Quality Improvement Director - Healthcare jobs in Bakersfield, CA

Quality Improvement Director - Healthcare leads and directs process and overall quality improvement activities that produce better patient care and more efficient operations. Develops programs to review and evaluate patient care and outcomes. Being a Quality Improvement Director - Healthcare implements a strategy and plans for a quality improvement function within the facility in collaboration with the administrative and clinical leaders of the hospital. Tracks and presents results of improvement efforts and ongoing measures of clinical processes to management. Additionally, Quality Improvement Director - Healthcare requires a bachelor's degree. Typically reports to top management. The Quality Improvement Director - Healthcare typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Quality Improvement Director - Healthcare typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Quality Improvement Registered Nurse
  • KHS
  • Bakersfield, CA FULL_TIME
  • KHS reasonably expects to pay starting compensation  for the position of Quality Improvement Registered Nurse in the range of $41.08 - $53.27 per hour.   RN Bonus - $5,000   Our Mission.. Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.   PRIMARY PURPOSE   Under the direction of the Quality Improvement Manager, the QI Nurse I will assist in clinical activities related to monitoring, assessing and improving performance in ambulatory and inpatient health care delivery or health care related services to Kern Health Systems (KHS) membership.  The QI Nurse will assist in the implementation of the KHS QI Program Plan by doing one or more of the following activities:   Communicate with contracted providers regarding studies and audit findings, Deliver provider or member education in support of quality health care, Conduct provider site reviews, medical record reviews and audits, and HEDIS or HEDIS-like chart reviews, Perform clinical investigation of potential quality of care issues and grievances and write an effective clinical summary of the investigation for referral to a medical director, Develop and ensure completion of provider corrective action plans related to quality-of-care issues or regulatory or accreditation non-compliance, Develop and complete performance improvement projects aimed at improving member compliance with specific preventive health measures.   DISTINGUISHING CHARACTERISTICS   This position is responsible for assigned Quality Improvement functions for a Knox-Keene Licensed health maintenance organization (HMO).   MAJOR DUTIES AND RESPONSIBILITIES   Assist in the implementation of the QI Program Plan and Program Workplan. Performs QI activities related to State required Quality requirements Serves as knowledge expert for KHS QI activities May be required to achieve State certification through the California Department of Health Services as a facility site reviewer and conduct facility site reviews for credentialing and re-credentialing of practitioners and providers. Certification is provided through KHS. Performs and documents HEDIS or HEDIS-like medical record reviews to assess compliance with specific measures. Performs clinical assessment of member grievances to determine if a potential quality of care issue exists and writes a clinical summary of the screening assessment for presentation to the medical director. Performs clinical investigation and assessment of potential quality of care issue referrals to determine if a quality-of-care issue exists and writes a clinical summary of the clinical investigation for presentation to the medical director, Works with the medical director to support timely and complete follow up of grievance reviews, potential quality of care issues, provider responses for additional information requests and corrective action plans.  Participates in problem identification, data analysis, conclusions, recommendations, and action plans. Monitors and analyzes outcomes to ensure goals, objectives, outcomes, and regulatory requirements are met. Assists in preparation of reports for committees. Assists in activities to prioritize QI initiatives. Ensures that documentation produced and/or processed complies with State and Federal regulations. Assists with training and orientation for new employees. Performs all job functions in a safe manner. Provides input in support of State and Federal requirements as it pertains to the mandated managed care accountability set (MCAS) measures. Maintains the confidentiality of records and reports for both KHS members and contracted providers. Performs in-depth medical records reviews as needed and is able to write a professional, clinical summary. Knowledge of acute care nursing principles, methods, and commonly used procedures. Knowledge of medical terminology, hospital routine; and commonly used medical equipment. Knowledge of acute hospital organizations and inter-relationships of various clinical and diagnostic services. Performs other job-related duties as required   REQUIREMENTS:   CORE COMPENTENCIES / KNOWLEDGE & SKILL REQUIREMENTS   Ability to effectively evaluate medical records of hospital admissions regarding continuing stay necessity, appropriateness of setting, delivered care, use of ancillary services and discharge plans. Ability to assess and judge the clinical performance of physicians and other health        professionals. Thorough knowledge of health care delivery systems. Knowledge of State and Federal managed care regulatory requirements. Ability to read, interpret and apply written regulations, guidelines and other materials. Strong analytical, assessment and problem-solving skills. Strong people skills, including the ability to establish and maintain effective working relationships with individuals at all levels both inside and outside of KHS. Ability to use tact and diplomacy to diffuse emotional situations. Effective oral and written communication skills, including the ability to effectively explain complex information and document according to standards. Intermediate skills in Word, Excel, PowerPoint, and Outlook, with basic ability to enter data into and navigate through a database.   Ability to commit to and facilitate an atmosphere of collaboration and teamwork. Knowledge of provider documentation requirements and governmental regulations affecting reimbursement. Demonstrated ability to respect and maintain the confidentiality of all sensitive documents, records, discussions and other information generated in connection with activities conducted in, or related to, patient healthcare, KHS business or employee information. Self-directed, with proven ability to work independently with minimum supervision. Uses appropriate judgment and asks questions and seeks assistance appropriately. Demonstrated ability to multi-task and complete assignments on a timely basis. Strong attention to detail; works accurately and meets expected deadlines and target dates. Ability to communicate effectively with contracting physicians, other ancillary providers and internal departments. Compliant with KHS policies and procedures.     EMPLOYEMNT STANDARDS   Education:   Associate Degree in Nursing from an accredited institution or equivalent required; Bachelor of science (BSN) Preferred.   EXPERIENCE:   Two (2) years of RN experience in a direct patient care setting preferred. One (1) year experience in Utilization Management or QI in a healthcare delivery or managed care setting desired.   LICENSURE: Possession of a valid California Registered Nursing License and in good standing. Certification in Quality Improvement/Assurance highly desired.   **Depending on the duties assigned to this position, certification by the CA Department of Health Care Services (DHCS) as a site reviewer may be required upon completion of required training.   Other: Possession of valid driver’s license and proof of State required auto liability insurance. Up to 25% driving may be required.
  • 1 Month Ago

