Quality Coordinator RN

10 hours ago

Sparks, Nevada, United States Sierra Medical Center Full time
About Sierra Medical Center

Sierra Medical Center, part of Northern Nevada Health System, offers a comprehensive range of healthcare services for the entire family. Our providers offer wellness services, family, geriatric and internal medicine, along with specialty care including cardiology, general surgery, podiatry and sleep medicine.

Job Summary

This Quality Coordinator RN position is a full-time opportunity with a competitive compensation package and a convenient day shift schedule. The Quality Coordinator RN is a registered nurse who functions in a market quality leadership role in Population Health. This role helps drive quality best practices in a collaborative effort with payers, providers, support staff, managed care, VBC leaders and administration.

Key Responsibilities
  • STARS/HEDIS and MIPS Performance
    • Participate in the development of an annual work plan for improvement of STAR ratings, HEDIS and MIPS capture/performance from the position of the leader of the market quality team.
    • Support system efforts that may include MSO initiatives, new payer contracts, and risk initiatives.
    • Help create and support quality-based clinic workflows geared towards capturing gaps in care (chart scrubbing, pre-charting, huddles, Patient Care Conferences (PCCs).
    • Support provider reviews of performance on a regular cadence (monthly preferable).
    • Participate in payer meetings, create appropriate JOCs with payers.
  • Optimizing HCC capture and appropriately maximizing RAF
    • Education of clinical staff concerning HCC capture and importance of RAF.
    • Develop and implement strategies for maximization of attestation form completion.
  • Longitudinal Care Coordination
    • Provide leadership of quality team in the ongoing development of quality and timely patient care across the care continuum.
    • Develop collaborative relationships across the patient care spectrum in the pursuit of warm patient hand-offs and a seamless care experience.
Requirements
  • Graduation from an accredited nursing education program.
  • Actively licensed by the worked in State to practice as a Registered Nurse.
  • Minimum of 5 years of associated Population Health/Quality experience within the health care industry, preferably ambulatory based and includes experience with HEDIS/STARS and MIPS.
  • Bachelor's Degree.
  • Master's Degree, preferred.

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