Senior Quality Improvement RN
2 weeks ago
Job Title: Senior Quality Improvement RN
Location: 100% Remote
Duration: 3-6 months (possibility of extension)
Full Remote, must work M-F 8:00 AM to 5:00 PM PST.
Job Summary:
· Client’s Quality Management function implements, oversees, and maintains new and existing healthcare quality monitoring activities and programs; ensures quality monitoring audits and investigations are performed in accordance with prescribed quality standards; informs data collection, reporting, and analysis to monitor key quality management activity; and provides direction and implementation of federal/state quality management compliance activities.
· This position requires a strong background in behavioral health and auditing.
Job Duties:
· The Sr Specialist, Quality Management (RN) contributes to the quality management functions.
· Performs quality monitoring activities, including audits of medical record quality, services and service sites, health and safety, and follow-up of monitoring of placement settings.
· Implements key quality strategies that require a component of near real-time clinical decision-making. These activities may include initiation and management of interventions (e.g., improving patient safety); preparation and review of potential quality of care and critical incident cases; review of medical record documentation for credentialing and model of care oversight; and any other federal and state required quality activities.
· Supports the creation and ongoing revision of policies and procedures reflective of state requirements for all quality management functions, including quality monitoring audits, credentialing and recredentialing, quality of care concerns, and peer review.
· Monitors and ensures that key quality activities that involve clinical decision-making are completed on time and accurately in order to present results to key departmental management and other Client departments as needed.
· Monitors and ensures that key quality activities are completed on time and accurately in order to present results to key departmental management and other Client departments as needed.
· Adheres to written documentation and business practices (e.g., policies and procedures, desk-level procedures, manuals, and process flows) that explain the business requirements and how the unit operationalizes those requirements.
· Adheres to structure and processes for tracking and trending reportable incidents, quality of care events, member service concerns, and mortalities.
· Evaluates project/program activities and results to identify opportunities for improvement.
· Is well-versed in the requirements of the quality management program and day-to-day work processes to support compliance with state contract, policies, and program requirements.
· Surfaces to Manager and Director any gaps in processes that may require remediation. In particular, the Senior Specialist may be asked to focus on parts of the process where a clinician's perspective would be valuable to uncover process gaps or limitations.
· Ensures individual and systemic quality of care investigations are performed timely, accurately, and in accordance with state-based requirements.
Day to Day Responsibilities: Quality provider audits
-
Atlanta, Georgia, United States Kaiser Permanente Full timeJob Summary:Line of Business: Focused on government programs, Medicaid, Medicare quality. Contributes to strategic planning for a broad range of administrative, facilitation, and technical support functions in the area of Quality and Safety Improvement to support Quality and Safety programs and initiatives. Oversees and directs the development,...
-
Senior Quality Improvement Specialist
6 days ago
North Atlanta, United States Children's Healthcare of Atlanta Full timeNote: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time Variable Shift End Time Variable Worker Sub-Type Regular Children's is one of the nation's leading children's...
-
Atlanta, United States Kaiser Permanente Full timeKaiser Permanente Director, Quality and Performance Improvement (Health Plan) Atlanta , Georgia Apply Now Line of Business: Focused on government programs, Medicaid, Medicare quality. Contributes to strategic planning for a broad range of administrative, facilitation, and technical support functions in the area of Quality and Safety Improvement to support...
-
Atlanta, United States Kaiser Permanente Full timeJob Summary: Line of Business: Focused on government programs, Medicaid, Medicare quality. Contributes to strategic planning for a broad range of administrative, facilitation, and technical support functions in the area of Quality and Safety Improvement to support Quality and Safety programs and initiatives. Oversees and directs the development,...
-
Atlanta, United States Northside Hospital Full timeNorthside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. The QI Project Management Office...
-
Senior Director, Quality Management
6 days ago
Atlanta, United States Material Handling Systems, Inc. Full timeFORTNA partners with the world's leading brands to transform omnichannel and parcel distribution operations. Known world-wide for enabling companies to keep pace with digital disruption and growth objectives, we design and deliver solutions, powered by intelligent software, to optimize fast, accurate and cost-effective order fulfillment and last mile...
-
Senior Quality Compliance Manager
2 weeks ago
Atlanta, United States BlackRock Resources LLC Full timeSenior Quality Compliance ManagerDirect Hire Atlanta, GA AreaPay is dependent on Experience Required Skills:BS degree in Engineering, Food Engineering, Food Science, Chemistry, any Biological Sciences or related area from an accredited college or university 5 plus years of relevant work experienceContinuous Improvement Methodology (TPM, 6-Sigma, SPC) Food...
