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As part of the largest healthcare system in the country, we have more than 15,000 dynamic individuals on the HCA West Florida Division team. Yet we all have one thing in common – a desire to make a difference in the lives and communities we serve.

You can achieve more at HCA West Florida. With 16 hospitals located throughout Tampa, St. Petersburg, Sarasota and the greater Orlando area, you’re sure to find the one workplace that does more for you – personally and professionally. Our team is made up of 15,000 individuals united by one purpose: to make the most of each other’s talents. That means you’ll have the support and the resources you need to pursue your goals. Join us here for a rewarding future that focuses on what matters most to you.Brandon Regional Hospital, part of the growing HCA West and Central Florida hospital system, is a busy 407-bed acute care facility. Situated just south of Tampa, we have been part of the community for over 30 years. Families trust us meet their needs, knowing that they have access to these Centers of Excellence and more:   Chest Pain Center * Heart & Vascular Institute * Spine Care Center * Stroke Center * Cancer Care * Women´s & Children´s Center  DUTIES:     Evidence based measures Oversees the collection, compilation, analysis and presentation of evidence based measure data as assigned;Prepares and presents requested reports regarding the findings and outcomes of evidence based Measures;Reviews concurrently those patients that may trigger assigned evidence based measure care paths;Cross trains with other coordinators to be able to assure department function continuity in the event of illness or other staff absence;Understands all elements of the Comet database and is proficient in use;Serves as the Administrator for the Comet database, as assigned;Serves as the Administrator for the QNet Exchange website, as assigned;Ensures reliability and validity of the evidence based data and able to maintain 90% proficiency in validation scores;Facilitates timely submission of Comet data;Assists Manager and/or Director in data gathering and analysis as requested;Supports and collaborates with Chief Medical Officer and other physician leadership as directed for presentation of outcome data at department meetings for the purpose of quality improvement;Serves as a resource to peers, colleagues, management and medical staff regarding requirements of evidence based measures, as assigned. Regulatory Standards Maintains a current working knowledge relative to state and Federal standards and regulatory requirements (i.e., CMS Conditions of Participation, Joint Commission standards, state hospital licensure, etc.)Maintains a current working knowledge of relative patient safety standards and national patient safety initiatives and outcome measures (i.e., Leapfrog, IHI, evidence based measures, etc.);Participates in facility tracers to ensure ongoing compliance, document and evaluate performance improvement requirements for Joint Commission, CMS and other applicable compliance requirements;Participates effectively in performance improvement initiatives such as FMECA, RCA, and Sentinel event investigations and related corrective action planning;Works collaboratively through daily rounds with hospital wide departments to support ongoing compliance with Federal, State and regulatory statutes and standards, and medical staff and hospital staff education Skills RequirementsMakes suggestions for improving Hospital compliance. Department Support Readily communicates all opportunities to improve processes, policy, and procedures;Supports and promotes the mission of the hospital and the Quality Department in providing safe, effective patient care;Maintains a team centered attitude within the department with peers and management staff. Medical Staff Support Works collaboratively with Medical Staff coordinator to ensure ongoing medical staff physician profiling activities are completed timely and within the defined facility structure for credentialing activities;Facilitates peer review committee meetings as assignedTakes and produces accurate minutes for peer review committees as assigned and according to hospital policy; and   Other duties as assigned.    Skills Requirements:   Demonstrates ability to effectively communicate within all levels of the organization;Demonstrates effective leadership skills in advancing patient outcomes (i.e., through evidence based measures, performance improvement reviews and teams, etc.);Demonstrates knowledge of data systems and computer software resulting in ability to effectively and efficiently create accurate data sets used for reporting, analysis and presentation;Detail oriented to ensure accuracy of work product and promote credibility within all levels of the organization;Ability to demonstrate current knowledge of clinical care guidelines and national priorities for safe, effective patient care;Knowledge of medical terminology and disease processes sufficient to provide accurate, efficient medical record reviews and interpretation of care standards;Analytical skills sufficient to accurately and efficiently evaluate outcomes of care and ability to lead others in the processes involved in a team environment;Effectively communicate results of patient care evaluations sufficient to meet the objectives of improving patient care;Leadership as a role model in communicating the goals and objectives of the Quality Department with the medical staff, administration, management and all hospital staff in order to further the Hospital´s performance improvement initiatives and activities.   Qualifications: RN LicensureMinimum of 3 years experience in an acute care setting. (OR or ICU experience is a plus).Knowledge of computer software.Proven ability to work effectively with hospital and medical staff.Understanding of research principles and scientific methods.Skilled in accurate, efficient medical record review.Sufficient knowledge to interpret care standards.Flexibility in scheduling.Highly motivated and organized with the ability to focus on project development.The employee will be proficient in performing the functions of this job after six months of orientation.

