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HCA is looking for a dynamic leader in Quality Standards to handle hospital and ASC survey requirements. Must be knowledgeable in CMS and Joint Commission standards.

Provide consultation and education to HCA facilities regarding clinical performance improvement and foundational standards of operational compliance including the Joint Commission. Centers for Medicare and Medicaid services (CMS) and other health care standard setting and enforcement entities. Manager is a role of knowledge building towards responsibility for surveys for HCA Quality Review System. Travel to provide onsite expert consultation and survey for HCA Quality Review System to HCA hospital Chief Executive Officers, Chief Nursing Officers and other hospital Board of Trustee and medical staff leaders regarding clinical performance improvement and foundation operational standards requiring facility compliance. Role is critical to HCA strategy of Quality and Patient Safety as a differentiator of hospital and ambulatory surgery center operational performance. Role compliments and provides guidance to Division Vice President, Quality. Individual serves as the consultant to hospital and ASC clinical performance improvement. Position requires expertise to guide hospital quality and risk directors in their position requirements to counsel CEO, CNO, COO, medical staff and board leaders in continuous patient care improvement in a foundationally compliant manner. With increasing quality agenda, this position is critical to HCA mission and strategies. Position requires training and senior department member for training and assurance of knowledge acceptable a level of director. Incumbent travels and provides consultation but always with a Senior Director or AVP until expert knowledge is demonstrated. Design and present educational programs for HCA hospital and medical staff leaders regarding requirements of clinical performance improvement for operational compliance in public reporting including the hospital quality alliance, external quality agencies including the Joint Commission, CMS, State Survey agencies, etc. Conducts onsite assessments of focused topics within HCA hospitals including credentialing, utilization management, peer review, medical staff and board bylaws, etc. Position demands a total command of clinical performance improvements, standards, regulations and conditions of participation. Position is critical to advancement of HCA facility delivery of safe effective, efficient compassionate and satisfying patient care.College Graduate with 3+ years hospital department manager experience. Registered Nurse, Registered Pharmacist or accredited health information administrator. Consulting and educational program delivery skills and expertise. Computer knowledge and competency for presentation design and report delivery. Expert speaking and presentation skills and competency. Must be a team participant focused toward HCA clinical improvement strategies. 80% travel with up to 12 to 14 hour consulting days.

You have many choices in todays nursing market. Whatever stage you are in your nursing career, Johns Hopkins Nursing has a place for you. The spirit of collaboration, teamwork and empowerment youll know as a Johns Hopkins nurse is a unique experience. At Johns Hopkins, you can enjoy the support of a team while maintaining your individuality.We are currently hiring Utilization Management Specialists, reqs 27839, 27844, 27836 and Utilization Management Appeals Specialists, reqs 27760 and 27847.The Utilization Management Specialist, reqs 27839, 27844, 27836, is an integral part of a sophisticated healthcare team and reports to the Department of Utilization/Clinical Resource Management. This professional nursing role performs UM activities which include:- Concurrent and retrospective clinical reviews for medical necessity and level of care appropriateness. - Identifies utilization issues that impact reimbursement for the patients hospital stay- Facilitates peer to peer reviews with third party payers.- Collaborates with the healthcare team to expedite the patient plan of care.- Requirements:o 3 to 5 years of clinical RN experience; UM experience preferredo Understanding reimbursement, admitting, case management and care management, Medicare and Medicaid utilization requirementso Excellent interpersonal and communication written and verbal skills necessary to gather and exchange data with key professionalso Ability to assess medical records and make determinations on length of stay and proper procedures in accordance with policies and procedures with experience in assigned specialtyThe Utilization Management Appeals Specialist, reqs 27760 and 27847, fulfills the responsibilities of the UM Specialist, is an integral part of a sophisticated heathcare team and reports to the Department of Utilization/Clinical Resource Management. This professional nursing role performs UM activities which include:- Processes third party appeals for Inpatient, Outpatient and Emergency Department commercial denials as well as the upcoming RAC denials pertaining to Medicare patients. - Requirements:o Excellent written communication and verbal skills necessary to gather and exchange data with key professionals and third party payerso 5 years of clinical RN experience; UM experience preferred. Previous Appeals experience preferred but not required.o Understanding reimbursement, admitting, case management and care managemento Ability to assess medical records and make determinations on length of stay and proper procedures in accordance with policies and procedures with experience in assigned specialtyo Familiar with Interqual and/or Milliman criteria

Good Samaritan Hospital has 400+ beds and a reputation throughout Silicon Valley for excellence.

