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Quality Improvement Nurse

Company: Aerotek
Location: Stockton
Posted on: May 20, 2020

Job Description:

Title : Quality Improvement Nurse (x2 positions) Description: Under general supervision, performs quality improvement activities related to HEDIS, facility site review, and complaint/grievance resolution. In addition, this position is responsible for planning, implementing and monitoring quality improvement activities to ensure members receive quality care in compliance with HPSJ, regulatory and contractual requirements. Work is semi-routine and occasionally varied and moderately complex, and requires a limited to moderate degree of discretion and independent judgment. FACILITY SITE REVIEW Schedules and conducts facility site reviews as required. Develops corrective action plans based on findings; submits for approval. Implements approved corrective action plans; collaborates with provider to resolve. Monitors, analyzes and reports on progress; escalates as required. HEDIS Assists with development of, and implements external and internal quality improvement plans, based on HEDIS results. Conducts HEDIS chart audits. Monitors, analyzes and reports on progress of corrective action plans; escalates as required. INTERNAL QI May plan internal quality improvement activities for identified problems using PDCA: Leads the CQI team in the identification and analysis of process barriers. Makes recommendations to resolve and implements approved recommendations. Monitors, analyzes and reports on progress; escalates as necessary. Conducts internal quality audits as directed; reports on findings. COMPLAINTS AND GRIEVANCES May research and analyze identified clinically related external complaints and grievances. Identifies and recommends solutions; submits as required. Implements approved corrective action plans; monitors and reports on results. Participates on high level committees; prepares reports; compiles and analyzes data; makes recommendations based on findings. Implements quality initiatives identified by statewide collaborates; compiles and analyzes data; prepares and submits reports as required. Assists with DHS audits; develops QI processes based on findings. Qualifications : Graduation from an accredited nursing school. Five or more years clinical nursing experience. CA Unrestricted Registered Nurse license. Schedule - Monday thru Friday About Aerotek: We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing -- Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

Keywords: Aerotek, Stockton , Quality Improvement Nurse, Healthcare , Stockton, California

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