-
Senior Quality Compliance Manager
3 weeks ago
Atlanta, United States BlackRock Resources LLC Full timeSenior Quality Compliance ManagerDirect Hire Atlanta, GA AreaPay is dependent on Experience Required Skills:BS degree in Engineering, Food Engineering, Food Science, Chemistry, any Biological Sciences or related area from an accredited college or university 5 plus years of relevant work experienceContinuous Improvement Methodology (TPM, 6-Sigma, SPC) Food...
-
Senior Quality Compliance Manager
3 weeks ago
Atlanta, United States BlackRock Resources LLC Full timeSenior Quality Compliance ManagerDirect Hire Atlanta, GA AreaPay is dependent on Experience Required Skills:BS degree in Engineering, Food Engineering, Food Science, Chemistry, any Biological Sciences or related area from an accredited college or university 5 plus years of relevant work experienceContinuous Improvement Methodology (TPM, 6-Sigma, SPC) Food...
-
Senior Quality Compliance Manager
2 days ago
Atlanta, United States BlackRock Resources LLC Full timeSenior Quality Compliance ManagerDirect Hire Atlanta, GA AreaPay is dependent on Experience Required Skills:BS degree in Engineering, Food Engineering, Food Science, Chemistry, any Biological Sciences or related area from an accredited college or university 5 plus years of relevant work experienceContinuous Improvement Methodology (TPM, 6-Sigma, SPC) Food...
-
Senior Director of Continuous Improvement
5 days ago
Atlanta, United States Genuine Parts Company Full timeJob Summary The Senior Director Supply Chain Performance Systems will lead and direct the implementation and execution of the NAPA DC Operations Performance System in the Supply Chain Network. This position is responsible for developing and providing strategy, vision and direction for the NAPA Performance System as it is implemented in every distribution...
-
Senior Quality Engineer
7 days ago
Atlanta, United States Page Mechanical Group Inc Full timeAbout Our Company: Delmock Technologies, Inc. (DTI) is seeking a Senior Quality Engineer to explore exciting career opportunities. DTI is a leading HUBZone business in Baltimore, known for delivering innovated IT and Health solutions with a commitment to ethics, excellence, and superior customer service. At DTI, we balance continuous growth and innovation...
-
Senior Quality Engineer
6 days ago
Atlanta, United States Medmix Systems Ag Full timeAt medmix , our team is focused on a single mission, to provide innovative solutions that help millions of people live healthier and more confident lives. Join us to expand your career opportunities in a high growth business, where your unique skills are valued. We are looking for a Senior Quality Engineerto join us at medmix, at our new Greenfield Site...
-
Senior Quality Assurance Manager
2 weeks ago
Atlanta, United States EPM Scientific Full timeSenior Quality Assurance Manager Location: Atlanta, GA Working Situation: Onsite Level: Mid-Senior Level We are currently seeking a talented and experienced Senior Quality Assurance Manager to join our team in Atlanta, GA. We are a global biotechnology company focusing on human and animal tissues, cell products, and other biofluids. This permanent position...
-
Atlanta, United States Bunnell Lammons Engineering Full timeSenior Construction Quality Assurance Engineer Atlanta, Georgia work area Reporting to: Greenville, South Carolina office Full- Time - Senior level Overview of Bunnell-Lammons Engineering, Inc. At Bunnell-Lammons, Inc. (BLE), every member of our team has a personal stake in ensuring the success of our clients. As employee-owners of the firm, we are all...
-
Senior Air Quality Engineer
1 week ago
Atlanta, United States Montrose CO Full timeABOUT YOU Are you passionate about the environment and ready to join an inclusive workplace, committed to leading new ideas and pathways, and to delivering value? If the answer is, "Yes!" then we have an exciting career opportunity for you. Who are we? We are Montrose, a global environmental services provider offering environmental planning and permitting,...
-
Senior Quality Systems
5 days ago
Atlanta, United States Mikart Full timeSenior Quality Systems & Validations Specialist EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, national origin, genetic information,...
-
Senior Quality Assurance Engineer
5 days ago
Atlanta, United States Zelis Full timeZelis’ Senior Quality Assurance Engineer will provide quality assurance/engineering and test automation expertise to contribute to the success of all technology initiatives. This role will also be responsible for measuring quality and identifying metrics to drive continuous improvement. You will be an integral part of our software development team. You...
-
Senior Quality Engineer
1 day ago
Atlanta, United States FanDuel Full timeABOUT FANDUEL FanDuel Group ("FanDuel") is an innovative sports-tech entertainment company that is changing the way consumers engage with their favorite sports, teams, and leagues. The premier gaming destination in the United States, FanDuel consists of a portfolio of leading brands across gaming, sports betting, daily fantasy sports, advance-deposit...
-
Atlanta, United States Crowe Full timeDescription : Healthcare Performance Improvement Consulting Senior Manager Joining our Healthcare Consulting practice is an opportunity to help clients improve their healthcare operations, performance, competitiveness, and move forward in this a dynamic changing world. From day one of your career, you will assist our clients to understand and...
