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Quality Management Coordinator RN Quest Integration

Location: Honolulu, HI Job Number: 723247 Date posted: 08/07/2018
Description: Conducts quality outcome studies/projects as it relates to the QUEST Integration population. Coordinates & facilitates quality related task forces of key physician groups, Mrgs, supervisors, & frontline staff involved w/QUEST Integration members. Evaluates QUEST Integration Program clinical information, recommends interventions, & follows through w/execution of the proposed interventions in partnership w/physician groups, Mrgs, supervisors & frontline staff. Participates in quality information initiatives related to QUEST Integration Program members. Develops & manages effective use of process improvement to ensure systems improvements. Assists in establishment of work standards & procedures.

Essential Functions:
  • Conducts & participates in the compliance activities w/in the Region through an understanding of CMS, NCQA, & other identified regulatory or accrediting agencies.
  • Assists in defining QUEST Integration project goals, scope, assumptions, analytic approach, & data needs. Assists w/coordination & facilitates teams of key physicians, Mrgs & supervisors & frontline staff as directed.
  • Collects, compiles, & analyzes quality data related to QUEST Integration as directed. Performs appropriate analyses. Develops data tables & written analyses as directed. Evaluates quality outcomes & recommends interventions. Follows through w/intervention in partnership w/physician groups, Mrgs, supervisors & frontline staff.
  • May perform patient care to the extent necessary to maintain clinical expertise, competency & licensing necessary to fulfill job responsibilities & to direct the provision of care in the community & institutional setting.
  • Assists in monitoring & recommending changes in methods & procedures, & establishing work priorities to assure timely flow & efficiency, as appropriate. Acquires & interprets QUEST Integration data for decision making. Provides decision support & analysis to key physicians groups, Mrgs, supervisors & frontline staff.
  • Performs telephonic assessments of QUEST Integration members to triage immediate srv needs, assigns cases to Srv Coordinators &/or coordinates care of the QUEST Integration member w/ other healthcare providers as directed.
  • Completes required reports to submit to regulatory agencies as specified in the QUEST Integration Program contract.
  • Ensures effective quality data analyses are performed as requested. Develops methodology & processes to set priorities for project scheduling & monitors & oversees implementation. Establishes audit & reporting mechanisms to determine progress made towards more efficient productive high quality improvement.
  • Participates in quality & Medicaid related committees & quality improvement projects as assigned (includes collecting information from various information systems throughout Region, researching local &/or national data sources both w/in & outside Kaiser system, reviewing appropriate literature, collecting & compiling of data for operational improvement activities, recommending updates & modification of regional databases to facilitate future information needs & developing analytic approaches & methods to streamline future operational analyses).
  • May perform patient care to the extent necessary to maintain clinical expertise, competency, & licensing necessary to fulfill job responsibilities & to direct the provision of care on the unit.
  • Provides direct patient care on an as needed basis. Provides srvs that are w/in scope of license & in compliance w/all legal, regulatory, & policy requirements relevant to clinical role performed.
  • Incorporates the KP Nursing Vision, Model & Values throughout their Nursing Practice.

  • Basic Qualifications:
  • Minimum one (1) year of quality management, quality assurance, public policy, governmental affairs or related experience.
  • Bachelor's degree in nursing OR four (4) years of experience in a directly related field.
    License, Certification, Registration
  • Valid Hawaii RN license (must meet education requirement(s) for Hawaii State licensure).
  • Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification.

    Additional Requirements:
  • Demonstrated knowledge of and skill in interpersonal relations, oral communication, written communication, influence/negotiation,
    organization, planning, analysis, and quality management.
  • Demonstrated knowledge of and skill in word processing, spreadsheet, and database.

    Preferred Qualifications:
  • Master's degree in nursing, allied health, economics, business, or related field.
    Primary Location: Hawaii,Honolulu,Hospital/Medical Offices 3288 Moanalua Rd. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 4:30 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Individual Contributor Job Category: Nursing Licensed Specialty: Quality Management Department: Quality Quest Travel: Yes, 10 % of the Time
    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
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