Good Samaritan Hospital has 400+ beds and a reputation throughout Silicon Valley for excellence. One of the first five JCAHO-certified Primary Stroke Centers in the nation, Good Samaritan just became the first acute rehab facility in northern California to receive CARF accreditation for stroke specialty. A recent $95 million investment expanded our facilities and services. We are currently seeking a part-time CMG/Clinical Assessment Coordinator to assume responsibility for the completion of the Inpatient Rehab Facility Patient Assessment Instrument (IRF-PAI). Responsibilities will include:• Transmitting information to CMS within the defined timeline as outlined in the Federal Register• Reviewing medical records to ensure appropriate documentation occurs to support findings noted on the IRF-PAI• Functioning as a liaison between the team, medical records personnel and finance services to ensure accurate documentation, coding and payment• Coordinating the referral development and pre-admission patient assessment process and providing clinical assessments for potential clientsQualified candidates must possess:• License as a California Registered Nurse, California Occupational Therapist, California Physical Therapist or California Speech Language Pathologist • Basic Life Support Certification• A minimum of one to three years full-time equivalent experience • Ability to learn and utilize computerized patient care management system• Ability to understand and follow verbal and written instructions• Ability to effectively read, write and verbally communication in the English languageThis is an exceptional opportunity in an incredible location! Choose a quiet mountain-top cabin in the Santa Cruz foothills, a sleek downtown loft in the heart of Silicon Valley or a family-friendly neighborhood with progressive local schools. Skiing, surfing, beachcombing and a vibrant arts community are waiting for you. Beyond an outstanding compensation package, we help you achieve your professional goals – every day.

Job Category: NursingJob Specialty: ManagementPosition Type: Regular-F/TShift Length: 8hrHours: 8am - 5pm Days: Monday - FridayShift Type: DayWeekends: None Job Description: Under the direction of the Medical Director of Resource & Outcomes Management and in coordination with the Director of Resource and Outcomes Management, the RN, Senior Clinical Measurement Analyst uses projects management and data analytic skills to meet internal and external requirements for internal and public reporting of hospital quality data on process and outcomes measures. Provides analysis and reporting of hospital data in accordance with requirements of regulatory, governmental, voluntary agencies (e.g. Hospital Quality Alliance, California Hospital Assessment & Reporting Taskforce, Leapfrog Group, etc.) and internal bodies. Maintains knowledge base of measurement definitions and guidelines. Assures data integrity. Adheres to reporting timelines. Provides analytic support to quality improvement teams, hospital operations, and other Departments. Monitors and facilitates communication between CSMC and vendors and external agencies/organizations involved in public reporting of hospital quality data.Educational Requirements:Requires a Master´s degree in a related field, with strong preference in health care oriented degree including quantitative focus (such as Public Health or Health Administration). Experience with Core Measures or hospital quality reporting preferred.License/Certification/Registration Requirements:California Registered Nurse (RN)Experience:• Clinical experience in nursing with advanced clinical nursing skills and theoretical knowledge; medical/surgical hospital nursing experience preferred.• Minimum of four years experience with proven analytical, statistical/methodological expertise utilizing health care data, organizing and synthesizing quantitative and qualitative clinical and administrative studies or reports.• Strong computer/analytical skills; intermediate-level skills in Excel and Word, required; advanced skills preferred. Able to work with databases and write reports. Analyses include data stratification of compliance with clinical measures for specific patient populations (e.g., direct vs. emergency admissions of pneumonia patients, general surgery vs. gynecologic surgery, etc.); development of graphical presentations of performance improvement data over time.• Strong project management skills. Must be able to work with minimal supervision. Duties involve a variety of complex projects and assignments that are handled simultaneously. Each one has its own schedules, demands, and deadlines and involves intense interaction and teamwork with a variety of people of various skills and knowledge level.• Strong interpersonal skills and experience in collaboratively working with teams and individuals.

