Quality Management Nurse I

4 weeks ago


San Antonio, United States University Hospital Full time
Quality Management Nurse I

Full Time 12238 Silicon Drive Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES Coordinates and collaborates with Community First Health Plans, Inc. (Community First), various departments to ensure that contractual, regulatory, and accreditation requirements, including National Committee for Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set (HEDIS) are met as it pertains to the Quality Management Department. Monitors Community First performance on various quality metrics and benchmarks them against state and federal standards. Provides ongoing management of data collection systems and the development of procedures for monitoring, validating, and reconciling data for accuracy. May serve as a leader/facilitator of process improvement efforts. Provides oversight of and performs functions of review, investigation, and analysis of member-level clinical care data and provider performance as it compares to standards of care. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required. Bachelor's degree in nursing, clinical informatics, or other health care, or other health care related field is preferred. Five or more years of relevant healthcare experience is required. Experience in data analysis and preparation of quality improvement or related reports is preferred. Experience with Microsoft Office (Outlook, Word, Excel). Excellent communication and interpersonal skills are required. Quality Management certification such as CPHQ or CHCQM is preferred. Working knowledge of continuous process improvement principles and standard coding products is preferred. LICENSURE Current licensure as a Registered Nurse in the State of Texas is required.



  • San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Coordinates and collaborates with Community First Health Plans, Inc. (Community First), various departments to ensure that contractual, regulatory, and accreditation requirements, including National Committee for Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set (HEDIS) are met as it pertains to...

  • Nurse I

    3 weeks ago


    San Antonio, United States Texas Department of Aging & Disability Services Full time

    Job Description: Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of each other, teamwork, and inclusivity? HSCS is dedicated to...

  • Project Manager I

    3 weeks ago


    San Antonio, United States HNTB Full time

    What We're Looking For HNTB Corporation is seeking a success oriented and positive Project Manager I - Planning specializing in transportation and transit projects. Responsible for managing assigned project(s) throughout their full lifecycle including developing the scope and technical sections of proposal and procurement documents to participating in...


  • San Antonio, United States Travel Nurse Across America Full time

    We're looking for Pediatric Intensive Care Unit RNs for an immediate travel nurse opening in Madison, WI. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements. As a PICU RN, you'll provide critical care to pediatric patients as part of a broader medical team. You will collaborate with physicians, specialists and...


  • San Antonio, United States Travel Nurse Across America Full time

    We're looking for Pediatric Intensive Care Unit RNs for an immediate travel nurse opening in Park Ridge, IL. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements. As a PICU RN, you'll provide critical care to pediatric patients as part of a broader medical team. You will collaborate with physicians, specialists...


  • San Antonio, United States Travel Nurse Across America Full time

    We're looking for Pediatric Intensive Care Unit RNs for an immediate travel nurse opening in San Antonio, TX. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements. As a PICU RN, you'll provide critical care to pediatric patients as part of a broader medical team. You will collaborate with physicians, specialists...


  • San Antonio, United States Texas Department of Aging & Disability Services Full time

    Job Description: Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of each other, teamwork, and inclusivity? HSCS is dedicated to...


  • San Antonio, United States Travel Nurse Across America Careers Full time

    We're looking for Pediatric Intensive Care Unit RNs for an immediate travel nurse opening in San Antonio, TX. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements.As a PICU RN, you'll provide critical care to pediatric patients as part of a broader medical team. You will collaborate with physicians, specialists...

  • Nurse Manager

    7 days ago


    San Antonio, United States Emerus Holdings, Inc. Full time

    The purpose of this position is to provide support to leadership and to create an atmosphere that provides continuity of quality patient care in the emergent hospital environment. Learning to ensure all aspects of the hospital are in compliance with Nurse Manager, Manager, Nurse, Leadership, Healthcare, Hospital


  • San Antonio, United States H-E-B Full time

    Responsibilities H-E-B Facility Alliance Partners--leading edge innovators in facility design, construction, and maintenance--work hard to make sure our facilities and equipment are designed, procured, maintained, and improved to maximize resources and create tailored shopping experiences for our Customers. As a Manager I, Construction & Facility...

  • Finance and Insurance

    3 weeks ago


    San Antonio, United States Hiring Winners Full time

    Job DescriptionJob DescriptionFinance and Insurance (F&I) Manager This is an incredible opportunity for an experienced professional who is excited by automotive F&I and passionate about customer service. We are currently seeking an F&I manager to join our amazing team. We need a leader with a strong focus on compliance requirements and product knowledge, who...


  • San Antonio, United States Aegis Worldwide Full time

    Job DescriptionJob DescriptionJob Title: Quality Assurance ManagerLocation: Boerne, TXJob Type: Full-timeSchedule: Monday-ThursdayAbout Us: Aegis Worldwide is a recruiting firm that works with clients in the manufacturing and engineering space. Our client is a leading provider of high-quality pharmaceutical products committed to improving global health. With...


  • San Antonio, United States Aegis Worldwide Full time

    Job Title: Quality Assurance Manager Location: Boerne, TX Job Type: Full-time Schedule: Monday-Thursday About Us: Aegis Worldwide is a recruiting firm that works with clients in the manufacturing and engineering space. Our client is a leading provider of high-quality pharmaceutical products committed to improving global health. With a dedication to...


  • San Antonio, United States Aegis Worldwide Full time

    Job Title: Quality Assurance ManagerLocation: Boerne, TXJob Type: Full-timeSchedule: Monday-ThursdayAbout Us: Aegis Worldwide is a recruiting firm that works with clients in the manufacturing and engineering space. Our client is a leading provider of high-quality pharmaceutical products committed to improving global health. With a dedication to innovation,...


  • San Antonio, United States Aegis Worldwide Full time

    Job Title: Quality Assurance ManagerLocation: Boerne, TXJob Type: Full-timeSchedule: Monday-ThursdayAbout Us: Aegis Worldwide is a recruiting firm that works with clients in the manufacturing and engineering space. Our client is a leading provider of high-quality pharmaceutical products committed to improving global health. With a dedication to innovation,...


  • San Antonio, United States Aegis Worldwide Full time

    Job Title: Quality Assurance ManagerLocation: Boerne, TXJob Type: Full-timeSchedule: Monday-ThursdayAbout Us: Aegis Worldwide is a recruiting firm that works with clients in the manufacturing and engineering space. Our client is a leading provider of high-quality pharmaceutical products committed to improving global health. With a dedication to innovation,...


  • San Antonio, United States Aegis Worldwide Full time

    Job DescriptionJob DescriptionJob Title: Quality Assurance ManagerLocation: Boerne, TXJob Type: Full-timeSchedule: Monday-ThursdayAbout Us: Aegis Worldwide is a recruiting firm that works with clients in the manufacturing and engineering space. Our client is a leading provider of high-quality pharmaceutical products committed to improving global health. With...

  • Nurse Case Manager

    1 day ago


    San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances...

  • F&I Manager

    2 weeks ago


    San Antonio, United States Hiring Winners Full time

    Job DescriptionJob DescriptionF&I Manager – AutomotiveDon’t miss this amazing opportunity for F&I professionals. With sales volume on the rise, our growing dealership family needs an F&I Manager. And we only hire the best. We need someone who can sell well and sell ethically—a master of finance and insurance knowledge. A true professional who can...

  • Nurse Case Manager

    1 day ago


    San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and...