Coordinates quality, utilization and risk management activities for the Home Care Agency; provides technical, educational, consultative, and coordinating support to assigned areas. Essential Responsibilities:Assists in the coordination of the quality management/utilization management department activities. Acts as a consultant for appropriate departments on quality management, utilization management and risk management activities. Assists with quality management studies through data collection, ... more details
Description:
Job Summary:
Coordinates quality, utilization and risk management activities for the Home Care Agency; provides technical, educational, consultative, and coordinating support to assigned areas.
Essential Responsibilities:
Assists in the coordination of the quality management/utilization management department activities. Acts as a consultant for appropriate departments on quality management, utilization management and risk management activities.
Assists with quality management studies through data collection, data input and report development. Provides objective assessment of important aspects of patient care through ongoing chart review with pre-established criteria.
Facilitates interdisciplinary collaboration for development of patient care paths. Reports all occurrences which may lead to medical center liability and follows up as necessary.
Serves as a member of the QM and/or UM Committees as needed. Attends and/or participates in committee meetings as needed. Assists in orientation and training; in formulating and evaluating policies and procedures.
Performs special projects as assigned, such as statistical reports for state, federal, and local agencies. Assists the director of quality and utilization management for QM and UM in the formulation of department goals and objectives.
Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Basic Qualifications:
Experience
Minimum three (3) years of home care nursing experience or quality utilization review experience.
Education
Bachelors degree in nursing or related field OR four (4) years of experience in a directly related field.
High School Diploma or General Education Development (GED) required.
License, Certification, Registration
Registered Nurse License (California)
Additional Requirements:
Current working knowledge of The Joint Commission, NCQA and Title 22 and federal standards/regulations.
Strong problem solving, project management, group facilitation and teamwork skills.
Demonstrate knowledge of adult learning theories.
Demonstrate ability to assess or evaluate patient medical records as it relates to quality of care and systems analysis.
Demonstrate knowledge of quality improvement, statistical analysis, and accreditation and licensing processes.
Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
Supervisory experience preferred.
Valid CA drivers license with personal means of transportation preferred.
PC literate, Microsoft Office applications preferred.
Job Abstracts is an independent Job Search Engine. Job Abstracts is not an agent or representative and is not endorsed, sponsored or affiliated with any employer. Job Abstracts uses proprietary technology to keep the availability and accuracy of its job listings and their details. All trademarks, service marks, logos, domain names, and job descriptions are the property of their respective holder. Job Abstracts does not have its members apply for a job on the jobabstracts.com website. Additionally, Job Abstracts may provide a list of third-party job listings that may not be affiliated with any employer. Please make sure you understand and agree to the website's Terms & Conditions and Privacy Policies you are applying on as they may differ from ours and are not in our control.
We would like to take a second to Welcome You to Job Abstracts, the nation’s largest Pure Job Board. With over 3.1 million job listings from 15,000+ Companies & Organizations, we help job searchers find careers that match their interests. As an anonymous user, you have probably discovered how easy our system is to use. However, you have just scratched the surface of what we can offer.
We encourage you to Register so you can use our most powerful features: searching with multiple terms, setting up multiple locations, establishing favorite companies, and accessing your search history. If you find a job you like, you can apply directly for it, and then, keep notes on it. We will also keep a lookout for jobs that match your search terms and email you when we find something you may like.
You can register for free and the system is free to use. If you like our system so far, click on Register and unlock the power required by serious job searchers.
Any time you conduct a search, the system shows you job matches, ranked by their Relevance Score (RS).
The score is calculated by a proprietary algorithm that uses Intelligent Machine Learning.
The Relevance Score tells you how well the job opportunity matches your search term or terms.
When not logged in, the system is limited to one search term. Scores for single term matches are usually lower.
When you register, log in, and set up multiple terms prioritized by importance, the jobs found for you will receive a much higher Relevance Score.