Head Nurse - Quality Improvement - Home Care jobs in Illinois

Head Nurse - Quality Improvement - Home Care develops and implements various activities to improve overall quality of organization. Participates in and serves as a resource to quality improvement committees. Being a Head Nurse - Quality Improvement - Home Care tracks and analyzes trends and outcome reports and advises management on areas to improve upon. May be responsible to ensure all institute or government regulations are adhered to. Additionally, Head Nurse - Quality Improvement - Home Care requires a bachelor's degree. Typically reports to top management. The Head Nurse - Quality Improvement - Home Care supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. Thorough knowledge of department processes. To be a Head Nurse - Quality Improvement - Home Care typically requires 3-5 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

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Director - Quality Improvement
  • Health Care Service Corporation
  • Chicago, IL FULL_TIME
  • 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

    This position is responsible for managing and directing clinical quality improvement and population health oversight activities, driving continuous quality improvement consistent with HCSC goals, regulatory requirements, and accreditation. The director will remain current with best practices and innovations in the areas of quality improvement, population health and clinical quality measurement, and provide guidance and support to local quality teams and HCM stakeholders. Fundamental to the role is a mastery of healthcare quality improvement methodologies and the measurement of healthcare processes and structures that contribute to primary and intermediary health outcomes. This person must possess extensive experience with HEDIS, NCQA, URAC, STARS, quality improvement, best practices, and innovative strategies to improve the quality of care and member experience; as well as a working knowledge of medical policy issues, condition management, and social determinants of health/health equity.

    Responsibilities include:

    *Oversee a team responsible for evaluating and developing quality improvement and population health programs and initiatives that lead to improvements in clinical quality outcomes, with attention to care disparities and social determinants of health.
    *Work with the Enterprise Quality Reporting (EQR) team to identify line of business and regional variations in clinical quality measures and population health statistics to inform targeted solutions.
    *Collaborate with EQR to design, deliver and communicate reporting tools to support quality improvement and accreditation efforts.
    *Work with the quality, data science and analytics teams to measure the impact of existing quality programs, design and communicate initiatives that effectively target variations in healthcare measures.
    *Collaborate with Quality Operations team to coordinate quality improvement outreach efforts and initiatives and that support Accreditation Governance strategy.
    *Partner with EQ&A and Quality Improvement Committee Meetings around quality best practices.
    *Develop, review, and sign off on relevant policies and procedures.
    *Maintain regular communication with management regarding developments within areas of assigned responsibilities and perform special projects as required or requested.
    *Maintain currency with HEDIS, Hospital and other quality data sets, accreditation standards and a knowledge of marketplace, products, health care initiatives, technology, etc.
    *Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
    *Support and/or provide cross coverage in support of additional functions to ensure seamless execution of divisional priorities.
    *Maintain complete confidentiality of company business.
    *Other duties as assigned.

    JOB REQUIREMENTS:

    • Bachelor's Degree with 10 years' experience in a healthcare insurance or provider setting in a quality improvement function or oversight role.

    • Clinical degree and/or formal training and leadership experience in public health, clinical research, or a healthcare-related field

    • 5 years leadership/management experience

    • Proven track record in developing innovative quality improvement strategies.

    • Strong analytical, presentation & clear, concise verbal / written communication skills

    • Ability to adapt complex concepts to a range of audiences & express complex relationships in simple visual terms.

    • Executive presence with the ability to influence inside and outside HCSC.

    • Business and financial acumen; experience with operating, budgeting, and financial forecasting

    • Experience leading, formulating, and delivering strategy; building strong connections with people and team.

    • Ability to work effectively within a matrixed organization with multidisciplinary teams, across multiple geographic areas, with attitude toward team building.

    • Able to meet deadlines under pressure.

    • Willing and able to travel out of state.

    PREFERRED JOB REQUIREMENTS:

    • RN or post-graduate education in Health Care Administration or a health-related field, public health and/or MBA.

    • extensive experience with HEDIS

    • Quality experience and Medical Management experience in a leading managed care/insurance or provider organization.

