QI Nurse Specialist (RN) – Northridge

Job Description

The Quality Improvement Nurse reports to the VP and Director of QI and carries out the day‐to‐day activities related to ensuring compliance to QI Standards and State and Federal Regulations by auditing staff work case files using standardized tools implemented by the QI Department Director.

The role of the QI Team Nurse is to promote and support the quality and cost effectiveness of medical care through the monitoring and distribution of production and daily auditing for quality.

The QI Nurse will also serve as an intra‐team contact for staff for questions on appeals and grievances and offers assistance as may be needed.  The QI Nurse is a key member of the QI Department Team and works closely with the Medical Director, Director of QI, various Executive‐level department heads and contacts, and Health Plan Representatives.  

The QI Nurse adheres to NCQA, State and Federal and other Regulatory agency standards and turn‐around times while carrying out the QI duties and responsibilities.

Qualifications

Education and/or Experience:

• Bachelors degree.
• Minimum on (3-5) years of Quality Management experience.
• Three to five (3-5) years of managed healthcare experience preferred.
• Computer proficiency in use of Word, PowerPoint, Excel and Internet.
• Must have California driver’s license, use own vehicle for business related travel and be responsible for all liability on vehicle.

About the Hospital

As one of the largest physician-led networks in Southern California, we have thousands of physicians and hundreds of hospitals committed to providing quality healthcare to all of the communities we serve.

Every day, our employees are inspired to make a difference in the lives of others as well as transform their own experiences to achieve a higher sense of fulfillment. Our employees become a part of an extraordinary team of people dedicated to health, wellness, and happiness for themselves and others. There is no greater reward than contributing to a positive work environment where compassion, understanding, care and attention are encouraged and valued.