Central California Alliance for Health-posted 2 months ago
$91,055 - $145,704/Yr
Full-time • Mid Level
CA
501-1,000 employees

We have an opportunity to join the Alliance as a Quality Improvement Nurse PQI (RN) in the QI and Population Health Department. Reporting to the Clinical Safety Supervisor, 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. Additionally, the role evaluates patient safety and quality issues and communicates findings to internal stakeholders, network providers, and community partners.

  • Develops, manages, and measures a comprehensive healthcare strategy in alignment with DHCS standards of care.
  • Collaborates with internal stakeholders and network providers to promote best evidence-based practices.
  • Improves member health outcomes.
  • Evaluates patient safety and quality issues.
  • Communicates findings to internal stakeholders, network providers, and community partners.
  • Experience in process improvement, practice coaching, or health care quality improvement.
  • Experience performing PQI activities.
  • Working knowledge of managed care, the Medi-Cal program, and related policy.
  • Working knowledge of the methods of conducting and interpreting quantitative and qualitative analysis.
  • Some knowledge of NCQA HEDIS abstracting guidelines.
  • Some knowledge of CPT and ICD coding principles.
  • Knowledge of the principles and practices of clinical nursing.
  • Knowledge of medical practice operations and healthcare delivery systems.
  • Medical, Dental and Vision Plans
  • Ample Paid Time Off
  • 12 Paid Holidays per year
  • 401(a) Retirement Plan
  • 457 Deferred Compensation Plan
  • Robust Health and Wellness Program
  • Onsite EV Charging Stations
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