Quality Improvement Director - Healthcare jobs in Las Vegas, NV

Quality Improvement Director - Healthcare leads and directs process and overall quality improvement activities that produce better patient care and more efficient operations. Develops programs to review and evaluate patient care and outcomes. Being a Quality Improvement Director - Healthcare implements a strategy and plans for a quality improvement function within the facility in collaboration with the administrative and clinical leaders of the hospital. Tracks and presents results of improvement efforts and ongoing measures of clinical processes to management. Additionally, Quality Improvement Director - Healthcare requires a bachelor's degree. Typically reports to top management. The Quality Improvement Director - Healthcare typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Quality Improvement Director - Healthcare typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Quality Improvement Manager
  • P3 Health Partners
  • Henderson, NV FULL_TIME
  • People. Passion. Purpose.

    At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.

    We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.

    We are looking for a Quality Improvement Manager. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Las Vegas, NV then you should consider joining our team.

    Quality Improvement Manager

    Overall Purpose:
    The Quality Improvement Manager supports the Market Medical Management team by identifying gaps in patient care to better direct provider and patient engagement for the CMS Star Rating. Through provider and health plan Joint Operating Committees, the Quality Improvement Manager develops strategizes for quality improvement opportunities, including, but not limited to HEDIS gap closure, acute utilization, member compliance, and other clinical metrics. This role also outreaches the market’s network providers, vendors, payers, and internal P3HP departments to ensure health data is accurate and complete.

    The Medical Management Department encompasses Utilization Management, Quality Management, and Care Management. The Quality Management Department ensures compliance with policies and procedures as dictated by but not limited to the following: Centers for Medicare and Medicaid Services (CMS), the National Committee on Quality Assurance (NCQA), and respective health plans.


    Education and Experience:
    • Bachelor’s degree in nursing, social work, public health administration, or other healthcare related field required
    • Master’s degree in nursing, social work, public health administration, or other healthcare related field preferred
    • 3 years healthcare experience required
    • 3 years Managed care experience preferred
    • Patient Experience, Consume Assessment for Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS) experience preferred

    Knowledge, Skills and Abilities:

    • Knowledge of federal, national, state, and health plan regulatory requirements (CMS Star Rating)
    • Strong analytical and critical thinking skills
    • Data mining experience
    • Effective communication
    • Project management

    Essential Functions:

    • Leads analytical and technical support for the development and data capture of Quality Measures
    • Conducts in-depth analyses to target potential interventions or initiatives to improve health plan members quality of care and experience
    • Collaborates with Network Providers, vendors, payers, and internal P3HP departments to capture multiple data sources
    • Data gathering requires navigation through multiple system applications
    • Engages Network Providers, vendors, payers, and internal P3HP departments to educate, train, and achieve improved CMS Star Rating
    • Evaluates documentation/information to determine compliance with clinical policy, regulatory, and accreditation guidelines
    • Commands a comprehensive knowledge of complex risk arrangements, contracts (member and provider), benefit plan structure, regulatory requirements, provider and member incentives which are required to support the review of the clinical documentation/information
    • Applies regulatory and accreditation standards to assure that activities are reviewed and processed within guidelines
    • Supports clinicians by condensing complex information into a clear and precise clinical picture while working independently; makes clinical performance recommendations accordingly
    • Reports audit, patient experience, or clinical findings to appropriate staff or others to ensure appropriate outcome and/or follow-up for improvement as indicated
    • Manages Quality Specialists for KPIs and KAIs to achieve improved CMS Star Rating
    • Reports to Share Services Leadership for shared structure and processes
    • Develops and executes market committees, including, but not limited to Medical Executive Committee (MEC), Quality Utilization Committee (QUC)
    • Assists with other projects as assigned

    Education

    Required
    • Bachelors or better in Health Administration or related field
    Preferred
    • Masters or better in Health Administration or related field

    Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

    The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

  • 2 Days Ago

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Quality Improvement Manager
  • P3 Health Partners Brand
  • Henderson, NV FULL_TIME
  • People. Passion. Purpose. At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organizatio...
  • 2 Days Ago

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PERFORMANCE IMPROVEMENT ANALYST- CONSOLIDATED QUALITY
  • Valley Health System Consolidated Services
  • Las Vegas, NV FULL_TIME
  • Responsibilities: The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1...
  • 17 Days Ago

