Clinical Study Publications, Clinical Support, Community Health, Diversity, Documentation, Documentation Review, Establish Priorities, Health Plan, Healthcare, Healthcare Administration, Healthcare Effectiveness Data and Information Set (HEDIS), Healthcare Providers, Healthcare Quality, High School Diploma, Licensed Practical Nurse/Licensed Vocational Nurse, Managed Care, Medical Records, Microsoft Excel, Microsoft PowerPoint, Multilingual, Nursing Administration, Nursing Credentials, Operating Room Nursing, Operational Audit, Operations Planning, Organizational Skills, Public Health, Quality Management, Quality of Care, Regulations, Reporting Skills, Risk Management, Scholarship, Spanish Language, Spreadsheets, Tuition Reimbursement
Overview
Opportunities for you!
- Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
- Free Continuing Education and certification
- Tuition reimbursement, education programs and scholarships
- Vacation time starts building on Day 1, and builds with your seniority
- Free money toward retirement with a 403(b) and matching contributions
- Great food options with on-demand ordering
- Free parking and electric charging
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.
Responsibilities
The Clinical Coordinator, Quality Improvement supports quality management and improvement activities for Community Care Health (CCH), with primary accountability for Potential Quality Issue (PQI) oversight, medical record audits, and Population Health Management (PHM) clinical support as needed. Within LVN scope of practice, this role performs clinical and operational review, maintains quality documentation and tracking, supports provider and internal follow-up, prepares quality reports, and assists the QI Manager with regulatory, accreditation, committee, and audit-readiness activities.
The role focuses on investigating member complaints, conducting history reviews, and interacting heavily with providers and internal departments. This posiiton requires an individual to deliver internal training (annually), provider trainings (annually), and committee presentations (quarterly) to all levels of stakeholders.
Work Schedule 8:00 AM - 5:00 PM (Flexibility allowed, e.g., 7:00 AM - 3:30 PM or 7:30 AM - 4:00 PM, but must remain consistent once established).
Qualifications
Education
- High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required.
- Completion of an accredited Vocational Nursing School program OR become licensed by equivalency required
- Associate's Degree in Nursing, Health Administration, Public Health, Healthcare Quality, or related field preferred
Experience
- 3 years of commercial health plan managed care, quality improvement, medical record review, or clinical documentation review related healthcare experience required
- Experience with PQI review, medical record audits, HEDIS, population health, provider follow-up, regulatory/accreditation support, or health plan quality operations preferred
- Experience maintaining detailed trackers, audit-ready documentation, workplans, and quality reports preferred
- High proficiency in Microsoft Excel (creating/managing spreadsheets) and PowerPoint (developing presentations).
- High degree of organization, laser focus, ability to prioritize, and strong critical thinking.
- Bilingual in Spanish is a strong preferred
Licenses and Certifications
- LVN - Current and valid Licensed Vocational Nurse license to work within the state of California required
One of the following is preferred:
- Clinical certification in area specialty
- CPHRM - Certified Healthcare Risk Management
- CPHQ - Certified Professional Healthcare Quality.
Disclaimers
- Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.
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Community Medical Center