You can achieve more at HCA West Florida. With 16 hospitals located throughout Tampa, St. Petersburg, Sarasota and the greater Orlando area, you’re sure to find the one workplace that does more for you – personally and professionally. Our team is made up of 15,000 individuals united by one purpose: to make the most of each other’s talents. That means you’ll have the support and the resources you need to pursue your goals. Join us here for a rewarding future that focuses on what matters most to you.Brandon Regional Hospital, part of the growing HCA West and Central Florida hospital system, is a busy 407-bed acute care facility. Situated just south of Tampa, we have been part of the community for over 30 years. Families trust us meet their needs, knowing that they have access to these Centers of Excellence and more:   Chest Pain Center * Heart & Vascular Institute * Spine Care Center * Stroke Center * Cancer Care * Women´s & Children´s Center DUTIES:   Evidence based measures Oversees the collection, compilation, analysis and presentation of evidence based measure data as assigned;Prepares and presents requested reports regarding the findings and outcomes of evidence based Measures;Reviews concurrently those patients that may trigger assigned evidence based measure care paths;Cross trains with other coordinators to be able to assure department function continuity in the event of illness or other staff absence;Understands all elements of the Comet database and is proficient in use;Serves as the Administrator for the Comet database, as assigned;Serves as the Administrator for the QNet Exchange website, as assigned;Ensures reliability and validity of the evidence based data and able to maintain 90% proficiency in validation scores;Facilitates timely submission of Comet data;Assists Manager and/or Director in data gathering and analysis as requested;Supports and collaborates with Chief Medical Officer and other physician leadership as directed for presentation of outcome data at department meetings for the purpose of quality improvement;Serves as a resource to peers, colleagues, management and medical staff regarding requirements of evidence based measures, as assigned. Regulatory Standards Maintains a current working knowledge relative to state and Federal standards and regulatory requirements (i.e., CMS Conditions of Participation, Joint Commission standards, state hospital licensure, etc.)Maintains a current working knowledge of relative patient safety standards and national patient safety initiatives and outcome measures (i.e., Leapfrog, IHI, evidence based measures, etc.);Participates in facility tracers to ensure ongoing compliance, document and evaluate performance improvement requirements for Joint Commission, CMS and other applicable compliance requirements;Participates effectively in performance improvement initiatives such as FMECA, RCA, and Sentinel event investigations and related corrective action planning;Works collaboratively through daily rounds with hospital wide departments to support ongoing compliance with Federal, State and regulatory statutes and standards, and medical staff and hospital staff education Skills RequirementsMakes suggestions for improving Hospital compliance. Department Support Readily communicates all opportunities to improve processes, policy, and procedures;Supports and promotes the mission of the hospital and the Quality Department in providing safe, effective patient care;Maintains a team centered attitude within the department with peers and management staff. Medical Staff Support Works collaboratively with Medical Staff coordinator to ensure ongoing medical staff physician profiling activities are completed timely and within the defined facility structure for credentialing activities;Facilitates peer review committee meetings as assignedTakes and produces accurate minutes for peer review committees as assigned and according to hospital policy; and   Other duties as assigned.   Skills Requirements:   Demonstrates ability to effectively communicate within all levels of the organization;Demonstrates effective leadership skills in advancing patient outcomes (i.e., through evidence based measures, performance improvement reviews and teams, etc.);Demonstrates knowledge of data systems and computer software resulting in ability to effectively and efficiently create accurate data sets used for reporting, analysis and presentation;Detail oriented to ensure accuracy of work product and promote credibility within all levels of the organization;Ability to demonstrate current knowledge of clinical care guidelines and national priorities for safe, effective patient care;Knowledge of medical terminology and disease processes sufficient to provide accurate, efficient medical record reviews and interpretation of care standards;Analytical skills sufficient to accurately and efficiently evaluate outcomes of care and ability to lead others in the processes involved in a team environment;Effectively communicate results of patient care evaluations sufficient to meet the objectives of improving patient care;Leadership as a role model in communicating the goals and objectives of the Quality Department with the medical staff, administration, management and all hospital staff in order to further the Hospital´s performance improvement initiatives and activities.   Qualifications: RN LicensureMinimum of 3 years experience in an acute care setting. (OR or ICU experience is a plus).Knowledge of computer software.Proven ability to work effectively with hospital and medical staff.Understanding of research principles and scientific methods.Skilled in accurate, efficient medical record review.Sufficient knowledge to interpret care standards.Flexibility in scheduling.Highly motivated and organized with the ability to focus on project development.The employee will be proficient in performing the functions of this job after six months of orientation.

