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You´ve always wanted to work in a dynamic place. At Bakersfield Memorial Hospital, you have all the challenge and growth you need in order to drive your career.

FACILITY INFORMATIONAs our city grows, the New West Tower affords Bakersfield Memorial Hospital the ability to treat more patients, allowing families to stay close to home rather than traveling elsewhere for services and quality care they need and deserve. Patient rooms that offer privacy for patients and family, which enhance healing. The new 114 bed West Tower includes 24 state-of-the art ICU beds, helping Memorial meet the growing demand for beds from patients coming through the Emergency department. There are two additional 30-bed telemetry/med surgery floors and a new 30 bed Family Care floor (post-partum, GYN). Our tiniest patients receive the highest level of care from Kern County´s most experienced and trusted doctors and nurses in Memorial´s expanded Neonatal Intensive Care unit. This unit is equipped with the most advanced technology and soon our Pediatric Intensive Care Unit will be open to treat local children with critical healthcare needs. The New West Tower has given Memorial Hospital over 400-licensed acute care beds, making Memorial hospital the largest full service Hospital in Kern County. POSITION REQUIREMENTSUnder the direction of the Director of Quality Management oversees the Continuous Accreditation Readiness and regulatory compliance program for Bakersfield Memorial Hospital. Provides leadership for the program on an ongoing basis to ensure compliance with applicable standards. Required: 5 years experience in a healthcare setting. 3 years experience in Joint Commission/Regulatory Compliance. Bachelor´s degree in healthcare completed or in process. Good working knowledge of computers and software programs including Microsoft Office. Excellent written and verbal communication skills. Team Management, team building, and performance improvement experience required. Current CA RN license. Keywords: Nurse Manager, Accreditation and Regulatory Compliance, Quality Management, RN, Registered Nurse, Bakersfield, CA, California *MH* CB~ *HJ

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

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.