to promote high quality and cost effective outcomes.

JOB REQUIREMENTS:

  • Registered Nurse (RN), Licensed Practical Nurse (LPN), Respiratory Therapist, or other medical specialty i.e., Physicians Assistant, Corpsman with unrestricted license in state.
  • 3 years clinical practice experience.
  • Current Illinois driver's license.
  • Ability to travel including overnight stays.
  • Verbal and written communication skills.
  • PC proficiency to include Word and Excel.

PREFERRED JOB REQUIREMENTS:

  • Quality improvement and/or project management experience.

Position is located in Chicago, IL

No relocation assistance provided

No available for sponship

LI-POST

  • CA
  • CB*

Requirements: Expertise Other Job Type Full-Time Regular Location IL - Chicago


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