Quality Management Nurse - Value Based Programs*

Quality Management Nurse - Value Based Programs*

Salary

$107,952.00 - $141,627.20 Annually

Location

Colton, CA

Job Type

Full-time

Job Number

26-21011VBP-02

Department

Arrowhead Regional Medical Center

Division

91000-ARMC-Arrowhead Reg Med Ctr

Opening Date

10/10/2026

Closing Date

10/23/2026 5:00 PM Pacific

FLSA

Exempt

• Description
• Benefits
• Questions

The Job

Arrowhead Regional Medical Center (ARMC) is hiring for Quality Management Nurse - Value Based Programs who perform ongoing review of patient level detail (PLD) files for Quality Incentive Pool (QIP) metrics, audit charting, and documentation associated with outpatient services and inpatient stays; identify charting and coding gaps or errors which require remediation. This role offers a unique opportunity to combine clinical expertise, data analysis, and quality improvement within a dynamic public healthcare environment.

• Official Job Title: Quality Management Nurse. For more detailed information, refer to the job description.

Duties may include, but are not limited to, the following:

• Perform ongoing review of patient-level detail (PLD) files related to Quality Incentive Pool (QIP) metrics.
• Conduct chart audits and review clinical documentation associated with outpatient services and inpatient stays.
• Identify charting and coding gaps or errors requiring remediation.
• Analyze quality metric performance and provide meaningful clinical insight based on assigned programs.
• Collaborate with clinical and administrative teams to support accurate documentation and quality improvement efforts.
• Coordinate education and training for providers and clinical staff related to quality metrics.
• Participate in clinical process improvement efforts related to Value-Based Programs (VBP) metrics.
• Contribute to a holistic understanding of ARMC's quality performance and compliance with regulatory requirements.
• Analyze performance for all active value-based programs, including, but not limited to, the Quality Incentive Pool (QIP) and IEHP Pay for Performance (P4P) programs, including HEDIS measures.

VALUE BASED PROGRAMS

Value Based Programs (VBPs) reward public healthcare systems when high quality care is provided to patients. This is measured by several comprehensive quality metrics, audited by the Department of Health Care Services (DHCS) and contracted Health Plans. At ARMC, VBPs are designed to drive continuous improvement in quality of care through comprehensive data analytics and clinical review. Incumbents assigned to VBPs are responsible for identifying, quantifying, and providing holistic analysis on ARMCs quality metrics, dependent upon assignment.

ARROWHEAD REGIONAL MEDICAL CENTER

Located on a beautiful 70-acre campus in Colton, California (50 miles east of Los Angeles), Arrowhead Regional Medical Center (ARMC) is a state-of-the-art, public/nonprofit, 456-bed, university affiliated teaching hospital licensed by the State of California Department of Public Health and accredited by The Joint Commission. The hospital houses a regional burn center serving four counties (San Bernardino, Riverside, Mono and Inyo), a comprehensive stroke center, level I trauma center and a freestanding in-patient behavioral health center. Additionally, ARMC operates five community-based, primary care clinics and over 40 specialty care outpatient services. ARMC is the primary teaching hospital for the adjacently located California University of Science and Medicine (CUSM), the Inland Empires newest medical school. To find out more about Arrowhead Regional Medical Center,please visit: www.arrowheadregional.org

EXCELLENT BENEFIT

To review job- specific benefits, refer to: Summary of Benefits Nurses Unit and the Memoranda of Understanding (MOU).

The County also offers an alternative Modified Benefits Option (MBO) that provides a wage differential.

CONDITIONS OF EMPLOYMENT

Pre-Employment Process: Incumbents must pass a background investigation, which includes fingerprinting, work history and education verification, as well as a job-related physical exam and drug screening.

Training: Training will be provided online and administered at an ARMC and/or a County training facility.

Travel: Travel throughout the County may be required. Employees will be required to make provisions for transportation. Mileage reimbursement may be available.

