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Clinical Quality Improvement Coordinator

Apply now Job no: 494863
Employment type: Regular
Location: Omaha, Nebraska
Categories: Clinical Provider Support

This position functions within Healthcare Delivery and Wellness by developing and implementing quality improvement activities, analyzing data, fulfilling documentation requirements for accreditation and the Quality Management Program, promoting health and wellness initiatives, coordinating collaborative projects to improve health care quality and transparency, investigating quality of care issues and providing internal and external customer support.
 

What you'll do:

  •  Develop, implement and monitor health care quality programs in collaboration with internal and external stakeholders, including BCBSA and/or network providers to improve quality of care and services for members, improve population health and reduce the cost of care.
  • Design, develop, monitor, document and report on clinical quality assessment and improvement activities as required by the Quality Management Program, regulatory and accreditation standards and contract deliverables.
  • Contribute to the Quality Management Program activities, Quality Management Committee, quality strategy and work plan, and related reporting within defined deadlines. Complete special projects as assigned.
  • Investigate, monitor, document and report on quality of care and service issues regarding health care and services rendered within the BCBSNE provider networks.
  • Must be able to communicate with internal and external stakeholders at all levels, both verbally and in writing, regarding quality of care, service issues, and quality improvement initiatives.

To be considered for this position, you must have:

  • Bachelor's degree in nursing, health information management, or related health care field and five years of experience in health care quality, performance improvement, patient safety, risk management, utilization management, case management or health data analysis in a health care organization or health plan. An equivalent combination of education and experience may be substituted to meet this requirement.
  • The ability to meet or exceed the attendance and timeliness requirements of their departments.
  • The ability to work well in a team environment, and be capable of building and maintaining positive relationships with other staff, departments, and customers.

The strongest candidates for this position will also possess:

  • Current licensure or certification appropriate to clinical education (examples: RN, LPN, RHIA, MLT, RT, RPh)
  • CPHQ (Certified Professional in Health Care Quality)

 

We strongly believe that diversity of experience, perspectives, and background will lead to a better workplace for our employees and a better product for our customers and members.

Blue Cross and Blue Shield of Nebraska is an Equal Opportunity /Affirmative Action Employer - Minorities/Females/Disabled/Veterans

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