As part of the largest healthcare system in the country, we have more than 15,000 dynamic individuals on the HCA West Florida Division team. Yet we all have one thing in common - a desire to make a difference in the lives and communities we serve.

You can achieve more at HCA West Florida. With 16 hospitals located throughout Tampa, St. Petersburg, Sarasota and the greater Orlando area, you´re sure to find the one workplace that does more for you - personally and professionally. Our team is made up of 15,000 individuals united by one purpose: to make the most of each other´s talents. That means you´ll have the support and the resources you need to pursue your goals. Join us here for a rewarding future that focuses on what matters most to you.Northside Hospital & Tampa Bay Heart Institute, part of the growing HCA West and Central Florida hospital system, is known for a dedicated Cardiovascular and Neuroscience focus. Our 288-bed facility also has a reputation for achieving high levels of quality care within comfortable, high-tech setting. Respected Centers of Excellence include: Chest Pain Center * Heart & Vascular Institute * Spine Care Center * Stroke Center Join us now in the heart of St. Petersburg, Florida, where you´ll enjoy a short commute, easy beach access and more.Responsibilities:-Oversees the collection, compilation, analysis and presentation of core measure data-Supports and promotes the mission of the hospital and the Quality Department-Understands all general elements of the core measures database-Ensures reliability and validity of the core measures data-Facilitates timely submission of core measures data-Maintains working knowledge relative to Conditions of Participation, JCAHO standards and assists Director to perform facility tracers to ensure ongoing compliance, document and evaluate performance improvement requirements for JCAHO and CMS-Participates effectively in performance improvement initiatives such as FMECA, RCA, and Sentinel event and related action planning-Reports all opportunities to improve processes, policy/procedures-Prepares and presents requested reports regarding the findings and outcomes of the Core Measures-Collaborates with physician leadership for presentation of outcome data at department meetings for the purpose of quality improvement-Works collaboratively with Medical Staff coordinator to ensure ongoing medical staff peer review process through chart reviews and physician profiling activities within the defined facility structure-Works collaboratively through daily rounds with enterprise wide departments to support ongoing compliance with Federal, State and regulatory statutes and standards and medical staff and hospital staff education Skills Requirements Qualifications:-Minimum of 3-5 years hospital experience, with strong clinical background-Licensure as RN required-Quality Management experience is preferred.-Proven ability to work effectively with hospital and medical staff-Understanding of research principles and the scientific method-Skilled in medical record review and interpretation of care standards-Flexibility in scheduling-Highly motivated and organized with the ability to focus on project development-The employee will be proficient in performing the functions of this job after six months of orientation

Focused on the future.Ours & Yours.Weiss Memorial Hospital, located along Chicagos lakefront, is focused on the future of our organization as well as the future of your career! Join our growing organization and see the difference it will make in your career.Quality AnalystYou will support quality process improvement projects by performing data abstraction, analysis and entry, data base development and report generation. Your responsibilities will include accurate database entry, collection, abstraction, analysis, interpreting and reporting quality data for Weiss Memorial Hospital executive staff, medical staff and appropriate teams and committees.Requires a Bachelors degree and current RNs license for the state of IL. You must have three or more years experience in Cardiology. Experience in data abstraction and interpretation, data entry, data analysis, creation of spreadsheets and displaying statistical information on outcome measures preferred. Excellent organizational skills will be necessary, as well as the ability to prioritize projects based on need and deadlines. CPR and ACLS required.

