Are you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you.
The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians provide excellent care to all their patients, who benefit from convenient access to primary and specialty care physicians and seamless coordination of care between them. As a part of Cedars-Sinai, our physicians and staff are partners in quality health care from a medical center that is consistently recognized as one of the finest hospitals in the country. For the 8th consecutive year, we have been named one of the top 20 Physician Groups in Southern California by Integrated Healthcare Associates (IHA).
JOB SUMMARY: The Quality Improvement Coordinator will assess, analyze, and recommend quality and clinical performance improvement processes to assure that the highest standards of quality care have can be achieved. This position will provide clinical expertise and support within the Quality, Performance Improvement and Credentialing Departments by assisting with quality assurance, performance improvement and health plan compliance. Additionally this position is responsible for the gathering of quality metric data and presentation of reports to Cedars-Sinai Medical Care Foundation Process Improvement Teams and Committees.
- Clinical Overview
- Review occurrence reports and the related pertinent medical records to determine opportunities for quality improvement.
- Aggregate and clinically analyze quality metric data in support of Medical Directors/Chairs of the specific departments.
- Perform outpatient case review of hospitalizations related to re-admissions and sentinel diagnoses, and identify opportunities for care improvement.
- Serve on Quality Improvement Committees.
- Support HEDIS, pay-for-performance, ACO and other clinical pay-for-performance and pay-for-value program.
- Regulatory Review
- Perform clinical site reviews and/or medical record reviews as advised in support of health plan and/or other regulatory/accreditation/compliance requirements
- Assist in preparing for and responding to accreditation and regulatory agencies or surveys.
- Assist in evaluating incidents that require review and perform root cause analysis.
- Create clinical quality dashboards and action reports in support of performance improvement activities.
- Other duties as assigned
Education and training:
- Bachelor’s Degree in Nursing preferred.
- Valid CA RN license
- Five (5) years of prior work experience in an ambulatory health care setting.
- Five (5) years of experience in support of quality improvement, process improvement or total quality measurement. Data management and statistical experience is required.
- CPHQ highly desireable.
- Knowledge of health plan compliance (NCQA) and accreditation requirements.
- Ability to work independently and concurrently lead multiple projects.
- Must have excellent oral and written communication and interpersonal skills
- Completes work assignments accurately and timely, with minimal direction
- Self-motivated and able to adapt to evolving business needs
- Adheres to established Health System, State, and Federal confidentiality policies
- Skilled in Excel, Word, PowerPoint and other data analysis and presentation tools.
Working Title: Quality Improvement Coordinator, RN
Department: MNS Quality Mgt
Business Entity: Medical Network
Job Category: Compliance/Quality
Job Specialty: Quality Measurement & Reporting
Position Type: Full-time
Shift Length: 8 hour shift
Shift Type: Day
Base Pay: $95,600.00 - $143,300.00
Our compensation philosophy
We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role
Diversity and Inclusion at Cedars-Sinai
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve. Quality Care and Research—For All, By All.
Cedars-Sinai is an Equal Employment Opportunity employer.
Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu) and COVID-19. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines such as COVID-19 as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.