Sponsorship: Please note San Bernardino County is not able to consider candidates who will require visa sponsorship at the time of application or in the future.

Minimum Requirements

Candidates must possess ALL of the following:

LICENSE: Must possess and maintain licensure as a Registered Nurse with the State of California Board of Registered Nursing.

CERTIFICATION: Healthcare Provider level Basic Life Support certification issued by the American Heart Association.

EXPERIENCE:

OPTION 1: One (1) year of full-time equivalent experience in direct patient care as a Registered Nurse in an acute care hospital, primary care clinic, or Medicaid plan.

• OR-

OPTION 2: Two (2) years of full-time equivalent experience as a Registered Nurse in an acute care hospital, primary care clinic, or Medicaid plan with experience in performance improvement, quality management and/or patient safety, case management, utilization review/utilization management, or care coordination.

Desired Qualifications

The ideal candidate will possess experience reviewing quality metrics for a Designated Public Hospital (DPH), primary care clinic, or Medicaid plan, or experience in case management, utilization review, or clinical documentation review involving chart audits, coding validation, or medical record abstraction.

Selection Process

Examination Procedure:

Please complete and submit the online employment application and supplemental questionnaire by 5:00 pm, Friday, October 23, 2026. Resumes will not be accepted in lieu of the application and/or supplemental questionnaires. Do not refer to a resume as it will not be reviewed.

Application Procedure: There will be a competitive evaluation of qualifications based on the information provided in the Application and the Supplemental Questionnaire. You are encouraged to include detailed descriptions of your qualifying experience, as only the most highly qualified applicants will be referred to the Department. Please ensure all relevant experience is indicated in the Application and responses to the Supplemental Questionnaire, as resumes and other attachments will not be reviewed for the competitive evaluation.

Completing your application with statements such as "see/refer to resume" or "see attached" rather than completing your work history may affect your eligibility or competitive evaluation score. Be sure to clearly describe your experience in meeting the minimum requirements.

Technical Assistance: If you require technical assistance, follow this link to review the Government Jobs online application guide or contact their Toll-Free Applicant Support line at (855) 524-5627. Please note that Human Resources is not responsible for any issues or delays caused by your internet connection, computer, or browser when submitting an application.

Equal Employment Opportunity (EEO) / Americans with Disabilities Act (ADA): San Bernardino County is an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, dedicated to ensuring equal employment opportunities for all employees and applicants.

ADA Accommodation: If you have a disability and need accommodations during the testing process, please submit the Special Testing Accommodations Request Form within one week of the recruitment filing deadline.

Veterans' Preference: Eligible veterans and their spouses or widows/widowers who are not current County employees may receive additional Veterans Preference points. For details and instructions on how to request these points, please refer to the Veterans Preference Policy.

For more important details, review the Applicant Information and County Employment Process.

Nurses Unit

San Bernardino County offers a range of benefit programs for employees and their eligible dependents. These include health, dental, vision, and life insurance, as well as a variety of other voluntary benefits. Programs and benefit amounts vary and are based on bargaining unit, family size, hire date, plan selection, and number of hours worked.

Please review the appropriate Summary of Benefits* for more information

Refer to the appropriate MOU, contact the County's Employee Benefits and Services Division at (909) 387-5787 or visit the Employee Benefits website for more detailed information.

• Retirement benefits subject to change.

01

Instructions: The information from your complete County Application and the Supplemental Questions below will be used to determine whether applicants meet the minimum requirements for this position, and will provide the basis for a competitive evaluation with other candidates in the selection process. It is to your advantage to provide complete, organized and detailed responses to each question. Do not refer to a resume.

All work experience listed on the Supplemental Questionnaire must also be listed in the "Work Experience" section of your County Application in order to be evaluated.

• I have read and understand the above instructions.

02

License: Do you possess a current California Registered Nurse license?