Red Bud Regional Hospital

Performs review of medical records/other information for Medical Staff/hospital departments. Abstracts and aggregates data using quality tools and statistical methods as appropriate. Enters data into authorized databases in a timely manner. Prepares reports and makes presentations to various committees/audiences as requested or assigned. Attends Medical Staff departmental and committee meetings as the QMS staff representative as assigned. Assists in preparing agendas and taking minutes for various meetings. Qualifications EDUCATION/LICENSURE/CERTIFICATION/SKILLS REQUIREMENTS PREFERRED:BSN preferred. CPHQ certification preferred. EDUCATION/LICENSURE/CERTIFICATION/SKILLS REQUIREMENTS REQUIRED:RN licensed in Illinois with a minimum of 3-5 years acute care experience required. Excellent interpersonal and communication skills (oral and written) required. We will consider licensure in another medical related field. Data management skills, including quality tools and statistical methods, required. Computer skills including word processing, graphics and data base programs required. EXPERIENCE PREFERRED:3-5 years quality/utilization management/risk management experience preferred. EXPERIENCE REQUIRED:Knowledge of Joint Commission, Federal and State regulations required.

Community First Health Plans -- 110,000 members and still growing. Community First Health Plans, the regions only locally-owned and operated, not-for-profit HMO, was established in 1995, by University Health System, specifically to begin providing health care coverage to the citizens of Bexar and the surrounding seven counties. Our commitment to our members is to provide exceptional health care benefits backed by outstanding service, delivered by people who live right here in South Texas.In our ten years of existence, we have made great strides in becoming a fully mature health plan with a strong balance between our commercial and government-sponsored programs. Our 110,000+ members are divided almost equally among Commercial, Medicaid and Children´s Health Insurance Program (CHIP).Quality Assurance- LVNPosition SummaryThe Quality Assurance- LVN will analyze medical records and other data sources for adherence to standards of care. Conducts focused reviews. Facilitates clinical process improvement activities across CFHP departments. Qualifications RequiredGraduation from an accredited college or university in nursing (LVN) is required, as well as a current nursing license in the state of Texas. A minimum of five years of progressively responsible experience is required. Experience in a managed care organization is also required. Previous HEDIS experience preferred. Knowledge of CQI principles and standard coding products (ICD-9; CPT; HCPCS; DRG) is preferred.

Lee´s Summit Medical Center is ready to meet all the healthcare needs of the community. We offer an innovative environment combined with the latest technology making Lee´s Summit Medical Center a great place to work, volunteer and learn.

RN Auditor - Full-time(Job Number: 09724-14282) Missouri-Lees Summit-Lees Summit Medical CenterSchedule: Full-time Description Position Responsibilities:Concurrent analysis of in patient records to establish applicable diagnosisIntervene with Clinical and Medical Staff to ensure documentation supporting applicable diagnosisEducate Clinical and Medical Staff regarding documentation requirements specific to disease/diagnosis Department Specific Criteria:Concurrently reviews selected admissions to identify most appropriate principal and secondary diagnosis to accurately reflect the patients severity of illnessCommunicates with physicians and clinicians regarding missing, unclear or conflicting medical record documentation to clarify and obtain needed documentation.Develops clinician or physician education strategies to promote complete and accurate documentation and correct negative trendsConfers with Coders concurrently to ensure appropriate DRG and completeness of supporting documentationDevelops tools and coordinates audits for complianceGathers and analyzes information pertinent to documentation findings and outcomesIdentifies patterns and trends variance, identifying opportunities for improvementResearches literature to identify new methods in development for disease components and documentation Qualifications Qualifications: Education: Nursing degree required. Bachelors degree preferred. Licensure/Certifications: Current Missouri RN license Experience: 3-5 years experience in a hospital/other health care setting performing Performance Improvement/Risk Management activities or in other leadership position. Experience with systems design and development. At least 5 years broad based clinical nursing experience. Familiar with standards of care for all age groups. Experience with systems design to meet regulatory standards. A minimum of one year prior audit experience required. Must be proficient with computer programs such as Microsoft Office products and electronic charting. Full-time position to work 64 hours every two weeks.

The Professional Practice Specialist is directly responsible for the Chief, Quality Management Service. Is responsible for the development and maintenance of quality monitoring systems to achieve timely professional practice evaluation, protected peer review, patient occurrence screening and invasive procedure monitoring.Applications will be accepted from all groups of qualified individuals. Permanent Full-Time. Any state licensure acceptable. Have a background and working knowledge of health care delivery and management.

