Head Nurse - Quality Improvement - Home Care jobs in Bakersfield, CA

Head Nurse - Quality Improvement - Home Care develops and implements various activities to improve overall quality of organization. Participates in and serves as a resource to quality improvement committees. Being a Head Nurse - Quality Improvement - Home Care tracks and analyzes trends and outcome reports and advises management on areas to improve upon. May be responsible to ensure all institute or government regulations are adhered to. Additionally, Head Nurse - Quality Improvement - Home Care requires a bachelor's degree. Typically reports to top management. The Head Nurse - Quality Improvement - Home Care supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. Thorough knowledge of department processes. To be a Head Nurse - Quality Improvement - Home Care typically requires 3-5 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

Recently Added Head Nurse - Quality Improvement - Home Care jobs

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Quality Improvement Registered Nurse
  • KHS
  • Bakersfield, CA FULL_TIME
  • KHS reasonably expects to pay starting compensation  for the position of Quality Improvement Registered Nurse in the range of $41.08 - $53.27 per hour.   RN Bonus - $5,000   Our Mission.. Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.   PRIMARY PURPOSE   Under the direction of the Quality Improvement Manager, the QI Nurse I will assist in clinical activities related to monitoring, assessing and improving performance in ambulatory and inpatient health care delivery or health care related services to Kern Health Systems (KHS) membership.  The QI Nurse will assist in the implementation of the KHS QI Program Plan by doing one or more of the following activities:   Communicate with contracted providers regarding studies and audit findings, Deliver provider or member education in support of quality health care, Conduct provider site reviews, medical record reviews and audits, and HEDIS or HEDIS-like chart reviews, Perform clinical investigation of potential quality of care issues and grievances and write an effective clinical summary of the investigation for referral to a medical director, Develop and ensure completion of provider corrective action plans related to quality-of-care issues or regulatory or accreditation non-compliance, Develop and complete performance improvement projects aimed at improving member compliance with specific preventive health measures.   DISTINGUISHING CHARACTERISTICS   This position is responsible for assigned Quality Improvement functions for a Knox-Keene Licensed health maintenance organization (HMO).   MAJOR DUTIES AND RESPONSIBILITIES   Assist in the implementation of the QI Program Plan and Program Workplan. Performs QI activities related to State required Quality requirements Serves as knowledge expert for KHS QI activities May be required to achieve State certification through the California Department of Health Services as a facility site reviewer and conduct facility site reviews for credentialing and re-credentialing of practitioners and providers. Certification is provided through KHS. Performs and documents HEDIS or HEDIS-like medical record reviews to assess compliance with specific measures. Performs clinical assessment of member grievances to determine if a potential quality of care issue exists and writes a clinical summary of the screening assessment for presentation to the medical director. Performs clinical investigation and assessment of potential quality of care issue referrals to determine if a quality-of-care issue exists and writes a clinical summary of the clinical investigation for presentation to the medical director, Works with the medical director to support timely and complete follow up of grievance reviews, potential quality of care issues, provider responses for additional information requests and corrective action plans.  Participates in problem identification, data analysis, conclusions, recommendations, and action plans. Monitors and analyzes outcomes to ensure goals, objectives, outcomes, and regulatory requirements are met. Assists in preparation of reports for committees. Assists in activities to prioritize QI initiatives. Ensures that documentation produced and/or processed complies with State and Federal regulations. Assists with training and orientation for new employees. Performs all job functions in a safe manner. Provides input in support of State and Federal requirements as it pertains to the mandated managed care accountability set (MCAS) measures. Maintains the confidentiality of records and reports for both KHS members and contracted providers. Performs in-depth medical records reviews as needed and is able to write a professional, clinical summary. Knowledge of acute care nursing principles, methods, and commonly used procedures. Knowledge of medical terminology, hospital routine; and commonly used medical equipment. Knowledge of acute hospital organizations and inter-relationships of various clinical and diagnostic services. Performs other job-related duties as required   REQUIREMENTS:   CORE COMPENTENCIES / KNOWLEDGE & SKILL REQUIREMENTS   Ability to effectively evaluate medical records of hospital admissions regarding continuing stay necessity, appropriateness of setting, delivered care, use of ancillary services and discharge plans. Ability to assess and judge the clinical performance of physicians and other health        professionals. Thorough knowledge of health care delivery systems. Knowledge of State and Federal managed care regulatory requirements. Ability to read, interpret and apply written regulations, guidelines and other materials. Strong analytical, assessment and problem-solving skills. Strong people skills, including the ability to establish and maintain effective working relationships with individuals at all levels both inside and outside of KHS. Ability to use tact and diplomacy to diffuse emotional situations. Effective oral and written communication skills, including the ability to effectively explain complex information and document according to standards. Intermediate skills in Word, Excel, PowerPoint, and Outlook, with basic ability to enter data into and navigate through a database.   Ability to commit to and facilitate an atmosphere of collaboration and teamwork. Knowledge of provider documentation requirements and governmental regulations affecting reimbursement. Demonstrated ability to respect and maintain the confidentiality of all sensitive documents, records, discussions and other information generated in connection with activities conducted in, or related to, patient healthcare, KHS business or employee information. Self-directed, with proven ability to work independently with minimum supervision. Uses appropriate judgment and asks questions and seeks assistance appropriately. Demonstrated ability to multi-task and complete assignments on a timely basis. Strong attention to detail; works accurately and meets expected deadlines and target dates. Ability to communicate effectively with contracting physicians, other ancillary providers and internal departments. Compliant with KHS policies and procedures.     EMPLOYEMNT STANDARDS   Education:   Associate Degree in Nursing from an accredited institution or equivalent required; Bachelor of science (BSN) Preferred.   EXPERIENCE:   Two (2) years of RN experience in a direct patient care setting preferred. One (1) year experience in Utilization Management or QI in a healthcare delivery or managed care setting desired.   LICENSURE: Possession of a valid California Registered Nursing License and in good standing. Certification in Quality Improvement/Assurance highly desired.   **Depending on the duties assigned to this position, certification by the CA Department of Health Care Services (DHCS) as a site reviewer may be required upon completion of required training.   Other: Possession of valid driver’s license and proof of State required auto liability insurance. Up to 25% driving may be required.
  • 1 Month Ago
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Home Care Aide
  • CareGiving in Home Care
  • Bakersfield, CA FULL_TIME
  • CareGiving In Home Care in Bakersfield, CA is looking for home care aides to join our team. We are located on 5441 Aldrin Ct Ste A. Our ideal candidate is self-driven, motivated, and reliable.Responsi...
  • 8 Days Ago
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Home Care Aide/Caregiver
  • Allied Home Care
  • Bakersfield, CA PART_TIME
  • Job Description We are looking for experienced Home Care Aides to provide non-medical personal care in the home of our clients. When you join our team, you will have the opportunity to improve your pa...
  • 11 Days Ago
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Home Care Aide/Caregiver
  • Allied Home Care
  • Isabella, CA PART_TIME
  • Job Description We are looking for experienced Home Care Aides to provide non-medical personal care in the home of our clients. When you join our team, you will have the opportunity to improve your pa...
  • 1 Day Ago
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LVN Nurse
  • Constant Care Home Care Agency, Inc.
  • Bakersfield, CA CONTRACTOR
  • ```Duties```- Provide direct patient care, including administering medications, monitoring vital signs, and assisting with activities of daily living.- Perform tube feeding and catheterization procedu...
  • 24 Days Ago
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Caregiver/Cna/Home Care Aide
  • CareGiving in Home Care
  • Bakersfield, CA FULL_TIME
  • CareGiving In Home Care in Bakersfield, CA is looking for home care aides to join our team. We are located on 5441 Aldrin Ct Ste A. Our ideal candidate is self-driven, motivated, and reliable.Responsi...
  • 8 Days Ago
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0 Head Nurse - Quality Improvement - Home Care jobs found in Bakersfield, CA area