    • Health Informatics Training

    • Familiarity with clinical coding and statistical and reporting software.

    • Knowledge of health care reimbursement models.

    • Experience in provider and vendor negotiations and contracting models, provider relation and member services.

    • Familiarity with Government Programs, Stars ratings and Retail products

    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.

    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.

     

  • 11 Days Ago

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Staffing Manager / Quality Care Supervisor
  • Private Home Care
  • Niles, IL FULL_TIME
  • Location: Niles, ILType: Full-time (Monday - Friday)About Us: Private Home Care ("PHC") is a growing home care company serving clients in the Chicago, St. Louis, Kansas City, and Southern Illinois mar...
  • 1 Month Ago

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Registered Nurse Coordinator
  • Tennessee Quality Care
  • Bartlett, IL FULL_TIME
  • Tennessee Quality Care is growing and looking for an RN Care Coordinator in Bartlett, TN. This is an office-based position with the potential for promotion as we continue to grow in Shelby County. If ...
  • 25 Days Ago

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CLINICAL QUALITY IMPROVEMENT COORDINATOR - REGISTERED NURSE
  • Insight
  • Chicago, IL FULL_TIME
  • UP TO $10,000.00 SIGN-ON BONUS, MULTIPLE OPENINGS! We are looking to employ well-qualified and professional Registered Nurses for permanent positions to provide across multiple hospital departments. U...
  • 17 Days Ago

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RN Case Manager Home Health Quality Illinois
  • BJC Home Care
  • Glen Carbon, IL FULL_TIME
  • RN Case Manager Home Health Quality Illinois Glen Carbon, IL Job Description Additional Information About the Role Are you passionate about supporting underserved communities? Do you strive for work-l...
  • 27 Days Ago

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New Home Quality Reviewer
  • 2M Quality
  • Batavia, IL PART_TIME
  • This is a part time, 1099 position. Job duties include: Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professio...
  • Just Posted

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Distinguished Software Engineer - LinkedIn Marketing Solutions
  • LinkedIn
  • Sunnyvale, CA
  • Company Description LinkedIn was built to help professionals achieve more in their careers, and every day millions of pe...
  • 4/17/2024 12:00:00 AM

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Registered Nurse
  • DaVita Kidney Care
  • Denver, CO
  • 2900 Downing StreetUnit C, Denver, Colorado, 802054414, United States of America DaVita is seeking a Nurse who is lookin...
  • 4/17/2024 12:00:00 AM

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Licensed Practical Nurse LPN / LVN
  • DaVita Kidney Care
  • Little Rock, AR
  • 2 Lile Court, Ste 102A, Little Rock, Arkansas, 72205, United States of America DaVita is seeking a Licensed Practical Nu...
  • 4/17/2024 12:00:00 AM

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Head of Data & Insights
  • CGM, LLC
  • Roswell, GA
  • Job Title: Head of Data & Insights Location: Roswell, GA / Hybrid About Our Company: CGM is a dynamic SaaS (Software as ...
  • 4/17/2024 12:00:00 AM

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Vice President, Disruptive Innovation
  • Leprino Foods
  • Join the Global Cheese Business Unit at Leprino Foods in Denver as our Vice President of Disruptive Innovation and be a ...
  • 4/17/2024 12:00:00 AM

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Registered Nurse
  • DaVita Kidney Care
  • Brandon, MS
  • 101 Christian Drive, Brandon, Mississippi, 39042, United States of America Registered Nurse (RN) – Clinic Setting Dialys...
  • 4/17/2024 12:00:00 AM

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Senior Program Manager
  • Global Dimensions, LLC
  • Alexandria, VA
  • Global Dimensions is recruiting for an upcoming opportunity and seeking candidates who will be available upon award. Glo...
  • 4/17/2024 12:00:00 AM

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Nurse Manager - San Mateo Clinic
  • Health Right 360
  • San Mateo, CA
  • Job Description Job Description HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by provi...
  • 4/15/2024 12:00:00 AM

Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP), the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Head Nurse - Quality Improvement - Home Care jobs
$68,752 to $83,713