Best Care / Best Careers

The RN (Performance Measurement Specialist) is assigned to Quality Management Service and will have responsibility for the ongoing operations, development and monitoring of the facility Performance Measurement Program. Specifically, will be responsible for the facility-level coordination and monitoring of the VHA national performance measurement program, including coordination and monitoring of the External Peer Review program.Applications will be accepted from all groups of qualified individuals. Permanent Full-Time. Any state licensure acceptable. Ability to integrate and apply pertinent aspects of the Health Care System performance measurement program into his/her professional practice, utilizing research and literature in daily practice.

* Monday - Friday 7:30am-4:30pm* Competitive pay* Full Benefits * Up to 3 weeks PTO * Supportive Team EnvironmentRequirements:* 6 years broad based nursing experience* Alaska RN license* BLS* Utilization experience preferred Company Overview:Established in 1988, Spectrum Healthcare Resources (SHR) has earned a solid reputation in the health care industry. SHR is JCAHO certified and dedicates itself exclusively to supplying a broad spectrum of medical professionals, LPNs, CNAs, Registered Nurses, Nurse Practitioners, Physician Assistants and Physicians, for Military Treatment Facilities (MTF) located in the United States. These permanent civilian contracted medical professionals experience a unique medical environment, working among the very best medical professionals, and caring for our military family.

*Excellent, excellent compensation* *Great Relocation Package* *Outstanding benefits*

Director of Nursing Quality ManagementMinimum Qualifications: Masters Degree in Nursing and (6) years combined clinical and management experience within a Healthcare setting. Preferred Qualifications: CPHQ Certification (Certified Professional in Healthcare Quality); 3-5 years of Quality Management experience and Quality Improvement Coordination/Program oversight. 3-5 years experience as Joint Commission Coordinator for nursing; JCAHO proficient.Job Description: Responsible for developing, implementing, and maintaining a quality management program for nursing within the hospital organization and clinics. In collaboration with nursing leadership, coordinates, develops, implements, monitors and evaluates nursing quality management activities. Provide expertise, technical assistance, consultation and training to nursing staff regarding quality improvement, data analysis, information reporting and outcomes.

Assist with the planning, development and management of all plans related to the ANCC Magnet Recognition application process, preparation, designation and maintenance. Responsibilities include implementation of a relationship based care philosophy throughout the Department of Nursing and within the existing interdisciplinary care environment. You will also support Quality Management efforts for the department as they relate to Magnet goals/initiatives and serve as a leader to provide on-going education, training and support to staff at all levels. NYS RN license/registration required 3-5 years of quality management experience and related certification, Masters degree preferred Previous experience or understanding related to the Magnet Recognition application/designation process highly desirable. Mon-Fri

Johns Hopkins Bayview Medical Center

Open the door to the best of both worlds-Johns Hopkins Bayview Medical Center offers a unique environment that combines the prestige and opportunities of a respected academic medical center with the personality and camaraderie of a community hospital.We currently have an opening for a Quality Information Analyst.Responsibilities:- Navigating a number of electronic systems including Care Science, MHA Core Measures, Datamart, Meditech and other clinical information systems- Using statistical and analytical skills to maintain or enhance quality data information systems and resolving problems requiring a comprehensive and state-of-the art awareness of the technology- Communicating effectively in order to participate in hospital wide projects and individuals within the organization to identify and meet quality data needsRequirements:- Associates Degree, BSN preferred - Current Maryland licensure as Registered Nurse - Knowledge of theories, principles, and concepts typically acquired through completion of a degree in clinical informatics or at least 1 year of experience with clinical information systemsWe´ve listened to our nurses and understand the importance of providing excellent benefits that top what others in the industry can offer. We offer health, dental, and vision benefits, as well as tuition reimbursement for you and your dependents.

Under the direction of the Director of Quality Improvement, coordinates an integrated and comprehensive plan for quality and performance improvement throughout the organization. Serves as a clinical resource to improve patient outcomes. Supports the department director in accomplishing the strategic initiatives of the organization. Level of knowledge normally acquired through the completion of a Bachelor of Science in a healthcare related field, preferably a Registered Nurse with a current license in the State of Illinois. Certified Professional in Healthcare Quality desirable. Minimum of 3 years of experience in healthcare quality. Proven experience or knowledge of Continuous Quality Improvement theory and statistics, leading teams and facilitating groups

San Jacinto Methodist Hospital, located 35 miles southeast of Houston, is the area´s only full-service hospital offering specialized medical care for patients at every stage in life.

