The Quality Improvement RN implements new and existing healthcare quality improvement initiatives and educational programs. Ensures maintenance of programs for members in accordance with prescribed quality standards. Reviews clinical data for clinical quality complaints; conducts data collection, reporting and monitoring for key performance measurement activities. Provides direction and implementation of URAC accreditation surveys and federal/state quality improvements/compliance activities.
Associate Degree in Nursing and RN License required. License must be active and in good standing. Bachelor's Degree in Nursing preferred.
Clinical Quality, Public Health or Healthcare, Certified Professional in Health Quality (CPHQ), Certified HEDIS Compliance Auditor (CHCA) preferred.
Three years Managed Care experience required
One year of Quality Improvement experience
OTHER SKILLS: Above Average Verbal (Heavy Public Contact) Bilingual (English/Spanish) preferred Writing /Composing (Correspondence /Reports) Demonstrated solid business writing experience. Operational knowledge and experience with Excel and Visio (flow chart equivalent).
Internal Number: 148786
About Harris Health System
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.