Job Description
We have an opportunity to join the Alliance as a Quality Improvement Nurse PQI (RN) in the QI and Population Health Department.
WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Clinical Safety Supervisor, this position:
Develops, manages, and measures a comprehensive healthcare strategy in alignment withDepartment of Health Care Services (DHCS) standards of care and in collaboration with internalstakeholders and network providers to promote best evidence-based practices and improvemember health outcomes
Evaluates patient safety and quality issues and communicates findings to internal stakeholders,network providers and community partners
WHAT YOU'LL NEED TO BE SUCCESSFUL
Desirable Qualifications
Experience in process improvement, practice coaching, or health care quality improvement
Experience performing PQI activities
Working knowledge of managed care, the Medi-Cal program, and related policy
Working knowledge of the methods of conducting and interpreting quantitative and qualitativeanalysis
Some knowledge of NCQA HEDIS abstracting guidelines
Some knowledge of CPT and ICD coding principles
To read the full position description and list of requirements, click here .
Knowledge of: The principles and practices of clinical nursing
Medical practice operations and healthcare delivery systems
Ability to: Participate in and support internal and external audits
Identify issues, conduct research, gather and analyze information and data, reach logical and sound conclusions, and make recommendations for action
Analyze information and data and prepare oral and written reports
OTHER INFORMATION
We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego area
Typical areas in Zone 2: Fresno area, Bakersfield, Central Valley (with the exception of Sacramento), Eastern California, Eureka area
Zone 1 (Monterey, San Benito and Santa Cruz) $91,055.76 — $145,704 USD Zone 2 (Mariposa and Merced) $82,857.88 — $132,579.20 USD OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week.Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.
Medical, Dental and Vision Plans
Ample Paid Time Off
12 Paid Holidays per year
401(a) Retirement Plan
457 Deferred Compensation Plan
Robust Health and Wellness Program
Onsite EV Charging Stations
ABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet .
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.
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Job Tags
Full time, Temporary work, Part time, Work at office, Local area, Remote work,