JOB SUMMARYResponsible for providing daily supervision of the operations of the Performance Improvement Department to promote and monitor procedural compliance, staff development, and continual process improvement, while promoting customer and employee satisfaction. Sets deadlines, assigns responsibilities, monitors and summarizes progress of projects. Prepares reports for teams, Director, and/or Administration regarding the status of projects. Relies on extensive experience and judgment to plan and accomplish goals. Multitasks; a wide degree of creativity and latitude is expected.EDUCATION REQUIREMENTS Graduate of an Accredited School of Nursing with BSN or Bachelor degree in an appropriate related field, masters preferred.EXPERIENCE REQUIREMENTS1. Three to five years in a hospital quality, risk management, statistical decision support, regulatory compliance, or care / utilization management.2. Demonstrated application of process / performance improvement principles and tools. 3. Familiar with a variety of Performance Improvement concepts, practices, and procedures.4. Knowledge and experience with statistical analysis and charts. Strong computer skills (Microsoft applications). 5. One year management experience or equivalent training.CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED1. Certification as a Professional in Healthcare Quality preferred.2. For Registered Nurses: Current licensure to practice in the State of Texas.3. For HIM professionals: Registered Health Information Administrator.SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED Strong organizational, interpersonal and communication skills. Ability to manage multiple projects. Proficiency in information systems, PI tools, word processing, and data base management. Basic understanding of statistical analysis techniques. Knowledge of regulatory standards as they apply to departmental and hospital operations. Ability to analyze and solve complex problems.

This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer.DEPARTMENT: AR&LSCHEDULE: Full-Time Regular, 40hrs/wk, Day Shift.EDUCATION/ LICENSE/CERTIFICATION: Bachelors degree in nursing or related field.SKILLS TESTING: N/AQUALIFICATIONS: 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: Knowledge of Joint Commission, Title 22 and Conditions of Participation, knowledge of performance improvement process and excellent communication skills.POSITION SUMMARY: Coordinates quality, utilization and risk management activities for the medical center; provides technical, educational, consultative, and coordinating support to assigned areas.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. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, KaiserPermanente 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. Consistently supports compliance and the Principles of Responsibility (KP´s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrated the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.OTHER DUTIES: Will assist Director ARL with auditing of regulatory compliance (Joint Commission, Title 22 and Conditions of Participation), patient and system tracers and survey readiness. Will provide direct feedback to directors and managers on compliance with standards and opportunities to improve patient care and services.

Roxbury

Roxbury Treatment Center is a private 86-bed sub-acute detoxification/rehabilitation and psychiatric center located at the foothills of the scenic Blue Mountains. In our chemical dependency unit, detoxification is conducted under close medical supervision. The team of physicians and our around-the-clock nursing staff provide the needed assessment and care. The Recovery Program offers a professional approach to the treatment of chemical dependencies. Our treatment team includes Certified Addictions Counselors, Masters and Bachelors level clinicians, and nurses. The Dual-Diagnosis Program developed by our Treatment Team is a dynamic and multifaceted approach for this specialized treatment program, including psychiatric evaluations and follow-up consults, medication management, dual treatment groups, and detailed continuing care planning. Roxbury also has a 26-bed acute psychiatric unit treating individuals with mental illnesses who need short-term hospitalization. This program specializes in treating adult patients who are suffering from co-occurring disorders; mental illness and substance use/abuse issues. We are currently in the process of building an additional 26-bed psychiatric unit slated to open in early 2010. The position for which we are recruiting is Risk Manager/ Quality AssuranceThe Risk Manager/Quality Assurance directs and implements all aspects of Roxbury’s Risk Management program in accordance with the UHS T.E.R.M. program; with the identification and evaluation of Roxbury Center risks and/or exposures through ongoing inspection of the internal organizational and accountability structures. The Risk Manager/Quality Assurance oversees all aspects of Roxbury´s cmpliance with state and federal regulatory standards (DOH, JC, DPW, etc.) through ongoing facility-wide audits. This position chairs/serves on all Roxbury committees.The Risk Manager has a direct line of communication with UHs Corporate Risk Management and is responsible for monthly and quarterly reports. Job Specifications:To perform this job successfully, an individual must be able to demonstrate competency in the criteria listed in this job description. The specifications listed below are representative of the knowledge, skill, and ability to meet the minimum requirements for this position. Identify, analyze, and manage all areas of potential loss hospital-wide; Respond to all serious incidents in cases of real or potential claims; Investigate all such incidents; Implement hospital-wide Risk Management plan. Requirements Education And Experience: Successful candidates must have a current Pennsylvania licensure as a nurse from an accredited school of nursing, orA degree in behavioral healthcare related field or law from accredited university and at least one year experience in behavioral healthcare setting. Knowledge: Must possess knowledge of age-specific dual diagnosis/chemical dependency treatment approaches, Competencies in administrative functioning and management of critical/high-risk issues. Ability to apply statistical analysis to occurrence reports, etc. Knowledge of State and Federal laws that govern health care facilities. Understanding of Regulatory agency standards (Department of Health, JCAHO, DPW, Corporate, etc.). Computer literate.The Risk Manager/Quality Assurance position reports directly to the CEO, is a member of the Roxbury management team and works various hours as needed. Weekend and overnight on-call on a rotational basis is also required.

