Clinical Quality LVN
Location: San Antonio, TX (Onsite)
Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST
Pay Rate: $28.00 – $30.00/hr (Depending on Experience)
Position Summary
We are seeking a detail-oriented Licensed Vocational Nurse (LVN) to join our Quality team in San Antonio. In this role, you will focus on closing HEDIS/STAR care gaps by conducting high-volume outbound calls to health plan members. You will educate patients on missing preventive services, assist with appointment scheduling, address medication non-compliance, and accurately document interactions to drive better healthcare outcomes.
Key Responsibilities
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Make high-volume telephonic outreach (15–20 minutes per call) using a dialer system or manual lists.
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Identify members with missing quality measures and work to close gaps through education, counseling, and scheduling assistance.
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Assist members with inbound inquiries or route them to appropriate departments as needed.
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Document member and provider records accurately in the system while adhering to established system scripting.
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Support local leadership and clinics with quality data collection, performance reporting, and gap closure strategies.
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Maintain an up-to-date knowledge base of HEDIS and STAR standards.
Qualifications
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Licensure: Active Texas LVN license required.
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Experience: Minimum 3+ years of healthcare experience, including managed care settings.
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Technical Skills: 3+ years of experience with data analysis or quality chart reviews, along with proficiency in Microsoft Office (Word, Excel, databases).
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Communication: Exceptional phone presence and soft skills; prior experience in a call center, phone-based triage, or outpatient setting preferred.
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Adaptability: Ability to navigate multiple software applications simultaneously while documenting live calls.
Preferred: Experience with HEDIS/STAR measures and 2+ years of college coursework toward an Associate's or Bachelor's degree. (Note: Candidates with backgrounds strictly in LTAC or Skilled Nursing Facilities may not be the optimal fit for this high-volume outbound call environment.)
Work Environment & Benefits
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Work Site: Onsite in a modern, state-of-the-art facility near The RIM shopping center with free parking.
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Dress Code: Business Casual.
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Growth: High potential for conversion to a permanent, full-time role based on performance and attendance.
Job Title: Outbound LVN – Quality & HEDIS Gap Closure
Location: San Antonio, TX (Onsite – near The RIM)
Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST
Pay Rate: $28.00 – $31.00/hr (Depending on Experience)
Position Type: Contract-to-Hire
Position Summary
We are seeking a detail-oriented Licensed Vocational Nurse (LVN) to join our Quality team in San Antonio. In this role, you will focus on closing HEDIS/STAR care gaps by conducting high-volume outbound calls to health plan members. You will educate patients on missing preventive services, assist with appointment scheduling, address medication non-compliance, and accurately document interactions to drive better healthcare outcomes.
Key Responsibilities
-
Make high-volume telephonic outreach (15–20 minutes per call) using a dialer system or manual lists.
-
Identify members with missing quality measures and work to close gaps through education, counseling, and scheduling assistance.
-
Assist members with inbound inquiries or route them to appropriate departments as needed.
-
Document member and provider records accurately in the system while adhering to established system scripting.
-
Support local leadership and clinics with quality data collection, performance reporting, and gap closure strategies.
-
Qualifications
-
Licensure: Active Texas LVN license required.
-
Experience: Minimum 3+ years of healthcare experience, including managed care settings.
-
Technical Skills: 3+ years of experience with data analysis or quality chart reviews, along with proficiency in Microsoft Office (Word, Excel, databases).
-
Communication: Exceptional phone presence and soft skills; prior experience in a call center, phone-based triage, or outpatient setting preferred.
-
Adaptability: Ability to navigate multiple software applications simultaneously while documenting live calls.
-
Preferred: Experience with HEDIS/STAR measures and 2+ years of college coursework toward an Associate's or Bachelor's degree. (Note: Candidates with backgrounds strictly in LTAC or Skilled Nursing Facilities may not be the optimal fit for this high-volume outbound call environment.)
Work Environment & Benefits
-
Work Site: Onsite in a modern, state-of-the-art facility near The RIM shopping center with free parking.
-
Dress Code: Business Casual.
-
Growth: High potential for conversion to a permanent, full-time role based on performance and attendance.
-
Maintain an up-to-date knowledge base of HEDIS and STAR standards.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
