Role OverviewResponsible for the coordination of the Quality Management Program, including problem identification, development of QM studies, and plan compliance with state and federal regulations. Collaborates with various departments to identify and resolve quality-related issues.
What You Will Do
Measures and analyzes results of QI activities, recommends interventions, and conducts follow-up. Develops and maintains reporting methods to identify trends in physician and member behavior. Creates educational publications related to quality management activities.
Why It Might Be a Fit
Requires a registered nurse with a current unrestricted Michigan license, 5 years of broad clinical experience, and 1 year of Quality Management experience. Excellent organizational, analytical, and communication skills are required.
Requirements
- Bachelor’s degree in Nursing, or health-related discipline
- Registered nurse with a current unrestricted Michigan license
- Five (5) years broad clinical experience
- One (1) year Quality Management experience
- Excellent organizational skills
- Excellent verbal and written communication skills
- Excellent analytical skills
- High level of attention to detail
- Ability to identify, assess and resolve highly complex problems
- Self-directed with demonstrated ability to initiate, implement and complete projects effectively
- Basic knowledge of Microsoft Word
- Basic knowledge of Microsoft Excel and Access, or a similar software program
- Knowledge of statistical analysis and software
- Detailed knowledge of policies and procedures as they pertain to managed care
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