• Yes
• No

03

License: Indicate your current California Registered Nurse license number and expiration date in the following format: California RN 123456, expires 1/31/2025. If you do not possess a California registered nurse license, indicate "N/A." Incomplete information will result in disqualification.

04

Certification: Do you possess a current Healthcare Provider level Basic Life Support (BLS) certification?

• Yes
• No

05

Experience: Do you possess one (1) year of full-time experience in direct patient care as a Registered Nurse in an acute care hospital, primary care clinic, or Medicaid plan? You must thoroughly explain this experience in the work history section of your application.

• Yes
• No

06

Experience: Do you possess two (2) years of full-time equivalent experience as a Registered Nurse in an acute care hospital, primary care clinic, or Medicaid plan in any of the following areas? You must thoroughly explain this experience in the work history section of your application.

• Performance Improvement
• Quality Management
• Patient Safety
• Case Management
• Care Coordination
• Utilization Review/Utilization Management
• I do not have experience in the above mentioned areas

07

Experience: Describe your experience in performance improvement, quality management, patient safety, case management, utilization review/utilization management, and/or care coordination as a Registered Nurse in an acute care hospital, primary care clinic, or Medicaid plan. Note: Experience listed on this questionnaire must also be listed and fully detailed in the Work Experience section of your application to ensure qualifications are properly considered. List the employer and date ranges when this experience was obtained. If you do not possess this experience, indicate "N/A."

08

Experience: Check the box(es) in which you have experience:

• Case Management
• Utilization Review/Management
• Quality/Performance Improvement
• Clinical Documentation Integrity
• Ambulatory or Primary Care
• Managed Care/Medicaid Plan
• I do not have experience in the above mentioned areas

09

Applicant Acknowledgement - Notification via Email: As part of our efforts to increase efficiency and promote conservation of resources, Human resources uses email to communicate with applicants. Therefore, all future communications regarding this recruitment, including applicant status and testing notifications, will be made via email. We strongly encourage you, as an applicant, to ensure that the email address you have provided with your application is current, secure and readily accessible to you. Adjust Spam and/or other filters so that our emails are accepted. Please carefully read any notices that we send you and follow any instructions provided in a timely manner. We will not be responsible in any way if you do not receive our emails (i.e., for the non-delivery of our emails or if you fail to check your e-mail on a timely basis).

• I acknowledge that I have read, understood, and agree to the above.

10

ATTENTION GMAIL USERS

We have become aware of an increase in Gmails spam filter sensitivity. Due to this change, it is possible that emails coming from San Bernardino County Human Resources may be marked as spam and will not make it into your Gmail inbox.

For your convenience, a step-by-step guide to create and apply filters within Gmail is available in the attached PDF. Download the PDF Guide. Once downloaded, follow the instructions so that you will receive future emails from San Bernardino County Human Resources.

Note: If you apply the filters and still do not receive emails from San Bernardino County Human Resources you can check your www.governmentjobs.com (Neogov) account inbox. All notifications will appear there.

• I understand

11

Applicants Acknowledgement - Application Complete: Thank you for taking the time to complete this application and supplemental questionnaire. Please be sure to review all information provided prior to submitting it as you cannot update or revise it once submitted. Your submitted application will be reviewed and evaluated as is. Please do not refer to a resume or other documentation in lieu of completing the employment history section or responding to the supplemental questions; they will not be reviewed or considered. Once your application has been successfully submitted, you will receive an onscreen confirmation and an email confirmation will be sent to the email address listed on your application. We recommend that you save and/or print these for your records. Please note, if you do not receive an onscreen confirmation and an email acknowledging our receipt of your application we have not received your application.

• I acknowledge that I have reviewed my application and understand that I will not be able to update or revise any part of it once submitted.

Required Question

Employer San Bernardino County

Address 175 West Fifth Street, 1st Floor

San Bernardino, California, 92415-0440

Phone (909) 387-8304

TTY Users: 711

Website http://www.sbcounty.gov/jobs