Job Title: Clin Quality Review Coord RN Location: Seton Medical Center Hays Full/Part: Full-Time Days - 8hr Shift: Responsibilities 1. Collaborates and partners with physician leadership to perform ongoing review of physicians care and patient outcomes. Collects, verifies and evaluates data relevant to physicians professional performance used to make evidence-based decisions regarding appointment to membership on the medical staff and recommendations to grant or deny initial and renewed clinical privileges. 2. Assists Director in interpreting and/or analyzing the results of ongoing physician performance evaluation (OPPE) datum to provide physicians with systematic, timely and periodic feedback on all dimensions of physician performance within the Seton Family of Hospitals including Clinical Quality of Care, Service Quality, Patient Safety, Resource Utilization and Citizenship. 3. Partners, leads and supports medical staff councils and medical staff specialty services in the coordination, implementation and sustainment of medical staff quality improvement initiatives. 4. Assists and provides direction for the development of medical staff clinical indicators with which to monitor and evaluate the quality of care and services rendered by physicians by collaborating effectively, efficiently, and appropriately with medical staff leadership and medical staff members. 5. Ensures compliance with applicable regulatory guidelines and requirements, state and federal statutes, and medical staff bylaws, rules and policies. 6. Coordinates outside physician reviews by a third party when requested by the medical staff. 7. Assists with and supports medical staff education regarding peer review and regulatory requirements. Minimum Qualifications Bachelors degree from an accredited nursing program (BSN) is required. Training or experience in system/process analysis and performance improvement is preferred. Five (5) years post-graduate nursing experience is required to include broad clinical knowledge and one (1) year in a leadership or administrative role. Current licensure to practice nursing in the State of Texas is required. Certified Professional in Healthcare Quality (CPHQ) is preferred. Preferred Qualifications Bachelors degree with 5 years nursing experience in quality improvement preferred. Must feel comfortable in performing ongoing reviews of physicians care and patient outcomes. Must have excellent computer skills and ability to use statistical analysis tools. Position will office at SMCA three days a week and SMCH two days a week. Must have reliable transportation. Skills Knowledge of change management, strategic planning, horizontal management and working with matrices is required. Must be able to understand and interpret regulatory standards as well as implement systems to comply with them. Must have knowledge of state laws related to physician licensure, allied health professional licensure, medical staff peer review, as well as awareness of state laws that have impact on the medical staff or hospital. Effective communication, facilitation, and conflict resolution skills; analytical ability; ability to use statistical analysis tools. Knowledge of information systems and working knowledge of hospital financial systems.

Education CoordinatorFull Time 40-Days & Evenings Possible Weekends

Bachelors Degree in Nursing, Education or other health-related field. BLS instructor certification obtainable within 6 mo. of hire. Minimum 3 yrs. clinical healthcare nursing experience, previous clinical or health education/instruction required.

Department: Quality Resources Management Schedule: Full-time (Year Around) Shift: Days Hours: 8am-5pm Job Details: - RN - BSN Preferred This position is responsible to review and assess VVMCs operations to abstract and develop data to assess VVMCs compliance with accreditation and other regulatory standards as well as to identify priority areas for quality improvement. This position will also support the investigation and follow-up on root cause analyses and other performance improvement activities.