Become a Cedars-Sinai Employee!

Hours: 8am - 4:30pm Days: Monday - FridayShift Type: DayWeekends: None Job Description: Cedars-Sinai Health System has an opening for a RN, Supervisor Case Review. The Case Review Supervisor will be responsible for the day to day oversight of the Peer Review Process. The supervisor will review correspondence and assist case review coordinators with routine process questions. The Supervisor must demonstrate initiative, resourcefulness and problem-solving skills in applying a detailed knowledge of the responsibilities, functions and underlying management structure of the department and of the larger Health System in organizing and prioritizing work, establishing procedures and systems and ensuring the orderly and timely flow of business. The Supervisor must possess a full understanding of the confidentiality requirements to effectively and legally communicate practitioner related issues. The supervisor will communicate to the Patient Safety Manager all concerns and issues of a non routine nature or potential safety issue. In addition, the supervisor will be responsible for coordinating the Ongoing Professional Practice Evaluation (OPPE) for the medical staff. The Supervisor will have oversight of the Case Review Coordinator who will focus on identifying professional practice trends that impact quality of care and patient safety. The Supervisor will utilize expert clinical knowledge and experience to collaborate with the Case Review Coordinator using the Medical Center and Department specific criteria. Education and Work Experience Preferences: Educational Requirements:Bachelors Degree preferred and course work in healthcare related field preferred.License/Certification/Registration Requirements:Current active licensure as Registered Nurse in California required; Certified Professional in Healthcare Quality preferred

Vanderbilt University Medical Center, a Magnet recognized organization and internationally respected leader in medical education research and patient care, enjoys a reputation for excellence unlike any other healthcare facility. An important part of that is the high regard we and our patients have for our staff. If you want a career where your knowledge is respected and your voice heard, come to Vanderbilt.We are currently seeking a qualified candidate for the following position: Clinical Ergonomist RN, OT, PT Occupational Health Clinic The Ergonomist in this role manages and is accountable for general oversight of implementation of Vanderbilt´s safe patient handling program, Smooth Moves. Key responsibilities include, but are not limited to: - Assist in the planning, development, implementation, and evaluation of Vanderbilt´s safe patient handling program. - Coordinate and develop programs related to safe patient handling and develop educational materials relevant to program and its continuous improvement. - Assist in evaluating the safe patient handling programs at Vanderbilt and recommend changes in policies, procedures, or programs. - Collect, track, and analyze program data for reports and continuous quality improvement. - Track and trend patient handling injuries and identify opportunities to strengthen program through Root Cause Analysis. - Perform worksite walk-through assessments. - Collaborate with members of occupational health team. - Conduct training on appropriate use of safe patient handling equipment. - Serve as a representative of Vanderbilt´s Occupational Health Ergonomics Program.This position requires a Bachelor´s degree (Masters degree preferred) in a related discipline (such as RN, Occupational Therapist, Physical Therapist, etc.) and five years of related experience in health care setting. Additional Information: This is a full-time position; 40 hours per week; Monday - Friday; 7:30 - 5:30 (variable). Background screens and education must be approved prior to employment. Please be prepared to provide required information. Vanderbilt is a smoke-free workplace in compliance with the Non-Smoker Protection Act, Tennessee Code Annotated 39-17-1801-1810. In accordance with that law and Vanderbilt policy, smoking is prohibited in all enclosed areas on Vanderbilt property.

Opportunities in Brooklyn at Long Island College Hospital. We are currently seeking a Quality Coordinator.

