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Performance Improvement- RN Quality Management(Job Number: 2423) Indiana-Terre Haute-Terre Haute Regional HospitalSchedule: Full-time Description Position responsibilities:Reviews all inpatient and outpatient Core Measures patients on a daily basis. Evaluates compliance of measures. Sends out alerts to nursing staff as early as possible in the dayProvides direction for medical staff regarding Core Measure compliancePerforms chart reviews and analyzes data for CHOIS reviews and Core Measures negative numerator measuresCompletes letters to physicians with fall-outs of core measures indicatorMaintains current CHOIS data, coordinates quarterly with Quality CoordinatorUnderstands the regulatory agencies in Centers for Medicare and Medicaid Services (CMS), Indiana State Department of Health (ISDH), and TheJoint Commission standards & requirementsAttends monthly Quality Council meeting. Participates in reporting core measures compliancePerforms as Facilitator to inter disciplinary PI teams as neededMaintains binders of all interdisciplinary PI Teams. Assists all departments in the establishment, monitoring and evaluation of unit specific PI initiativesAssists with Joint Commission Tracers as requestedPerforms as Core Measure IRR (inter-rater reliability abstractor) quarterly for AMI, HF, PNE, and SCIP, CAC and outpatient core measuresPerforms as Core Measures Administrator for The Joint Commission and CMS Core Measures. Attends all web-casts to keep updated on core measure changesProvides education to nursing and medical staff. Attends medical staff meetings as needed Works closely with Manager of QRM as a liaison for various committees.Keeps current on quality issues through web casts and conferencesPerforms other duties as assigned to meet the needs of the department Qualifications Essential educational/licensure, skills and experience:Registered Nurse in the State of IndianaMinimum of two years clinical nursing Valued but not required educational/licensure, skills and experience:BSNPrior experience in PI/QualityCPHQAdvanced clerical skills to include MS Excel, Microsoft Word and ability to multi-task.

HealthCare Partners of Nevada is a 28 clinic medical group providing coordinated total care and is dedicated to the well-being and the respectful, compassionate healing of our patients. HCPNV comprises more than 180 employed and affiliated primary care physicians and more than 1,400 employed and contracted specialists, caring for patients in Clark and Nye Counties. We are seeking the following nursing professional to join one of our team:RN QUALITY MANAGERIdeal candidate will be responsible for management of oversight processes to ensure that delegated functions meet requirements as contracted by Health Plans, NCQA, URAC, CMS federal and state guidelines. Compliance Manager coordinates the oversight functions for delegation from the health plan and to the HCPNV delegates. S/he maintains current knowledge of appropriate regulations, performs internal and external audits, onsite reviews, appeals, reporting and other internal and external quality activities. Job Duties:- Contributes to and supports the corporations quality initiatives by planning, communicating, and encouraging team and individual contributions toward the corporations quality improvement efforts. - Arranges and conducts audits of internal delegated functions and external delegated entities performance. - Collects data, analyzes and generates reports to the Director of Quality, Health Plans, Delegates or HCPNV organization as appropriate. - Validates data prior to distribution. - Performs all activities in compliance with HIPAA regulations. - Coordinates quality improvement projects as determined by departmental or organizational needs. - Develops policies and procedures, and conducts educational programs regarding compliance and regulatory issues. - Communicates effectively and develops cooperative/collaborative working relationships with co-workers, customers and others. - Supports the Director of Quality in achieving the quality goals of the Quality and Medical Services departments. Minimum Qualifications:- Registered Nurse with a Current Nevada License. - BS in Nursing preferred, or years of equivalent experience. - Three (3) - five (5) years of experience in areas of quality and compliance related to behavioral health care, regulatory requirements of CMS and state agencies, and accreditation organizations as URAC, NCQA. - Must have strong analytical and problem solving skills.- Excellent organizational, professional, interpersonal, written and verbal communications skills.- Able to make independent judgments and close attention to detail is essential. - Competent in use of MS office programs including Word, Excel, Outlook and PowerPoint for data management and presentations. We offer an excellent benefit and compensation package:- Excellent salary and bonus program- Medical/Dental/Vision, STD/LTD, Life and 401K - Paid Time Off, CEU reimbursement and Paid Holidays- And Much More!

VITAS is a pioneer and leader in the hospice movement since 1978. Our name is derived from the Latin word for “lives” and symbolizes the VITAS mission: to preserve the quality of life for those who have a limited time to live.

