Quality Improvement Nurse, El Paso Health

Job Details

Job Summary

Responsible for the identification of clinical quality issues, recommends actions for improvement, facilitates improvement teams, disseminates education in direct relation to the QI process, and is integral in the maintenance of health plan regulatory and contractual compliance related to quality. Assists in the daily implementation and maintenance of El Paso Health's QI Program. Completes concurrent and retrospective reviews of clinical quality management issues within the health plan. Works closely with Director of Quality Improvement, Medical Director, Network Providers and other Health Plan Associates.

Skills

1. Must have extreme attention to detail.
2. Must have strong analytical, planning and organizational skills.
3. Must be able to work both independently and with team members.
4. Must demonstrate ability to accept and institute change.
5. Must have strong verbal and written communication skills.
6. Must have teamwork skills in order to work with internal and external departments and individuals.
7. Communicates effectively both orally and in writing.
8. Team building and exemplary interpersonal skills.
9. Experienced in the facilitation of group techniques.

Work Experience

Three years experience working in a managed care organization conducting quality improvement activities or medical record reviews. Strong working knowledge of the Texas Health and Human Services Commission Performance Improvement/Quality Improvement requirements. Must be familiar with NCQA and/or URAC accreditation, and how NCQA and/or URAC accreditation requirements are implemented in a health care system required. Understands and utilizes the fundamentals of continuous quality improvement.

License/Registration/Certification

Current, active, unrestricted licensed to practice as a Registered Nurse in the State of Texas.

Education and Training

Bachelor degree in Nursing required.

 University Medical Center of El Paso

 08/08/2024

 El Paso,TX