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Advocate Health Care is currently seeking candidates for a Quality Improvement- QI position.

This position is responsible for enhancing patient care and satisfaction through quality activity, monitoring and to coordinate and execute the specific tasks required for efficient and effective operation of the quality improvement program in accordance with department, contractual and regulatory agency standards.Qualifications: Good organizational and interpersonal skills.Computer skills, basic keyboard knowledge. Willingness to be flexible with work scheduleKnowledge of managed care or utilization review or hospital quality. BSN or 2-4 equivalent years experience in managed care.1-2 years experience in utilization management/QI activity. 3-5 years of clinical experienceCurrent RN license issued by the state of IllinoisCurrent CPR certificationAdvocate Health Care, based in Oak Brook, Illinois, is the largest fully integrated health care delivery system in metropolitan Chicago and the state of Illinois, and is recognized as one of the top health care systems in the country. Advocate is the second largest private sector employer in metropolitan Chicago with more than 25,000 associates and has the largest trauma network in the state of Illinois.

Under general supervision of the Regional Coding Manager/Manager of Inpatient Coding, the Clinical Documentation Specialist is responsible for improving overall quality and completeness of clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physician, case management, nursing staff, other patient caregivers and coding staff. Minimum Qualifications: Graduate of an approved Health Information Technology/Management program with credentials of RHIA, RHIA eligible, RHIT, RHIT eligible, CCS, CCS-P and/or graduate from an accredited nursing program with RN licensure. Two years of experience in acute care setting. One year of inpatient coder experience preferred. Minimum Requirements: RHIT, RHIA, or CCS if RN graduate from an accredited nursing program with RN licensure

Our medical group has over 400 practitioners who deliver medical care to 265,000 Kaiser Foundation Health Plan members throughout the Atlanta area in our 15 medical centers.

Primary Duties and Responsibilities:Responsible for carrying out utilization review, quality review and discharge planning on inpatient admissions including rehabilitation units at core facilities according to policy. The activities will include onsite admission and concurrent review for inpatient admissions, discharge planning, identification of patients for case management, communication with case managers, home care reviewers, Social Workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff. Achieves desired utilization and quality outcomes and promotes high customer satisfaction to the population served.Minimum Education and Experience Requirements:•Unrestricted current Registered Nurse (RN) licensure/ Licensed Clinical Social Worker (LCSW) in the state of Georgia required or documentation to show intent to seek license•Functional knowledge of computers •Experience with managed health care delivery including Medicare•Working knowledge of all relevant federal, state, local and regulatory requirements•At least two (2) years of experience in utilization or case management, discharge planning and quality improvement in a health care or managed care settingPreferred Education and Experience:•B.S. in Nursing preferred •Three (3) years of clinical nursing preferably in a complex area such as critical care.