Occupational Therapist Pediatric Rehabilitation Full Time
2 weeks ago
About CalOptima Health
CalOptima Health is a public agency dedicated to serving the health needs of Orange County residents. Our mission is to provide high-quality, patient-centered care with dignity and respect. We strive to create a culture that promotes diversity, inclusion, and a sense of belonging among our employees.
We are committed to building a team of compassionate professionals who share our values and are passionate about making a difference in the lives of our members. If you are a motivated and dedicated individual who is looking for a challenging and rewarding career, we encourage you to explore our opportunities.
About the Position
The QI Nurse Specialist (LVN) will serve as the quality assurance nurse for skilled nursing facilities (SNFs). The incumbent will perform quality assurance visits to all contracted SNFs, acting as the liaison for SNFs related to quality activity compliance. The incumbent will also be responsible for monitoring, maintaining, and providing feedback on SNF quality data for quarterly reports to the Quality Improvement (QI) department.
Duties & Responsibilities
The QI Nurse Specialist (LVN) will participate in a mission-driven culture of high-quality performance, with a focus on customer service, consistency, dignity, and accountability. The incumbent will assist the team in carrying out department responsibilities and collaborate with others to support short- and long-term goals/priorities for the department.
The QI Nurse Specialist (LVN) will schedule and audit SNF facilities on an annual and ongoing basis, maintaining electronic SNF files in a professional and accurate manner. The incumbent will conduct ongoing analysis/assessment of operational performance for continuous process improvements, improved efficiency, and improved customer satisfaction.
The QI Nurse Specialist (LVN) will establish and facilitate routine communication and feedback mechanisms with contracted SNFs and report quality assurance findings to operations management. The incumbent will compile information and prepare reports for the QI manager and/or director, integrating data reporting systems to develop and maintain a variety of reports in a format that allows CalOptima Health to see California Department of Public Health (CDPH) audit results and deficiency patterns.
The QI Nurse Specialist (LVN) will ensure compliance with federal, state, and other regulatory agency standards, evaluating various types of information for integrity, accuracy, and appropriateness. The incumbent will complete other projects and duties as assigned.
Experience & Education
The QI Nurse Specialist (LVN) must have a Bachelor's degree in Health Services, Public Health, Nursing, or a related field. The incumbent must also have a current, unrestricted Licensed Vocational Nurse (LVN) license to practice in the State of California and 3 years of experience in quality management or equivalent experience. A valid driver's license and vehicle or other approved means of transportation, an acceptable driving record, and current auto insurance are required for work away from the primary office 60% of the time or more.
Preferred Qualifications
Experience in a healthcare delivery system, including health plan, medical group, or hospital management, is preferred.
Physical Demands and Work Environment
The QI Nurse Specialist (LVN) will work in a typical office environment with minimal to moderate noise levels and controlled office temperatures. Offsite work environment varies. The incumbent must be able to sit for extended periods, work at the computer, and use hands and fingers for typing and mouse use. The QI Nurse Specialist (LVN) must also be able to reach with hands and arms and occasionally lift office supply boxes or laptop cases, up to 25 pounds. The incumbent must have means of transportation for offsite travel to health networks/physician medical groups, local meetings, and healthcare delivery organizations.
About our Benefits & Wellness options
CalOptima Health offers a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. We also offer flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Friday off (9/80 schedule), and a wellness program featuring diverse activities. CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options.
CalOptima Health is an equal employment opportunity employer and makes all employment decisions on the basis of merit. We prohibit unlawful discrimination against any employee or applicant for employment based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws.
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