Quality Improvement Nurse (RN) - Facility Site Review

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Location: Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California

We have an opportunity to join the Alliance as a Quality Improvement Nurse - FSR (RN) in the Quality Improvement and Population Health Department. 

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Clinical Safety Quality Manager, this position: 

• Develops, manages, and measures a comprehensive healthcare strategy in alignment with Department of Health Care Services (DHCS) standards of care and in collaboration with internal stakeholders and network providers to promote best evidence-based practices and improve member health outcomes
• Participates in local, regional, and state audits and initiatives to measure, analyze, and improve member health outcomes
• Evaluates patient safety and quality issues and communicates findings to internal stakeholders, network providers, and community partners

ABOUT THE TEAM

We are comprehensive and address both quality and safety of medical and behavioral health care provided to our members.

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here. 

• Knowledge of:
• Principles and practices of clinical nursing
• Medical practice operations and healthcare delivery systems
• Principles and practices of customer service
• Windows based PC systems and Microsoft Word, Excel, PowerPoint, and Outlook
• Methods and techniques of research, analysis, and reporting
• Ability to:
  • Evaluate medical records and other health care data
  • Participate in and support internal and external audits
  • Interpret, apply, and explain policies, regulations, terms, and procedures
  • Quickly learn and gain expertise in a broad variety of medical records systems
  • Identify issues, conduct research, gather and analyze information and data, reach logical and sound conclusions, and make recommendations for action
• Education and Experience:
  • Current, unrestricted license as a Registered Nurse issued by the State of California
  • Possession and continued maintenance of Certified Site Reviewer certification as defined by DHCS within one year of hire
  • Bachelor’s degree in Nursing and a minimum of three years of experience as a Registered Nurse in acute care or primary care with an emphasis in preventative care (a Master’s degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying

OTHER INFORMATION

• We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

The full compensation range for this position is listed by location below. 

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

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