Quality Utilization Coordinator Home Health Hospice
Company: Kaiser
Location: Orangevale
Posted on: March 17, 2023
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Job Description:
Coordinates quality, utilization and risk management activities
for the Home Care Agency; provides technical, educational,
consultative, and coordinating support to assigned areas.Essential
Functions:- Assists in the coordination of the quality
management/utilization management department activities. Acts as a
consultant for appropriate departments on quality management,
utilization management and risk management activities.- Assists
with quality management studies through data collection, data input
and report development. Provides objective assessment of important
aspects of patient care through ongoing chart review with
preestablished criteria.- Facilitates interdisciplinary
collaboration for development of patient care paths. Reports all
occurrences which may lead to medical center liability and follows
up as necessary.- Serves as a member of the QM and/or UM Committees
as needed. Attends and/or participates in committee meetings as
needed. Assists in orientation and training; in formulating and
evaluating policies and procedures.- Performs special projects as
assigned, such as statistical reports for state, federal, and local
agencies. Assists the director of quality and utilization
management for QM and UM in the formulation of department goals and
objectives.- Kaiser Permanente reserves the right to reevaluate and
change job descriptions, or to change such positions from salaried
to hourly pay status. Such changes are generally implemented only
after notice is given to affected employees.Basic
Qualifications:Experience- Minimum three (3) years of home care
nursing experience or quality utilization review
experience.Education- Bachelor's degree in nursing or related field
OR four (4) years of experience in a directly related field.- High
School Diploma or General Education Development (GED)
required.License, Certification, Registration- Must have a current
RN license in California.--Additional Requirements:- Current
working knowledge of The Joint Commission, NCQA and Title 22 and
federal standards/regulations.- Strong problem solving, project
management, group facilitation and teamwork skills.- Demonstrate
knowledge of adult learning theories.- Demonstrate ability to
assess or evaluate patient medical records as it relates to quality
of care and systems analysis.- Demonstrate knowledge of quality
improvement, statistical analysis, and accreditation and licensing
processes.- Must be able to work in a Labor/Management Partnership
environment.--Preferred Qualifications:- Supervisory experience
preferred.- Valid CA driver's license with personal means of
transportation preferred.- PC literate, Microsoft Office
applications preferred.Job Schedule: Job Category: Nursing Licensed
& Nurse Practitioners
Keywords: Kaiser, Sacramento , Quality Utilization Coordinator Home Health Hospice, Healthcare , Orangevale, California
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