Supervisor, Quality Improvement, RN Job at L.A. Care Health Plan, Los Angeles, CA

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  • L.A. Care Health Plan
  • Los Angeles, CA

Job Description

The Supervisor of Quality Improvement (QI) is responsible for monitoring the quality Improvement staff and works with leadership to supervise the day to day activities of the quality improvement staff, to ensure that all aspects of the QI program are met e.g. regulatory compliance with Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), National Committee for Quality Assurance (NCQA) etc.   

This position supervises all aspects of running an efficient  teams, including hiring, supervising, coaching, training, disciplining, and motivating direct and indirect staff reports.  This position will supervise quality improvement staff to keep up with all standards of practice, clinical guidelines and regulatory requirements and will adjust processes/activities to ensure compliance for operational processes/activities.  

Critical to the position is supervise the execution of interventions, evaluations, and performance improvement projects, ensuring the external policies/regulations and are completed timely, at the highest quality and integrity.

Qualifications

Education Required:

  • Bachelor's Degree in Public Health or Nursing. In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred:

  • Master's Degree

Experience Required:

  • At least 5 years of quality improvement experience in a managed healthcare setting and/or quality improvement experience that includes Medicare, Medi-Cal, and other government programs. 
  • At least 2 years of leading process, program, or staff or supervisory experience. 
  • Strong Experience with regulatory compliance such as CMS, DMHC, DHCS, and NCQA. Active experience in the Plan-Do-Study-Act process. 
  • Experience in compliance, accreditation, service or quality improvement. 
  • Advance Experience in facilitating workgroups and project management.

Job Tags

Full time,

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