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Quality and Safety Improvement Consultant IV (KFH/HP)
  • Kaiser Permanente
  • Bakersfield, CA OTHER
  • Job Summary: Facilitates a broad range of administrative, facilitation, and technical support functions in the area of Quality and Safety Improvement to support Quality and Safety programs and initiat...
  • 10 Days Ago

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Quality Control Manager-Large Commercial Healthcare Construction Projects
  • Bernhard LLC
  • Bakersfield, CA FULL_TIME
  • About Us Bernhard's core mission is delivering innovative engineering, construction, and energy solutions that empower our clients and promote a sustainable future. Bernhard is comprised of four divis...
  • 8 Days Ago

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Quality Assurance Director - Juice Concentrate
  • New Level Resources
  • Bakersfield, CA FULL_TIME
  • Title: Quality Assurance Director - Juice ConcentrateLocation: Bakersfield, CA Schedule: Monday – Friday Compensation: $100,000-$145,000/yr - Dependent on experienceRoyal Wine offers a dynamic and ins...
  • 7 Days Ago

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Director Human Resources
  • Bakersfield Behavioral Healthcare Hospital
  • Bakersfield, CA FULL_TIME
  • Sign-On Bonus: $20,000 This position provides senior-level direction in all areas of Human Resources, including employee relations, recruitment, retention, salary and benefits administration, counseli...
  • Just Posted

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Director of Staff Development - Bakersfield
  • Rockport Healthcare Services
  • Bakersfield, CA FULL_TIME
  • Under the direction and supervision of the Administrator and through consultation and cooperation with the Director of Nurses, the Director of Staff Development is responsible for planning, implementa...
  • 1 Day Ago

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0 Quality Improvement Director - Healthcare jobs found in Bakersfield, CA area

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Psychiatrist
  • Platinum Staffing Solutions
  • Bakersfield, CA
  • Job Summary: Reporting directly to the Medical Director, the Psychiatrist I plays a crucial role in providing psychiatri...
  • 4/25/2024 12:00:00 AM

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Licensed Clinical Social Worker (LCSW) - 100% Remote! - Bakersfield, CA
  • LifeStance Health
  • Bakersfield, CA
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/24/2024 12:00:00 AM

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Mental Health Service Coordinator (AMFT, ACSW)
  • Crestwood Behavioral Health
  • Bakersfield, CA
  • Are you looking for a meaningful role in behavioral health and have the desire to work with an organization that puts pe...
  • 4/24/2024 12:00:00 AM

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Clinical Psychologist (PsyD & PhD) - 100% Remote - Bakersfield, CA
  • LifeStance Health
  • Bakersfield, CA
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/24/2024 12:00:00 AM

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Licensed Marriage and Family Therapist (LMFT) - 100% Remote! - Bakersfield, CA
  • LifeStance Health
  • Bakersfield, CA
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/24/2024 12:00:00 AM

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Regional Director of Sales
  • Traditions Health
  • Bakersfield, CA
  • ** MUST have Hospice sales experience** **Relocation Assistance available** Reporting to the Regional Vice President of ...
  • 4/23/2024 12:00:00 AM

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Psychiatrist
  • Platinum Staffing Solutions
  • Bakersfield, CA
  • Job Summary: Reporting directly to the Medical Director, the Psychiatrist I plays a crucial role in providing psychiatri...
  • 4/21/2024 12:00:00 AM

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Medical Assistant I - Whole Person Care - Bilingual (English/Spanish) Preferred
  • Kern Medical
  • Bakersfield, CA
  • Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center wi...
  • 4/21/2024 12:00:00 AM

Bakersfield is a city in and the county seat of Kern County, California, United States. It covers about 151 sq mi (390 km2) near the southern end of the San Joaquin Valley and the Central Valley region. Bakersfield's population is around 380,000, making it the 9th-most populous city in California and the 52nd-most populous city in the nation. The Bakersfield–Delano Metropolitan Statistical Area, which includes all of Kern County, had a 2010 census population of 839,631, making it the 62nd-largest metropolitan area in the United States. The more built-up urban area that includes Bakersfield and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Quality Improvement Director - Healthcare jobs
$120,414 to $163,923
Bakersfield, California area prices
were up 2.5% from a year ago

Quality Improvement Director - Healthcare in New Bedford, MA
Quality improvement is meant for enhancing safety, effectiveness, and efficiency.
February 14, 2020
Quality Improvement Director - Healthcare in Temple, TX
Once quality improvement leaders establish a vision, they need to communicate the vision to physicians and staff to gain buy-in.
February 14, 2020
Quality Improvement Director - Healthcare in Duluth, MN
"In general, we don't have a culture of feeling comfortable discussing opportunities for improvement, especially when it comes to the way relationships can be managed," Ms.
January 30, 2020