Quality Management Nurse I
Overview
Becoming a Nurse at University Health is a great way to step up and be there for the people of South Texas. They look up to us, and as a Nurse at UH, we’ll look to you to help carry out this mission in an environment that has been designated, and redesignated, as a Magnet Health Organization by the American Nurse Credentialing Center (ANCC) for more than a decade. From your first day, you’ll be hands on with our patients while gaining valuable experience, earning excellent benefits and making a real impact on people’s lives.
- Full Time
- Level:
- Travel: Minimal (if any)
- Salary: $63K-$96K
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Success Profile
What does it take to build a successful Quality Management Nurse I? career at University Health? Take a look the top qualities we’re after and see if you have the right mix.
- Collaborative
- Compassionate
- Empathetic
- Problem-solver
- Detail-oriented
- Strong Communicator
At University Health, we are strongly committed to quality, compassion and innovation in everything we do here and in our community.
This is a great place to be exposed to many different types of patients, procedures and disease processes.
Acute Care Nurse
Learn more about what it means to be a nurse at University Health
Benefits
We believe in taking care of those who care for our community and provide each of our health care professionals with the benefits they need to thrive in all aspects of their lives.
Rewards
Learn about our rewards.
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Healthcare
Medical: Excellent coverage for individuals and families with very low premiums and co-pays, and ZERO co-pays for medications filled at University Health. Dental, vision, pet insurance, flexible and health spending accounts.
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Paid Time Off (PTO)
Generous accrual rates that start on day one.
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Retirement
We offer both a 457(b) and 403(b) deferred compensation programs.
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Education Reimbursement
Including college tuition reimbursement up to $600 per semester, continuing education up to $400 and certification reimbursement.
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Life and Disability
Basic life paid by University Health, with optional plans for life and disability insurance.
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Health and Wellness
Employee discounts, including gym memberships, employee health clinic, healing arts program, community events.
Responsibilities
POSITION SUMMARY/RESPONSIBILITIES
Coordinates and collaborates with Community First Health Plans, Inc. (Community First), various departments to ensure that contractual, regulatory, and accreditation requirements, including National Committee for Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set (HEDIS) are met as it pertains to the Quality Management Department. Monitors Community First performance on various quality metrics and benchmarks them against state and federal standards. Provides ongoing management of data collection systems and the development of procedures for monitoring, validating, and reconciling data for accuracy. May serve as a leader/facilitator of process improvement efforts. Provides oversight of and performs functions of review, investigation, and analysis of member-level clinical care data and provider performance as it compares to standards of care.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing is required. Bachelor's degree in nursing, clinical informatics, or other health care, or other health care related field is preferred. Five or more years of relevant healthcare experience is required. Experience in data analysis and preparation of quality improvement or related reports is preferred. Experience with Microsoft Office (Outlook, Word, Excel). Excellent communication and interpersonal skills are required. Quality Management certification such as CPHQ or CHCQM is preferred. Working knowledge of continuous process improvement principles and standard coding products is preferred.
LICENSURE
Current licensure as a Registered Nurse in the State of Texas is required.
Events
We host a variety of events designed to educate our staff and community members on a wide range of subjects, from valuable skills to support and more.
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