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CURRENT JOB POSTINGS

1) Senior Clinical Quality Specialist (posted 7/28/2010)

Location: Canton Crossing
 

Responsibilities
Quality Improvement programs related to elimination of Healthcare Disparities: Coordinates and facilitates quality projects and activities in compliance with CareFirst's mission, national accreditation standards, and state requirements. - Acts as project leader and/or participates substantially in major quality improvement projects, such as health improvement, wellness, primary or secondary prevention, safety. - Applies nursing judgment in all phases of clinical projects, including planning, implementing and assessing outcomes. - Coordinates, facilitates, documents, and reports all aspects of assigned project(s). - Applies QI principles and tools to complete quality initiatives (data collection, quantitative and qualitative analysis, conclusions, action planning and implementation, re-evaluation for effectiveness of interventions). - Assists department director and/or manager in preparing documentation for national accreditation and state certification reviews. - Collaborates with Community Organizations, represents CareFirst to external and internal customers in matters related to Healthcare Disparity Reduction. - Provides oversight to associates within the department and in other operational areas, as needed, to accomplish project goals and objectives. - Provides interim and annual reports to QI committees. - Performs other duties as assigned.

 

Presentations and Written Materials: Provides oral and written presentations/ materials in support of the QI program.

- Plans, develops and delivers presentations on quality-related topics for internal and external audiences.
- Responds to RFPs and RFIs.
- Composes member and provider newsletter articles.
- Participates in the review and revision of other materials, such as member handbooks and provider manuals.

 

Performance Standards/Criteria and Policies/Procedures: Using nursing knowledge and judgment, develops and/or reviews and revises clinically-related performance standards, criteria, and policies and procedures.

- Develops new performance standards, criteria, or policies and procedures as outcomes of quality improvement initiatives or projects.

- Reviews and revises existing performance standards, criteria, and policies and procedures at least annually.

- Presents recommended performance standards, criteria, and policies and procedures to QI Director and/or QI committees, as appropriate.

- Creates new data collection tools, as needed, to support performance standards and criteria.

 

QI Committees: Coordinates and facilitates QI-related committees.

- Confers with Medical Director, QI Director, QI Manager, and committee chairperson, as applicable, to establish agenda and prepare meeting materials.

- Documents accurate, contemporaneous meeting minutes.

- Completes timely follow-up on action items.

 

Qualifications
Required:

- Licensed registered nurse in Maryland, Virginia or the District of Columbia - Bachelors degree or equivalent experience
- Minimum of 3 years of clinical experience

- Minimum of 3-4 years experience in quality improvement in a managed care environment

- An independent means of transportation (local travel required)

 

Abilities/Skills:

- Knowledge of quality improvement principles and tools

- Ability to interpret national accreditation standards and federal/state certification requirements

- Analytical and statistical skills to interpret data and draw conclusions

- Project leader and management skills

- Critical thinking and sound judgment

- Strong verbal and written communication skills; ability to write detailed reports for various audiences

- Strict attention to detail

- Initiative and ability to work independently and with others in a team

- Ability to positively interface with internal staff and external providers

- Demonstrated proficiency with various computer applications/software, including but not limited (text, spreadsheet, relational database) and mainframe data sources

 

Preferred:

- Masters degree or equivalent experience

- Certification in QI (CPHQ)

- Experience with accreditation survey process

- Previous supervisory experience in health care environment

Equal Employment Opportunity
We are an Equal Employment Opportunity / Affirmative Action Employer.

Where To Apply
www.CareFirst.com

 

2) Performance Improvement Coordinator (posted 7/2/2010)

Position Details:

Coordinate this facility’s Performance Improvement activities, working directly with all levels of the organization.  The position reports to the Director of Quality, whose management style is collaborative and team oriented, as well as encourages autonomy.   Work where continued education and participation in professional organizations is encouraged and supported.

• Registered nurse required; Bachelor’s degree preferred
• Minimum of two years in a role involving quality/regulatory; works well autonomously
• Salary in the $80,000 range, commensurate with experience and education, plus excellent benefits

Hospital Details:

This 100-plus bed, well-respected hospital is part of a multi-hospital, not-for-profit, financially sound healthcare system.

Location Details:

Located in Maryland, conveniently near a major metropolitan area, where there is something for everyone.  Enjoy professional sports, sailing on the Chesapeake Bay, numerous restaurants, and a variety of outdoor activities.

Please contact:      

Debbie Nord
dnord@ctlrecruitment.com
(866) 334-1069, extension 13
Fax (866) 277-3441