Temporary Quality Improvement Nurse PQI
ABOUT THIS TEMP POSITION This is a temporary position and the length of assignment is estimated to the end of the year with an opportunity for extension. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Clinical Safety Supervisor, this position: • Develops, manages, and measures a comprehensive healthcare strategy in alignment with Department of Health Care Services (DHCS) standards of care and in collaboration with internal stakeholders and network providers to promote best evidence-based practices and improve member health outcomes • Evaluates patient safety and quality issues and communicates findings to internal stakeholders, network providers and community partners WHAT YOU'LL NEED TO BE SUCCESSFUL Desirable Qualifications • Experience in process improvement, practice coaching, or health care quality improvement • Experience performing PQI activities • Working knowledge of managed care, the Medi-Cal program, and related policy • Working knowledge of the methods of conducting and interpreting quantitative and qualitative analysis • Some knowledge of NCQA HEDIS abstracting guidelines • Some knowledge of CPT and ICD coding principles To read the full position description, and list of requirements click here. • Knowledge of: The principles and practices of clinical nursing • Medical practice operations and healthcare delivery systems • Ability to: Participate in and support internal and external audits • Identify issues, conduct research, gather and analyze information and data, reach logical and sound conclusions, and make recommendations for action • Analyze information and data and prepare oral and written reports Education and Experience: • Current, unrestricted license as a Registered Nurse issued by the State of California • Bachelor’s degree in Nursing and a minimum of three years of experience as a Registered Nurse in acute care or primary care with an emphasis on preventative care (a Master’s degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying OTHER INFORMATION • We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams. • While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. • In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. • This is a temporary position and does not provide the benefits that are listed below (it is standard language from our regular job posts and cannot be altered or removed). The full compensation range for this position is listed by location below. The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).