Quality Nurse Consultant (Stroke Coordinator)
By Kaiser Permanente At , Oakland $148,200 - $191,730 a year
Quality/ Risk/Patient Safety/Just Culture/Project Management/Lean/IP certification.
Assists with quality management studies through data collection, data input and report development.
Analyzes risk management/patient safety principles and provides recommendations for the incorporation of risk management principles in each medical center.
Provides support services to appropriate medical center staff in implementing risk management principles into credentialing processes.
Must be able to work in a Labor/Management Partnership environment.
Minimum of three (3) years' experience working in quality operations in an acute care setting.
Quality Nurse Specialist Jobs
By Health & Human Services Comm At , Austin, 78751 $5,522 - $7,083 a month
Medical diagnoses, procedures, and acceptable treatment patterns. Inpatient hospital experience preferred.
Training and educational development for adult learners.
Plan, perform, and evaluate educational opportunities through a variety of means.
Utilization review, quality, and peer review processes/procedures.
And ability to utilize personal computer and corresponding applications including Microsoft Office (Word, Excel, Access, PowerPoint).
Organizing workload and preparation of correspondence for provider community and physician consultant reviewers.
Registered Nurse (Rn) - Quality Specialist - National Quality Initiatives
By Avera McKennan Hospital At , Sioux Falls, 57105 $29.50 - $44.25 an hour
Licensed as a Registered Nurse in the state of South Dakota and/or meeting the requirements of multi-state licensure required.
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
Graduate from a CCNE or NLN accredited nursing program is strongly preferred. Graduate from an approved nursing program is acceptable.
Bachelor's degree in nursing preferred.
80 hours per 2 weeks
$29.50 - $44.25 per hour
Quality Nurse Consultant Jobs
By Kaiser Permanente At , San Rafael $148,200 - $191,730 a year
Quality/ Risk/Patient Safety/Just Culture/Project Management/Lean/IP certification.
Assists with quality management studies through data collection, data input and report development.
Analyzes risk management/patient safety principles and provides recommendations for the incorporation of risk management principles in each medical center.
Provides support services to appropriate medical center staff in implementing risk management principles into credentialing processes.
Minimum of three (3) years experience working in quality operations in an acute care setting.
Acts as a consultant for quality, AR&L, risk, patient safety, and infection prevention activities and programs.
Clinical Quality Nurse Jobs
By ShiftMed At United States
Notify respective management of "Red Flag Events", as noted within departmental documentation, caused by colleagues
Assist in creation and rollout of education and training materials for Credentialing Department needs
Excellent verbal and written communication skills
Expert level understanding of credentialing and licensure requirements
Intermediate knowledge of Microsoft Word, Outlook, Excel
Computer keyboard proficiency and internet navigation skills required
Quality Nurse Analyst - Rn
By UR Medicine Home Care At Rochester, NY, United States
Performs drug regimen review per regulatory requirement on all therapy starts of care. Communicates with management regarding concerns.
Problem Solving, Reasoning and Creative Thinking: Skillful at identifying solutions, based on knowledge, past experience, and/or adaptive thinking skills.
Develop and maintain education related to the following, including, but not limited to: mandatories, competencies, skills labs, and focused co-visits.
Identify cases for interdisciplinary conferences for assigned team(s) and attend as indicated. Participate in recertification conferencing as needed.
Education: Nursing degree from an accredited school of nursing.
OASIS certification within one year of hire.
Quality Nurse-Fallon Health Weinberg Pace
By Fallon Health At Amherst, NY, United States
Strong project management, interpersonal, analytical and communications skills.
In collaboration with the PACE Director and Medical Director, ensures compliance with all regulatory and contractual requirements of CMS and NYS.
Minimum of 3 years related experience in a healthcare setting preferably with older adult population.
Experience with regulatory readiness or quality improvement preferred.
In collaboration with the Medical Director and the PACE Program Director, develops and implements the annual Quality Improvement Program.
Coordinates collection of data, analysis and reporting of clinical quality projects and quality initiatives.    
Registered Nurse - Va Surgical Quality Improvement Program Quality Management Review Nurse
By US Veterans Health Administration At , Fort Meade, Sd
If you are relying on your education to meet qualification requirements:
Analyzes VASQIP/QM data and recommends action for the purpose of improving patients care management.
Participates in local and national studies for the purpose of improving patient care management.
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
You will be evaluated for this job based on how well you meet the qualifications above.
Appeals And Grievances Quality Nurse
By WellSense Health Plan At , Remote
Maintains current knowledge of regulatory, contractual and accreditation requirements subject matter expert
2+ years of experience in a managed care healthcare setting
2+ years of Utilization Management (Helpful)
Comprehensive knowledge of Medicaid and Medicare contractual provisions and NCQA accreditation requirements highly desirable
Exceptional customer service skills and experience working with diverse populations required
Assists with calibration sessions in accordance with department standards, to help ensure consistency and validation of audit parameters, KPIs, and requirements
Quality Management Nurse Analyst Exempt
By United Health Services At , Binghamton, 13903, Ny