Coordinator will be responsible for (but not limited to):*Coordinate and participate in Root Cause Analysis Prepare Root Cause Analysis write-ups.*Enter and maintain key quality data for the NYPORT Database and hospital based access database*Acts as liaison with NYSDOH and other state and federal health department authorities in investigative matters and matter related to submission.*Follow up on corrective action measures established during the root cause and quality review processes.*Act as a subject matter expert related to outcome reporting standards and clinical standards to the hospital clinical areas.*Maintain and organize quality review files. Prepares a quarterly report for the involved departments*Review trends and variances with involved departments.*Analyze unanticipated and adverse events to determine next steps.*Coordinate quality reviews for unanticipated and adverse events.*Participate in all PI projects as requested by the Vice Present of Quality*Assists in the planning of in-service programs through teaching and attending.*Responsible for quarterly review of information submitted through the NYPORT system and Root Cause Analysis.*Collaborates with physicians and other disciplines in the development of critical pathways.*Review hospital written occurrence reports and investigate occurrences for potential quality issues.*Assists in implementing and maintaining departmental systems and programs, including activities to meet the requirements of various regulatory agencies.*Assists in the evaluation of the Quality Care *Management Departments goals, and the impact on improving patient care and safety.*Maintains current knowledge of federal, state and JCAHO guideline, NYPORT (outcome) reporting requirements and applies them to the activities of the department.Requirements:A degree in Nursing is required. A Masters degree is highly preferred with concentration in related healthcare science. Minimum of 5-7 years experience as a RN with clinical experience, plus at least two years of managerial experience is required. In addition the candidate must:Demonstrate a proficiency in working collaboratively. Have a working knowledge of outcome reporting and data abstraction and process oversight. Have knowledge of clinical standards of care, Federal, State and JCAHO. Have a working knowledge of the New York Patient Outcome Reporting system, reporting requirements, standards and exceptions. Be proficient in MS Word, Excel and Power Point and strong verbal and writing skills. Have a working knowledge of Microsoft Access or willingness to learn Access.We offer a competitive salary and a comprehensive benefits package.

Regulatory and Quality Improvement SpecialistAs the only academic medical center in the Rocky Mountain region, University of Colorado Hospital leads the way with the most advanced care and research. U.S. News and World Report ranked us for the 14th time as one of America´s Best Hospitals and our Magnet designation is testimony to nursing excellence. We pride ourselves on delivering high-quality services with compassion and professionalism.We are currently seeking a Regulatory and Quality Improvement Specialist for Ambulatory Services. -Responsible for leading the initiatives to keep a consistent state of readiness for JCAHO, Magnet and other regulatory inspections throughout the Ambulatory Services Division. -Interprets regulatory standards and assists Division Managers and Charge Nurses in applying them in their clinical practices. -Responsible for pulling together clinical, financial, statistical, and analytical data support to determine current levels of safe practice and quality outcomes throughout ambulatory services. -Assists Department Managers and Charge Nurses in interpreting data, developing process improvement and action plans, and implementing them. -Represents Ambulatory Services in institution wide and departmental committees. -Reports to the Director of Nursing and Professional Standards for Ambulatory ServicesPrefer clinical (patient care) training, highly skilled in statistics, with knowledge of computer applications, databases, spreadsheets: Bachelors Degree in health related field required. A BSN strongly preferred. Registered Health Information Administrator (RHIA) or Certified Professional in Healthcare Quality CPHQ a plus.University of Colorado Hospital has been ranked one of the best in the country in six of 16 medical specialties in U.S. News & World Report. Join our fast-paced and challenging environment. For immediate consideration, apply online at www.uch.edu/employment. Excellent compensation and benefits available. EOE/AA.

Presbyterian Healthcare Services in New Mexico is seeking Quality Clinical Managers.

Presbyterian is seeking Quality Clinical Managers to support quality programs throughout the hospital, with assignment to key clinical service lines. These positions are responsible for assisting with the analysis, planning, implementation, and evaluation of clinical quality initiatives that promote PHS clinical strategies. Responsibilities also include identifying appropriate solutions for PHS clinical initiatives in a timely manner and is actively involved in process re-design and re-engineering. Qualifications / Requirements include:- Bachelor´s degree in nursing or related field. - Minimum of five years experience in clinical nursing or related field and three years quality improvement experience. - Project management, team leading and facilitation skills required.- Candidates must possess a high level of energy as well as a strong commitment to excellence and process improvement.- The ability to demonstrate critical thinking and ethical behaviors is required.- Self-motivation and professional attitudes are essential. - PC software skills in word processing, spreadsheet, database, statistical process control applications, decision support systems, comparative and benchmarking skills, Visio, Power Point, Microsoft Project Manager skills preferred. - Attain Green Belt certification and Lean training within 18 months of employment.PHS offers an excellent compensation and benefits package,as well as the rewards that come from living out our 100-year tradition of quality, compassionate caring.