Quality Improvement, RN

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Reporting to Director of Hospital Relations, the Quality Improvement, RN will facilitate quality improvement initiatives across the continuum of care (i.e. acute care hospitals, skilled nursing facilities, hospice agencies, etc.) to enhance the overall quality of care delivered to members. This position is responsible for identifying, developing, coordinating, promoting, supporting, and implementing assigned clinical quality, and / or service improvement projects and programs. The Quality Improvement, RN supports evidence-based practice integration, provider training / education, policy review / development, and regulatory / accreditation interpretation. The incumbent develops continuous and targeted activities to improve performance related to Centers for Medicare & Medicaid Services (CMS) Star Ratings, HEDIS, CAHPS, HOS, P4P and other identified performance measures. The Quality Improvement, RN provides direct support for multiple initiatives aimed at improving the quality and effectiveness of health care delivery and / or health care services. This position communicates with external partners, internal quality leaders, and stakeholders to ensure multi-disciplinary teams have the resources and information they need.

Commitment to Quality : The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

Competitive salary

Hybrid schedule

State of the art fitness center on-site

Medical Insurance with Dental and Vision

Life, short-term, and long-term disability options

Career advancement opportunities and professional development

Wellness programs that promote a healthy work-life balance

Flexible Spending Account – Health Care / Childcare

CalPERS retirement

457(b) option with a contribution match

Paid life insurance for employees

Pet care insurance

Education & Requirements

Minimum four (4) years of clinical / health care experience, including at least two (2) years performing quality improvement analysis or project coordination functions required

Bachelor’s degree in science or health / healthcare related field from an accredited institution required

Master’s degree in science or health / healthcare related field from an accredited institution preferred

Certified Professional of Healthcare Quality (CPHQ), or other recognized quality improvement certificate required or obtained within one (1) year of hire (maintained through employment)

Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required

Key Qualifications

Working knowledge of healthcare quality performance and measurement sets including CMS quality withhold, Managed Care Accountability Set, NCQA Quality Improvement Standards and HEDIS

Ability to apply knowledge of tools of continuous improvement, and work process redesign

Knowledge of advanced clinical processes and / or hospital operations

Requires knowledge of the local healthcare market, patient demographics and needs and plan-specific information

Good analytical and critical thinking skills

Proficient in all Microsoft Office applications, with an emphasis on Excel and PowerPoint

Effective communication skills (verbal, written and listening) with ability to interact with key stakeholders

Must exhibit attention to detail

Ability to successfully apply facilitation techniques to quality improvement project teams

Demonstrates problem solving, conflict management, and team collaboration to contribute to a productive work environment and achievement of goals

Ability to read and interpret data

Able to manage and prioritize assigned tasks and work efficiently under pressure to meet deadlines in a fast-paced environment

Ability to support the application of basic facilitation techniques within quality improvement project groups

Start your journey towards a thriving future with IEHP and apply TODAY!

Pay Range

$91,249.60 USD Annually - $120,910.40 USD Annually