Quality Management Nurse I

9 hours ago


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 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 Hospital Full time

    Quality Management Nurse IFull 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...


  • San Francisco, United States Bay Area Air Quality Management District Full time

    **Description**: Join an agency committed to creating a healthy breathing environment for every Bay Area resident while protecting and improving public health, air quality, and the global climate! The Bay Area Air Quality Management District (Air District) is a regional government agency, committed to achieving clean air to protect the public's health and...

  • Nurse I

    Found in: Talent US 2 C2 - 6 days 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...


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

    We're looking for Neonatal Intensive Care Unit RNs for an immediate travel nurse opening in Bakersfield, CA. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements. As a NICU RN, you'll provide critical care to sick and premature infants. Alongside the rest of the care team, NICU RNs assist in providing...


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

    We're looking for Neonatal Intensive Care Unit RNs for an immediate travel nurse opening in Cincinnati, OH. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements. As a NICU RN, you'll provide critical care to sick and premature infants. Alongside the rest of the care team, NICU RNs assist in providing...


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

    We're looking for Neonatal Intensive Care Unit RNs for an immediate travel nurse opening in Pittsfield, MA. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements. As a NICU RN, you'll provide critical care to sick and premature infants. Alongside the rest of the care team, NICU RNs assist in providing...


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

    We're looking for Neonatal Intensive Care Unit RNs for an immediate travel nurse opening in Cincinnati, OH. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements. As a NICU RN, you'll provide critical care to sick and premature infants. Alongside the rest of the care team, NICU RNs assist in providing...


  • 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 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...

  • Project Manager I

    Found in: Talent US C2 - 6 days 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...

  • Psychiatric Nursing Asst I

    Found in: Talent US 2 C2 - 6 days 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...

  • Registered Nurse Cardiac Telemetry

    Found in: Lensa US P 2 C2 - 2 weeks ago


    San Antonio, United States Nurse Job Board Full time

    (Reference Code: JAW87) BRAND NEW OPENING in San Antonio, TX! One of the top hospitals in Texas is looking to hirea Registered Nurse III with Telemetry experience to join their staff. This is a fantastic opportunity to join one of the leading Health Care providers in Texas. The dedication of the staff to deliver high quality patient care to their patients is...


  • San Antonio, United States Nurse Job Board Full time

    Seeking experienced Nurse in TX - Cardiovascular Nurse SHIFT: Full-time Nights (rotating weekends) With over 170 beds, this hospital offers a full array of services including 24/7 emergency care, open heart surgery, cardiac catheterizations, vascular, neurosurgery, inpatient rehabilitation, orthopedic surgery, cancer care, intensive care and inpatient and...


  • San Antonio, Texas, United States Nurse Job Board Full time

    Seeking experienced Nurse in TX - Cardiovascular Nurse SHIFT: Full-time Nights (rotating weekends) With over 170 beds, this hospital offers a full array of services including 24/7 emergency care, open heart surgery, cardiac catheterizations, vascular, neurosurgery, inpatient rehabilitation, orthopedic surgery, cancer care, intensive care and inpatient and...


  • San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Leads the annual clinical quality monitoring and reporting activities for Healthcare Effectiveness Data and Information Set (HEDIS) and provides leadership for reporting of HEDIS rates. Supports quality and preventive health and disease management program activities in coordination with health plan staff as it relates to...


  • San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES             Coordinates the interdisciplinary treatment plan of care for patients across the healthcare continuum within the maternal patient population.  Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care...

  • Nurse Manager

    Found in: beBee jobs US - 6 days ago


    San Jose, California, United States Clinical Management Consultants Full time

    An exceptional community hospital in the beautiful SF Bay Area is seeking a Nurse Manager to oversee the 26- bed ER unit. The Emergency Nurse Manager oversees nursing operations, staff, and quality of care provided in our fast-paced Emergency Department treating over 50 patients per day. This position requires strong leadership, communication, and...


  • 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...

  • F&I Manager

    6 days ago


    San Antonio, United States CareerBuilder Full time

    Job Description Job Description F&I Manager Automotive Dont 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 ethicallya master of finance and insurance knowledge. A true professional who can communicate...

  • Nurse Case Manager

    9 hours 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...