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Job Title: Registered Nurse (RN) – Quality: 118071BR
Posted by: Sentara on Dec 03, 2019
Location:
Job Description:
Optima Health Community Care is hiring a BSN Registered Nurse (RN) for the role of Quality Improvement (QI) Coordinator in Norfolk, VA.
Hours:
Monday-Friday 8am-5pm
Position Description:
This position is full time, day shift. BSN with k nowledge and understanding of quality, regulatory and accreditation processes required. Three years experience required.
Division Details:
Optima Health Community Care is a Commonwealth Coordinated Care Plus (CCC Plus) Medicaid plan for many older people and those with disabilities. CCC Plus is a Medicaid managed care program through the Virginia Department of Medical Assistance Services (DMAS).
With Optima Health Community Care, members benefit from an individualized, fully-integrated program with a state-wide network of providers. As an Optima Health Community employee, you will join a care team committed to providing customized and personalized support and services in the community that our members can count on. Optima Health is a service of Sentara Healthcare, so joining Optima is joining the Sentara Healthcare family.
Sentara Benefits:
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits , CLICK HERE!
Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!
Keyword: quality, QI, quality, quality improvement, Registered Nurse, RN, regulatory, QA, auditing, accreditation, managed care, health insurance
Equal Opportunity Employer
Sentara maintains a drug-free workplace
Responsibilities
The Quality Improvement Coordinator is responsible for coordinating the design, development, implementation, and evaluation of the heath plan's clinical quality functions. Assists in developing focused and/or specialized studies based on high volume, high risk, high cost, and/or problem prone areas, and periodically monitors and evaluates related performance goals. Collaborates with Clinical Care Services to improve health status for chronic diseases based on demographic and epidemiological characteristics of the membership.Assists in maintaining accreditation and certifications for NCQA and MCHIPS, as well as assisting to meet the requirements for state and federal (DMAS and CMS) regulations and requirement.
Qualifications
Education Level
RN-Bachelor's Level Degree
Experience
Required: Clinical - 3 years, Quality Improvement - 3 years
Preferred: None, unless noted in the "Other" section below
License
Required: Registered Nurse
Preferred: None, unless noted in the "Other" section below
Skills
Required:
Preferred: None, unless noted in the "Other" section below
Other
Knowledge and understanding of regulatory and accreditation processes required
Pay Rate:
HR. Website URL:
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About Sentara Healthcare
Sentara Healthcare is one of the most progressive and integrated health care organizations in the nation, located mainly in Southeast Virginia and Northern North Carolina with additional sites in Charlottesville, Covington, Harrisonburg and Woodbridge, VA. Sentara operates more than 100 care giving sites, including 12 acute care hospitals including 7 in Hampton Roads, 1 in Northern Virginia and 2 in the Blue Ridge Region, 1 in Southwestern Virginia and 1 in Northeastern North Carolina, outpatient care facilities, nursing centers, assisted living centers, advanced imaging centers and about 380 primary care and multi-specialty physicians. Sentara also offers a full range of award-winning health coverage plans, home health and hospice services, physical therapy and rehabilitation services, including Nightingale - the region’s first air ambulance service. Sentara Healthcare is an acknowledged leader in patient safety and quality innovation. Founded in 1888 as the Retreat for the Sick in Norfolk, Virginia, Sentara has ranked for more than a decade among the nation's top integrated healthcare systems by Modern Healthcare magazine and is the #1 most integrated health care system for two consecutive years. We invite you to share our Vision. To be the healthcare of choice in the communities we serve.