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

The Chief Quality Officer is responsible for planning, administration, and monitoring of consistent readiness of all quality management, regulatory requirements, and quality improvement processes. The Chief Quality Officer will oversee and coordinate all hospital efforts to monitor and maintain compliance with all regulatory, State, Federal government, and Joint Commission on Accreditation of Healthcare Organization standards. The position reports directly to the CEO.Qualifications Education:• Graduate of an accredited school of nursing.Experience:• Minimum of three years in an acute care facility and demonstrates a clear working knowledge of general hospital operations, JCAHO, OSHA, Medicare COP, and state requirements. • Minimum of two years experience in Quality Management required.• Must have coordinated JCAHO preparation and participated in State and CMS surveys within past three years.Certifications / Licenses:• Current state Nurse license

Reporting to the Risk Manager, this position leads and coordinates improvement activities throughout Overlake Hospital for successful accrediting, licensing, and certification surveys.

Reporting to the Risk Manager, this position leads and coordinates improvement activities throughout Overlake Hospital for successful accrediting, licensing, and certification surveys (e.g., Joint Commission, Dept of Health, Centers for Medicare/Medicaid Services). Develops and implements systems and processes to sustain survey readiness, including the development and implementation of staff education forums and ongoing internal competency/preparedness reviews. We are proud to be one of the recipients of the 2009 HealthGrades Patient Safety Excellence Award. This award is granted to the top 5 percent of all hospitals in the U.S.This position requires a Bachelors degree, else an Associates degree in a clinical area plus 2 years related experience. Masters preferred. Current licensure as appropriate to profession is required. Also requires 3 years experience in an inpatient setting, with specific knowledge of hospital regulatory and accrediting standards. CPHQ or CQP certification strongly desired.

University Hospitals (UH) is a community-based health care system which serves patients at more than 150 locations throughout Northern Ohio, including seven wholly owned and four affiliated hospitals. Committed to advanced care and advanced caring, UH encompasses the regions largest network of primary care physicians, outpatient centers and hospitals. The network also offers specialty care physicians to treat almost every disease and condition, skilled nursing, elder health, rehabilitation and home care services, and occupational health and wellness. University Hospitals is the second largest private sector employer in Northeast Ohio and is within the top five largest private sector employers in the state of Ohio. Detailed Position Description This position will be responsible for clinical systems expertise focused on quality initiatives. The Application Analyst will serve as a bridge between the Quality and end-users of the Eclipsys application, participating in software design, implementation, testing, reporting and ongoing support. Participates with the implementation team and clinical subject matter experts, in an enterprise design which will represent an improved clinical workflow and eliminates current state paper-based processes, as applicable while incorporating Quality Outcomes. Position Requirements 5+ years in a clinical/healthcare setting Strong preference for experience in healthcare quality initiatives (TJC, CMS) Must be able to communicate with a wide variety of end users, with varying skill levels and function effectively in a fast-paced environment and meet deadlines. Excellent analytical and problem solving skills required. Moderate skills in MS Office suite. Education Requirements Bachelors degree in a Health related or Information Systems field required. License/Certification Requirements RN, RT, RD, PT, PharmD or other health care professional licensure. Additional Details Employment Status Regular Full Time Shift Days

For eleven consecutive years, Summa Health System, in Akron, OH, has been recognized by U.S. News & World Report for excellence. Modern Healthcare has selected Summa as one of the 100 Best Places to Work in Healthcare nationally, as well.

The Director, Post Acute QA PI/Education is directly responsible to lead, develop and implement effective methods to: assess and ensure quality assurance/process improvement initiatives; oversee clinical staff orientation, education and competency assessments; monitor and assure compliance with regulatory standards; interface with IT staff for effective design and use of electronic medical record and billing software; and oversee effective case management practices for Summa´s Home Care, Hospice of Summa, Summa´s Maternal Touch and Summa´s Home Infusion.The Director, Post Acute QA PI/Education serves as a resource to Summa Health System merged and/or affiliate hospitals post acute programs in sharing, developing and implementing: quality assurance/process improvement methods and practices; staff orientation, education and competency plans and presentations; regulatory compliance standards and updates.Requires a Masters degree in Nursing, Business, Hospital Administration, or other related field of study and a current license to practice nursing in the State of Ohio.Three (3) years QI/Education experience in a homecare/hospice environment to include two (2) years of leadership experience required.