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LEAD PERF IMPROVEMENT ANALYST- CONSOLIDATED QUALITY
  • Valley Health System Consolidated Services
  • Las Vegas, NV FULL_TIME
  • Responsibilities: The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1...
  • 14 Days Ago

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DIRECTOR HEALTHCARE TECH MANAGEMENT
  • UHS
  • HENDERSON, NV FULL_TIME
  • Responsibilities West Henderson Hospital is currently under construction and is expected to open in late 2024. When it does it will be the seventh acute care hospital in The Valley Health System. It w...
  • 11 Days Ago

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DIRECTOR HEALTHCARE TECH MANAGEMENT
  • Universal Health Services, Inc.
  • Henderson, NV FULL_TIME
  • Responsibilities West Henderson Hospital is currently under construction and is expected to open in late 2024. When it does it will be the seventh acute care hospital in The Valley Health System. It w...
  • 12 Days Ago

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0 Quality Improvement Director - Healthcare jobs found in Las Vegas, NV area

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Senior Director of Development, Kirk Kerkorian School of Medicine, Division of Philanthropy and Alumni Engagement [R0139498]
  • University of Nevada, Las Vegas
  • Las Vegas, NV
  • The University of Nevada, Las Vegas (UNLV) appreciates your interest in employment. We ask that you keep in mind the fol...
  • 3/18/2024 12:00:00 AM

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Psychologist (Domicile-Substance Use Disorder)
  • Department of Veterans Affairs
  • Las Vegas, NV
  • Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement ...
  • 3/18/2024 12:00:00 AM

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Psychologist (Psycho-Oncology)
  • Department of Veterans Affairs
  • Las Vegas, NV
  • Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement ...
  • 3/18/2024 12:00:00 AM

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Assistant/Associate Professor Family and Community Medicine, Kirk Kerkorian School of Medicine [R0140125].
  • University of Nevada, Las Vegas
  • Las Vegas, NV
  • The University of Nevada, Las Vegas (UNLV) appreciates your interest in employment. We ask that you keep in mind the fol...
  • 3/18/2024 12:00:00 AM

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Cardiology Nurse Practitioner - CenterWell - Las Vegas, NV
  • Humana Inc.
  • Las Vegas, NV
  • Become a part of our caring community and help us put health first CenterWell Senior Primary Care is one of the largest ...
  • 3/18/2024 12:00:00 AM

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COO in Training Behavioral Health - Las Vegas, Nevada
  • Universal Health Services
  • Las Vegas, NV
  • Responsibilities About Universal Health Services One of the nation's largest and most respected providers of hospital an...
  • 3/17/2024 12:00:00 AM

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Director of Sales
  • Veritext
  • Las Vegas, NV
  • Veritext is the global leader in legal litigation and deposition solutions providing the most skilled court reporters, a...
  • 3/16/2024 12:00:00 AM

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Registered Nurse- MedSurg CDU
  • MountainView Hospital
  • Las Vegas, NV
  • Description Hourly Wage Estimate: $37.73 - $56.65 / hour Learn more about the benefits offered for this job. The estimat...
  • 3/15/2024 12:00:00 AM

Las Vegas is situated within Clark County in a basin on the floor of the Mojave Desert and is surrounded by mountain ranges on all sides. Much of the landscape is rocky and arid with desert vegetation and wildlife. It can be subjected to torrential flash floods, although much has been done to mitigate the effects of flash floods through improved drainage systems. The peaks surrounding Las Vegas reach elevations of over 10,000 feet (3,000 m), and act as barriers to the strong flow of moisture from the surrounding area. The elevation is approximately 2,030 ft (620 m) above sea level. According t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Quality Improvement Director - Healthcare jobs
$115,104 to $156,697
Las Vegas, Nevada area prices
were up 2.5% from a year ago

Quality Improvement Director - Healthcare in New Bedford, MA
Quality improvement is meant for enhancing safety, effectiveness, and efficiency.
February 14, 2020
Quality Improvement Director - Healthcare in Temple, TX
Once quality improvement leaders establish a vision, they need to communicate the vision to physicians and staff to gain buy-in.
February 14, 2020
Quality Improvement Director - Healthcare in Duluth, MN
"In general, we don't have a culture of feeling comfortable discussing opportunities for improvement, especially when it comes to the way relationships can be managed," Ms.
January 30, 2020