The Performance Improvement Specialist is Responsible for providing on-site support for quality monitoring, performance improvement and education activities. Facilitates compliance with Medicare, JCAHO, along with state licensure and VITAS Healthcare Requirements, and handles Corporate-based duties. Assists with quality monitoring and program evaluation, assists with responses to Focused Medical Review, and participates in the development of company-wide initiatives.Bachelor´s degree in nursing preferred.Qualified candidates must be credentialed and licensed (as required) health care professional. Certified Professional in Health Care Quality preferred. Experience with data collection, basic statistics and statistical measurement tools, and data analysis. Excellent interpersonal, communication and facilitation skills. Must be organized and detail oriented. Experience with spreadsheet and word processing programs; experience with databases a plus. Knowledge of hospice operations and performance improvement strategies; well-organized, detail-oriented and possess excellent communication skills; experienced with data collection and analysis; have the ability to create spreadsheets and be familiar with various software programs, and be able to travel.

Charlotte Regional Medical Center We know you by heartWith a family-like atmosphere, current technology, competitive wages and benefits, this award-winning hospital is looking for talented and dedicated individuals like you!Our Communities and RegionPunta GordaThe name Punta Gorda means Broad Point and dates back to the landing of Ponce de Leon in 1513. It is the only incorporated city in Charlotte County and is more than 14 miles square with slightly more than 14,000 residents.Situated approximately 100 miles south of Tampa on the Gulf Coast with easy access from I-75, this community continues to offer leisurely, uncongested and unhurried living. Charlotte Harbor flanks the northwest side of the city offering 129 square miles of sparkling water, clear sunshine, fishing at its finest, wildlife in abundance and a casual, friendly atmosphere that appeals to those who are seeking the natural pleasures of life. The recently revitalized downtown has cobblestone streets and gas lamp streetlights. The residential area features many brick streets lined with stately royal palms and many old Florida-era tin-roofed homes boasting wide verandas.Striving for Excellence -Charlotte Regional Medical Center is an award-winning facility, ranked among the nation´s top five percent of hospitals for the fifth consecutive year, with our heart program and stroke services earning nationwide distinction. Visit Solucients and HealthGrades web sites to learn more about our 100 Top Hospitals awards and five-star accolades.For a complete listing visit us online at: www.charlotteregional.com Excellent Benefits:Medical, Dental, Vision401kLife Insurance, AD&DShort and Long Term DisabilityChild Care Reimbursement (up to $50 per week)On-Site Child Care / Sick Child Care (Coming Soon)Tuition AssistanceFlexible SchedulingGenerous Shift DifferentialsGN to RN Internship ProgramDiscounted Gym MembershipDiscounted Theme Park TicketsPURPOSE:The Quality Management Director is responsible for the management of efficient, cost effective operations of the Quality Management Services Department, coordinates the organization-wide Performance Improvement Program, coordinates Joint Commission readiness and survey preparation, coordinates patient safety initiatives relevant to performance improvement to ensure quality patient care is provided utilizing cost-effective resources. Oversees the collection of data for the organization, HMA corporate comparative reports, and regulatory agencies.ESSENTIAL FUNCTIONS:Interacts with medical and hospital staff to facilitate the recognition and resolution of issues. Coordinates, in collaboration with the Coordinator of Medical Quality Assurance, Medical Staff Performance Improvement Activities. Incorporates, in collaboration with the Director of Utilization Management, the integration of appropriate information into the overall Performance Improvement program. Coordinates and implements organization-wide Performance Improvement Program. Coordinates elements of the organization-wide Patient Safety program. Directs all functions of the Quality Management Department to ensure quality work product in a time efficient manner. Maintains commitment to professional growth, development and competency, supporting Charlotte Regional Medical Center´s philosophy of team spirit and communication to insure quality of care and human dignity. Maintains a commitment to the integrity and purpose of the department.QUALIFICATIONS:B.S. required; Masters preferred. Florida licensed RN; CPHQ preferred. Minimum of three years experience in Performance Improvement, Quality Management; minimum of two years hospital experience. Minimum of two years direct management experience in an acute care facility required.

Our world-renowned health care network is anchored by our flagship facility, University Hospitals Case Medical Center.

