VA offers a comprehensive total rewards package: VA Nurse Total Rewards

The DCQM provides executive leadership and direct supervision over the following areas: Accreditation, Risk Management, External Peer Review, and Patient Safety. Works towards achievement of high quality, safety, and cost effective evidence based outcomes on a continual journey of a high reliability organization. Collaborates with both administrative and clinical services to monitor quality and safety within the service and medical center. Ensures processes are in place for continued accreditation readiness and participates in rounds to survey clinical departments. Functions as facilitator in implementing action plans and process improvement strategies at services and medical center for follow up to include regular progress reports. Reviews quality data for trends and early intervention. Applies clinical performance improvement methods, collects outcome data related to policy, procedure, and regulatory compliance and in collaboration with management, initiates performance improvement monitoring projects. Utilizes data and comparative analytical processes in recommending design and implementation of innovative programs to improve service excellence, customer satisfaction, and compliance to patient care and regulatory standards. Major duties and responsibilities include, but are not limited to:

1. Provides executive input in the strategic planning, budget, mission, operational planning, and policy development for local and network efforts.
2. Utilizes current trends and relevant theories in an analytical framework to design/modify, implement, and measure integrated programs and activities to achieve clinical and administrative goals of the medical center and/or network. Evaluates outcomes against strategic priorities.
3. Demonstrates substantial and continuous responsibility for directing and managing an integrated program.
4. Consultant to medical center staff and greater community in areas of expertise.
5. Demonstrates expert practice that goes beyond the unit to encompass a program, an entire service, or across service lines and improves clinical outcomes.
6. Develops and implements strategies to address care quality problems for patients.
7. Develops/reviews Nursing Service/Medical Center Policies, procedures and standards as appropriate.
8. Demonstrates grade-appropriate, consistent critical thinking skills.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

JOB REQUIREMENTS:

• Registered Nurse (RN), LPN, LVN, Physician's Assistant OR MSW (Master of Social Work)/LCSW (Licensed Clinical Social Worker) or other BH licensure with current, unrestricted license to practice in the state of operations OR Respiratory Therapist with master’s level or above degree
• Medical specialty certification (Certified Professional in Healthcare Quality (CPHQ) or Diabetic Education) OR Bachelor Degree in medical field such as Nursing, Health Care Administration.
• 3 years clinical practice experience.
• 2 years' experience in health insurance or managed care.
• 2 years quality improvement and/or project management experience.
• Experience conducting presentations for member and/or provider training.
• Current unrestricted  driver’s license.
• Ability to travel including overnight stays.
• Verbal and written communications skills.
• Data analysis experience.
• PC proficiency to include Word, Excel, and PowerPoint.

PREFERRED EXPERIENCE:

• Licenses Nurse with HEDIS experience HIGHLY PREFERRED
• Health plan QI (qualify improvement) HIGHLY PREFERRED
• HEDIS audit experience.
• Familiarity with EMR (electronic medical record) and Inovalon (HEDIS software)

We encourage people of all backgrounds and experiences to apply.

Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet.

*Sponsorship will not be provided for this role.*

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.