Hedis Rn Jobs in Nevada (NOW HIRING)

Northern Nevada Medical Group, part of Northern Nevada Health System, offers a comprehensive range of healthcare services for the entire family. Our providers offer wellness services, family, geriatric and internal medicine, along with specialty care including cardiology, general surgery, podiatry and sleep medicine. Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

This Quality Coordinator/RN Coordinator position is full time, offer full benefits and a convenient day shift. The Quality Coordinator RN is a registered nurse who functions in a market quality leadership role in Population Health. This role helps drive quality best practices in a collaborative effort with payers, providers, support staff, managed care, VBC leaders and administration. The Quality Coordinator RN will participate in quality improvement initiatives, develop recommendations for quality remediation plans and create tools and databases to capture relevant data for their respective region. The QCRN will also be a leader for their local quality support team, with attention to apportioning responsibilities for quality support staff across their respective market. This role will also develop collaborative payer relationships to maximize resource utilization for patient care. Additionally, they will track quality performance on an ongoing basis with dissemination of performance metrics to key stakeholders (clinics, providers, administration) as a part of their leadership within a matrix relationship. The Quality Coordinator RN will be responsible for driving performance across plan metrics as outlined by the respective plans, optimize patient outcomes and system utilization, focus on STARS and HEDIS performance/metrics and help with MIPS measures. Additionally, the QCRN will help support quality staff competency and optimize clinic quality workflows within their region.

• STARS/HEDIS and MIPS Performance

  • Participate in the development of an annual work plan for improvement of STAR ratings, HEDIS and MIPS capture/performance from the position of the leader of the market quality team.
  • Support system efforts that may include MSO initiatives, new payer contracts, and risk initiatives.
  • Help create and support quality-based clinic workflows geared towards capturing gaps in care (chart scrubbing, pre-charting, huddles, Patient Care Conferences (PCCs)
  • Support provider reviews of performance on a regular cadence (monthly preferable).
  • Participate in payer meetings, create appropriate JOCs with payers.
  Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies

• Optimizing HCC capture and appropriately maximizing RAF

  • Education of clinical staff concerning HCC capture and importance of RAF
  • Develop and implement strategies for maximization of attestation form completion.
  Optimize AWV completion and promote as an opportunity for completing HCC capture

• Longitudinal Care Coordination

  • Provide leadership of quality team in the ongoing development of quality and timely patient care across the care continuum
  • Develop collaborative relationships across the patient care spectrum in the pursuit of warm patient hand-offs and a seamless care experience.
  Leadership of RN Care Managers and Population Health Coordinators within a collaborative environment, to maximize longitudinal care of the patients.

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its 300+ Subsidiaries!
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

• Graduation from an accredited nursing education program.
• Actively licensed by the worked in State to practice as a Registered Nurse.
• Minimum of 5 years of associated Population Health/Quality experience within the health care industry, preferably ambulatory based and includes experience with HEDIS/STARS and MIPS
• Bachelor’s Degree
• Master's Degree, preferred

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

If you would like to learn more about the position before applying, please contact Heidi Haught, Senior Recruiter @ heidi.haught@uhsinc.com