Quality Improvement Specialist - Los Angeles
2 days ago
Job description
Urgently hiring for an Active LVN for a Quality Specialist role in West Hills, CAMust Have
At least 2 years of grievances, case manager, or Utilization
An active LVN license
Description
The Quality Improvement Specilist reports to the VP and Director of QI and carries out the day‐to‐day activities related to ensuring compliance to QI Standards and State and Federal Regulations by auditing staff work case files using standardized tools implemented by the QI Department Director.
The role of the QI Team Specilaist is to promote and support the quality and cost effectiveness of medical care through the monitoring and distribution of production and daily auditing for quality.
The QI Specialist will also serve as an intra‐team contact for staff for questions on appeals and grievances and offers assistance as may be needed.
The QI Specialist is a key member of the QI Department Team and works closely with the Medical Director, Director of QI, various Executive‐level department heads and contacts, and Health Plan Representatives.
The QI Nurse adheres to NCQA, State and Federal and other Regulatory agency standards and turn‐around times while carrying out the QI duties and responsibilities.
Skillsmanaged care, utilization management, grievances, customer service, data entry accuracy
Top Skills Details
managed care,utilization management,grievances,customer service,data entry accuracy
Additional Skills & Qualifications
some cases are routine and some need to be expedited, handle data entry, send request to providers, and must be able to prioritize task.
Intermediate Level
Job Type & Location
This is a Contract to Hire position based out of Los Angeles, CA.
Pay And Benefits
The pay range for this position is $ $40.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms.
If eligible, the benefits available for this temporary role may include the following:
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Los Angeles,CA. Application Deadline This position is anticipated to close on Feb 26, 2026.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.
We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.
That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions.
We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed.
We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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