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Home Healthcare Services Quality-Assurance-Utility-Coordinator


 Quality Assurance Utility Coordinator

Details
Country: USA
Location: California-Silicon Valley/Peninsula Redwood City, CA 94063
Total applied: 40
Quality Assurance Utility Coordinator

DEPARTMENT:  Neurosciences SCHEDULE: Full time regular, 40 hours per week, Monday-Friday, 8:30am to 5:00pm. EDUCATION/LICENSE/CERTIFICATION:  Bachelors degree in nursing or related field. JOB SUMMARY: Coordinates quality, utilization and risk management activities for the medical center; provides technical, educational, consultative, and coordinating support to assigned areas. QUALIFICATIONS: A minimum of 3 years experience in acute care nursing as a RN. Must have a current RN license in California. A minimum of 1 year's experience in quality management with demonstrated knowledge of quality improvement, statistical analysis, accreditation and licensing processes.  Strong problem solving, project management, group facilitation and teamwork skills.  Demonstrated ability to assess or evaluate patient medical records as it relates to quality of care and systems analysis.  Current working knowledge of The Joint Commission, NCQA and Title 22 standards/regulations. Supervisory experience preferred.  Demonstrated knowledge of adult learning theories. Must be PC literate, Microsoft Office applications preferred. Valid CA driver's license with personal means of transportation preferred. Preferred Qualifications/Experience :  A minimum of 5 years' experience in acute care nursing as a RN. Must have a current RN license in California. Experience in quality management with knowledge of quality improvement, basic statistical analysis, and data management preferred. Demonstrated proficiency in electronic health systems and databases used in a research environment, or willingness to learn and demonstrate proficiency within six (6) months of hire. Strong problem solving, project management, group facilitation and teamwork skills required. Demonstrated ability to assess or evaluate patient medical records as related to quality of care and systems analysis. Current working knowledge of The Joint Commission, NCQA and Title 22 standards/regulations, accreditation and licensing processes preferred. Must be PC literate, strong working knowledge of Microsoft Office applications preferred.  DUTIES: Assists in the coordination of the quality management/utilization management department activities with other medical center departments. 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. Reports all occurrences which may lead to medical center liability and follows up as necessary. Facilitates interdisciplinary collaboration for development of patient care paths. Reviews hospital admissions and extended stays for specific hospital departments. 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 of peers; 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. DUTIES SPECIFIC DEPARTMENTAL NEEDS: Leads development of the Neuroscience Dept. Quality Outcomes Plan, including quality improvement programs and outcomes research for the Redwood City Neurosciences Department, in collaboration with the Medical Director for Quality and the Administrative Director of the Department of Neurosciences. Coordinates quality improvement projects through database creation and management, data collection, and report development. Organizes quality improvement projects and clinical research activities, including interaction with regulatory bodies such as the Kaiser IRB and the FDA and interaction with collaborating academic centers such as Stanford, UCSF, and the Neurological Emergencies Treatment Trials (NETT) group. Provides objective assessment of important aspects of patient care through ongoing chart review with pre-established criteria. Reports all occurrences which may lead to medical center liability and follows up as necessary. Reviews hospital admissions and extended stays for the Neurosciences Department. Attends and/or participates in committee meetings as needed. Performs special projects as assigned, such as statistical reports for state, federal, and local agencies. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures.  Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente’s Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente’s policies and procedures. Kaiser Permanente conducts compensation reviews of positions on a routine basis.  At any time, 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. PLEASE NOTE: - Kaiser Permanente is an AA/EEO employer -  Additional Information Position Type: Full Time, Employee

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