Quality Management RN
Company: Dignity Health Management Services Organization
Location: Santa Cruz
Posted on: January 7, 2022
Dignity Health Medical Network (DHMN) and Santa Cruz Quality Care
Network are local, physician led networks of healthcare providers
and hospitals working together to provide patients with a
team-based approach to care which is innovative and inclusive. We
are committed to bringing quality health care, expertise, and value
to our patients by focusing on patients' access to prevention, care
coordination and chronic condition management. A critical member of
this team-based quality focused care is the Quality Management
Nurse. The Quality Management Nurse will work closely and
collaboratively with outpatient and inpatient partners to improve
the quality of the care delivered across the care continuum.
DHMN-SC and SCQCN are supported by Dignity Health Management
Services (Dignity Health MSO). The purpose Dignity Health MSO is to
build a system-wide integrated physician-centric, full-service
management service organization structure. Dignity Health MSO
offers an outstanding Total Rewards package that integrates
competitive pay with a state-of-the-art, flexible Health & Welfare
benefits package. Our cafeteria-style benefit program gives
employees the ability to choose the benefits they want from a
variety of options, including medical, dental and vision plans, for
the employee and their dependents, Health Spending Account (HSA),
Life Insurance and Long Term Disability. We also offer a 401k
retirement plan with a generous employer-match. Other benefits
include Paid Time Off and Sick Leave.
The Quality Management (QM) Nurse provides support to Dignity
Health MSO/Clinically Integrated (CI) Program through continuous
interaction and education with the participating physicians and
mid-levels providers, as well as statewide hospital and Dignity
Health MSO/CIN QM staff.
Responsibilities may include:
- Serve as a key interface and liaison for the local
participating physicians through collaboration with the Executive
Director, Physician Practice Liaison, QM Nurses and other key
members of the leadership team.
- Responsible for physician education and training on processes
and workflow related to clinical initiatives undertaken as a part
of the Dignity Health MSO/CI Program, including CPTII and HCPCS
coding, documenting quality data in paper and electronic charts,
and reporting via the dashboard. This may require travel to provide
on-site training in physician offices.
- Working closely with Physician Practice Liaison to provide
physician office staff education regarding support for physician in
implementing clinical initiatives undertaken within the physician's
area of specialty.
- Collaborate with Physician Practice Liaison and QM Nurses by
developing proficiency in understanding quality data extracts and
- Collaborate with the Physician Practice Liaison and QM Nurses
in analysis, monitoring and interpretation of ambulatory clinical
quality data, using dashboard reports.
- Provide one-on-one education on use of dashboard reports and
other communications as appropriate to identify potential
improvements and assist physicians in understanding methods and
processes required to achieve measurable results.
- Collaborate with the Director, CIN Executive Directors and
Chief Medical Officer (CMO) Medical Director in preparing analyses,
as well as monitoring, interpreting, and educating on results of
clinical (ambulatory and hospital) quality, cost and utilization
- Responsible for monitoring and evaluating physician compliance
and performance with quality standards, as identified in weekly,
monthly and quarterly reports and provide feedback to the CIN
- Perform patient chart review to reconcile quality reporting
results with chart documentation, using a sampling methodology
approved by the Dignity Health MSO/CIN Board of Managers.
- Provide leadership with support on performance improvement and
development of remediation plans at the local service area
- Support CA marketing and communications with materials relating
to disease management programs.
- Attend local quality management committee meetings, if
- Other duties as assigned.
We're looking for a dynamic and highly motivated person with the
ability to inspire and lead people, as well as communicate
effectively with employees, Physicians, other Management Service
Organization Administrators and Hospital staff.Minimum
Minimum 6 months experience in either an acute care or ambulatory /
clinic care setting. Must possess experience navigating through
patient information in an electronic medical record (EMR).
- Clear and current CA Registered Nurse (RN) license.
- Must be able to communicate clearly and concisely with all
levels of individuals, sometimes in stressful situations.
Minimum 2 years experience in a quality management program in a
managed care/health plan, IPA, hospital settings.
- Previous ambulatory/clinic experience strongly preferred.
- Possess a keen working knowledge of Medical Management process
improvement activities (QM Programs, Pay-for Performance measures),
including analysis of qualitative and quantitative clinical data
concerning patience outcomes, to ensure the highest quality care is
documented consistent with the CI Program guidelines.
- Experience navigating through patient information in an
Electronic Medical Record (EMR) application in the ambulatory
Keywords: Dignity Health Management Services Organization, Santa Cruz , Quality Management RN, Executive , Santa Cruz, California
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