Clinical Quality Coordinator (RN)

Clinical Quality Coordinator (RN):

Doctors Plus Insurance Corporation has a full-time coordinator of clinical quality time available in our team of quality improvement. Reporting to the Director of Quality Improvement and compliance with NCQA, this position is responsible for the development, implementation and evaluation of projects and processes to ensure that the physician members receive quality care through disease management program , service coordination of care and management of the health of the population. Working in an environment certificate National Committee for Quality Assurance (NCQA), the coordinator will focus on projects to improve clinical quality in collaboration with network partners and community resources. The position also assists other departments in the analysis of data and information needs, to work with key stakeholders and providers of the health system to improve the quality and performance and represent an improvement of clinical quality in several committees and project teams.

Besides a license as a registered nurse with a bachelor's degree in nursing (Masters in Nursing preferred), a nurse qualified candidate will have a minimum of 3-5 years of experience in all areas of clinical nursing experience in a plane health / managed care field, experience in skilled nursing in a relevant environment, and experience with the processes and tools to improve quality. Strong analytical skills, ability to solve problems, and excellent service skills and customer communication are needed. The ideal candidate will be a team-oriented individual project management skills that can prioritize and work effectively in a limited driven environment. Must be proficient in MS Office applications, software and electronic health records, such as the epic or a comparable system. Must have previous experience with CPT coding and efficiency of health information (set of HEDIS data) accreditation measures and standards NCQA ICD-9/10. Certified Professional in Healthcare Quality (CPHQ) certification is highly preferable.