Description: Under the direction of the Quality Improvement Supervisor, the QI Nurse will assist in clinical activities related to monitoring, assessing and improving performance in ambulatory and inpatient health care delivery or health care related services to Kern Health Systems (KHS) membership. The QI Nurse will assist in the implementation of the KHS QI Plan and communicate with contracted providers regarding studies or participation and will participate in records reviews, chart abstractions and copying records as part of the general QI reporting process which includes data collection, tabulation and report writing.
Requirements: Possession of a valid California Registered Nursing License. Three (3) years of RN experience in an acute health care setting in Emergency, Critical and/or general Medical-Surgical Care preferred. One (1) year experience in UM/QI in a managed care ambulatory setting preferred. Excellent communication skills required. Managed care systems in a Knox-Keene licensed health maintenance organization (HMO); Applicable standards and regulations pertaining to quality management programs for the DHS, NCQA and HEDIS data collection and analysis; study design methods and appropriate quality tools and applications is preferred. Communicate effectively with contracting physicians, other ancillary providers and internal departments. Maintain proper documentation and confidentiality. Possess good organizational skills and work well independently. Perform quality improvement activities. Possession of valid driver’s license and proof of State required auto liability insurance. Up to 50% driving required. "2,000 SIGN ON BONUS"
We have an excellent benefit package to include: health care, dental, life, 457b and 401a plan, and other supplemental benefits. As a condition of employment, a satisfactory drug test and background check are required. E.O.E.