Located in Cleveland´s historic University Circle, this 947-bed academic medical center and tertiary-care hospital is ranked by U.S. News and World Report as one of Americas best hospitals in 13 medical and surgical specialties. It comprises three centers of excellence: Ireland Cancer Center, MacDonald Women´s Hospital, and Rainbow Babies & Children´s Hospital; and The Center for Clinical Research, the largest medical research center in Ohio.-Researches, plans, reviews, and implements new systems and system enhancements for Outcomes Management.-Analyzes, documents, and designs work and data flows. Implements, tests, and manages installation of new and existing programs, reports, or tables/Dictionaries. -Provides technical support and training to end-users. -Maintains clinical information system database. -Acts as a point of contact for end-users, management, administration, vendors, and consultants. -Analyzes, documents, and designs work and data flows. -Design one process for all facilities to use with Midas.-Setting up functional user groups between all areas to gain consensus within each department, and building matrices to show how to have uniformity among all facilities when using Midas.-Helping design reports needed for the facilities and corporation. -Evaluates departmental procedures and operations as they relate to Midas and recommends changes to improve efficiency and effectiveness as appropriate.-Researches, evaluates, and makes recommendations on the need for new systems or system enhancements with end-users, Information Services, vendors, and management by evaluating existing operations and systems, including potential cost savings, volumes, data flow, constraints, documents, reports, and impacts to the end-users. -Requests and reviews information from vendors related to new systems or system enhancements requested by end-users, Information Services, and management. -Demonstrates a thorough understanding of the end-user environment and systems and proactively seeks methods of improvement. -Participates in development of specifications for new systems. -Performs verification processes for new systems, or system changes/ enhancements. -Maintains contact with key users, vendors, and I.S. staff to coordinate maintenance efforts to ensure needs are being met for each application and to ensure completeness of proposed solutions. -Makes recommendations for changes to best impact the end-user. -Initiates and maintains positive relationships with patients/customers. -Initiates and maintains positive relationships with co-workers. -Takes responsibility for self-development and supports a learning environment. -Displays commitment to the mission of the hospital and its values.JOB REQUIREMENTS: - 3-5 years acute hospital experience in case management, utilization management or quality management. Prior experience with the Midas system preferred.- Demonstrates strong interpersonal skills and excellent communication skills both written and verbal, as well as, exhibiting strong organizational skills and work ethic.- Bachelor´s degree preferred- RN license requiredUniversity Hospitals is proud to be an equal opportunity employer

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

Lake Wales Medical Center

The COORDINATOR - PERFORMANCE IMPROVEMENT RN is a Registered Nurse who has responsibility for: facilitation of performance improvement and regulatory compliance activities including coordinating survey readiness, investigation of adverse health events, peer review activities, and performance improvement projects. The Quality Coordinator is responsible for assisting the Director of Quality Management and Regulatory Compliance in the planning and execution of the Performance Improvement Program for the hospital. The Quality Coordinator is responsible for data collection and analysis, which drive the organization´s Performance Improvement Program. JOB DIMENSIONS: The COORDINATOR - PERFORMANCE IMPROVEMENT RN: 1) Understands elements of state and national standards. 2) Reviews Performance Improvement literature and materials. 3) Coordinates survey readiness. 4) Coordinates survey planning activities and action plans for improvement. 4) Coordinates Performance Improvement teams and projects 5) Investigates potential adverse events and prepares potential adverse health events for RCA review 6) Prepares regulatory compliance and performance improvement reports for senior leaders. 7) Coordinates peer review activities and physician practice evaluations 8) Facilitates organization-wide patient safety activitiesQualifications Education: R.N. BSN preferred. Master´s Degree PreferredLicensure /Certification: Current FL RN licensure Experience: 3-5 Years clinical nursing experience. 1-3 Years of experience with Performance Improvement and or regulatory compliance/survey activities.Specialized Skills /Knowledge: Must have computer and Excel spreadsheet expertise PowerPoint presentation skills preferred Familiarity with state regulations and Joint Commission Standards Demonstrated ability to navigate the JC website

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.

The Johns Hopkins Hospital

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

The Performance Improvement Specialist is Responsible for providing on-site support for quality monitoring, performance improvement and education activities. Facilitates compliance with Medicare, JCAHO, along with state licensure and VITAS Healthcare Requirements, and handles Corporate-based duties. Assists with quality monitoring and program evaluation, assists with responses to Focused Medical Review, and participates in the development of company-wide initiatives. Bachelor´s degree in nursing preferred. Qualified candidates must be credentialed and licensed (as required) health care professional. Certified Professional in Health Care Quality preferred. Experience with data collection, basic statistics and statistical measurement tools, and data analysis. Excellent interpersonal, communication and facilitation skills. Must be organized and detail oriented. Experience with spreadsheet and word processing programs; experience with databases a plus. Knowledge of hospice operations and performance improvement strategies; well-organized, detail-oriented and possess excellent communication skills; experienced with data collection and analysis; have the ability to create spreadsheets and be familiar with various software programs, and be able to travel. This position is part-time.