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Head of Service/Director of Mental Health
  • Global Family Care Network
  • Bakersfield, CA
  • Global Family Care Network, Daughter Project Girls Home Bakersfield, CA, USA Organization Global Family Care Network is ...
  • 4/18/2024 12:00:00 AM
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Director of Quality & Food Safety
  • Central Valley Search Partners
  • Bakersfield, CA
  • Central Valley Search Partners is working on behalf of our client, a well-established Farming Operation who is seeking a...
  • 4/18/2024 12:00:00 AM
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Warehouse Superintendent
  • Westlake
  • Shafter, CA
  • Westlake Pipe & Fittings, a Westlake company (NYSE:WLK), is the second-largest polyvinyl chloride pipe and fittings manu...
  • 4/17/2024 12:00:00 AM
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Production Supervisor
  • JimmyAsh LLC
  • Bakersfield, CA
  • Job Description Job Description Production Supervisor Essential Function Job Description I. Position Title: Production S...
  • 4/17/2024 12:00:00 AM
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Production Technician
  • Mid Cal Labor Solutions
  • Bakersfield, CA
  • Job Description Job Description PRODUCTION TECHNICIAN JOB DESCRIPTION Job Summary: The Production Technician assists wit...
  • 4/17/2024 12:00:00 AM
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Warehouse Superintendent
  • Westlake
  • Shafter, CA
  • Westlake Pipe & Fittings, a Westlake company (NYSE:WLK), is the second-largest polyvinyl chloride pipe and fittings manu...
  • 4/16/2024 12:00:00 AM
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Director of Mental Health/Head of Services
  • Global Family Care Network
  • Bakersfield, CA
  • Global Family Care Network, Daughter Project Girls Home Bakersfield, CA, USA Organization Global Family Care Network is ...
  • 4/15/2024 12:00:00 AM
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Pest Control Field Rep
  • BENCHMARK PEST CONTROL
  • Bakersfield, CA
  • Job Description Job Description Local pest control business is seeking an experienced field rep. The candidate must have...
  • 4/15/2024 12:00:00 AM
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About Bakersfield, California

Bakersfield is a city in and the county seat of Kern County, California, United States. It covers about 151 sq mi (390 km2) near the southern end of the San Joaquin Valley and the Central Valley region. Bakersfield's population is around 380,000, making it the 9th-most populous city in California and the 52nd-most populous city in the nation. The Bakersfield–Delano Metropolitan Statistical Area, which includes all of Kern County, had a 2010 census population of 839,631, making it the 62nd-largest metropolitan area in the United States. The more built-up urban area that includes Bakersfield and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Head Nurse - Quality Improvement - Home Care jobs
$71,306 to $86,822
Bakersfield, California area prices
were up 2.5% from a year ago
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