Quality Coordinator RN

4 days ago

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

Sierra Medical Center, a leading healthcare provider, is seeking a highly skilled Quality Coordinator RN to join our team. As a Quality Coordinator RN, you will play a critical role in driving quality best practices in Population Health, collaborating with payers, providers, and support staff to improve patient outcomes.

Job Summary

The Quality Coordinator RN will be responsible for participating in quality improvement initiatives, developing recommendations for quality remediation plans, and creating tools and databases to capture relevant data. This role will also lead the local quality support team, apportioning responsibilities for quality support staff across the market, and develop collaborative payer relationships to maximize resource utilization for patient care.

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.
    • Support system efforts, including MSO initiatives, new payer contracts, and risk initiatives.
    • Help create and support quality-based clinic workflows geared towards capturing gaps in care.
    • Support provider reviews of performance on a regular cadence.
    • Participate in payer meetings and create appropriate JOCs with payers.
  • Optimizing HCC Capture and 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 state to practice as a Registered Nurse.
  • Minimum of 5 years of associated Population Health/Quality experience within the healthcare industry, preferably ambulatory based and includes experience with HEDIS/STARS and MIPS.
  • Bachelor's Degree.
  • Master's Degree, preferred.
About Universal Health Services

Universal Health Services, Inc. (UHS) is a leading healthcare provider with a strong commitment to quality and patient care. As a Quality Coordinator RN, you will be part of a team dedicated to improving the health and wellness of people in the communities we serve.

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