Position Overview Facilitates performance improvement activities, interprets requirements of regulatory agencies, analyzes data; and provides direction and facilitation to all members of the hospital ...

Quality Review Nurse-Quality Improvement 3
By ST. ROSE HOSPITAL At , Hayward, 94545, Ca

Full- Time (40 hours per week) AM Shift APPROXIMATE PAY RANGE: $55.00 - $65.00 Annually reviews the Quality and Patient Safety Plans with key stakeholders to ensure overall alignment and ...

Quality Management Nurse Associate
By CVS Health At , , Mo $21.75 - $47.25 an hour
Utilization of clinical skills to support the documentation and communication of medical services and/or benefit administration determinations.
2+ Years managed care experience
1+ years of Medicare experience
Demonstrated organizational skills, including effective verbal and written communications skills
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
LPN/LVN with active current and unrestricted licensure in state of residence
Quality Assurance Nurse Jobs
By Northern Light Health At , South Portland, 04106, Me
Two years of experience required for every year of education in addition to the minimum experience identified above.
Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.
Potential exposure to abusive and/or aggressive people.
Potential exposure to diseases or infections.
Need to drive to perform responsible duties.
Potential exposure to hazardous materials.
Quality Assurance Registered Nurse R21061
By Presbyterian Manors of Mid America At , Parsons, 67357, Ks $30 - $33 an hour
Previous geriatric nursing/long-term care experience desired.
Knowledge of nursing and medical practices and procedures, as well as laws, regulations, and guidelines governing long-term care.
Must possess a Nursing Degree from an accredited college or university or be a graduate of an approved RN program.
Must possess a current active license to practice as a RN in this state.
Health, Dental and Vision Insurance
Life Insurance / Dependent Supplemental Life Insurance
Quality Management Nurse Consultant
By CVS Health At , Woonsocket, Ri $58,760 - $125,840 a year

Conduct audits on health plan staff. To incorporate every aspect of Utilization Management. Work in conjunction with other auditors to accomplish the common goal. Collaborate with department ...

Quality Management Nurse Jobs
By Alignment Healthcare At , , Ca
a. Minimum 2-3 years Quality Management, Quality Improvement or Process Improvement Experience
c. Managed Care knowledge or experience
a. Excellent organizational skills with the ability to manage multiple priorities
d. Computer skills and experience with Microsoft Office Products
General Duties/Responsibilities (May include but are not limited to):
e. Evaluating reports for continued compliance with clinical quality requirements
Quality Management Nurse Consultant
By CVS Health At , , Mi $58,760 - $125,840 a year
3+ years of clinical experience
Previous performance improvement plan experience
Medical record review and support
An active and good standing Michigan RN license required
Quality Nurse Consultant Jobs
By Kaiser Permanente At , Oakland, Ca $148,200 - $191,730 a year
Quality/ Risk/Patient Safety/Just Culture/Project Management/Lean/IP certification.
Assists with quality management studies through data collection, data input and report development.
Analyzes risk management/patient safety principles and provides recommendations for the incorporation of risk management principles in each medical center.
Provides support services to appropriate medical center staff in implementing risk management principles into credentialing processes.
Must be able to work in a Labor/Management Partnership environment.
Minimum of three (3) years experience working in quality operations in an acute care setting.
Quality Management Nurse Consultant
By CVS Health At , , Il $58,760 - $125,840 a year
5+ years of clinical experience required
2+ years of experience as a Registered Nurse
Must have active current and unrestricted RN Licensure in state of residence
Quality Clin Nurse Abstractor
By RWJBarnabas Health At , Oceanport, 07757, Nj
We offer a great work environment, competitive rates and excellent benefits, including:
RN with 2 years prior Core Measure Abstraction and other abstraction (complications, medical staff reviews) experience
16. Ability to organize workflow, function independently and manage own time and work tasks
Short & Long Term Disability
Basic Life & Accidental Death Insurance
Health Care/Dependent Care Flexible Spending Accounts