The QI Nurse Coordinator serves as the primary staff member accountable for the daily implementation of Cook Children's Health Plan's (CCHP) Quality Management Work Plan.Specifically, the Coordinator completes concurrent and retrospective reviews of clinical quality and issues within the health plan.This position works closely with the CCHP Director of Quality Improvement, Quality Program Lead, Medical Director, other health plan staff, network physicians and other providers to identify clinical quality issues and recommend actions for improvement.
3-5 years' experience in the healthcare field; experience quality improvement, utilization management, or care management in a managed care setting.
Experience with children with special healthcare needs strongly preferred.
Knowledge of local and national quality management and regulatory standards, including NCQA and HEDIS reporting.
Demonstrated analytical ability in identifying problems, developing solutions, implementing effective courses of action, and leading project teams.
Strong communication skills required, including the ability to effectively communicate verbally and in writing, internally and externally, and with varied educational levels in mind.
Strong knowledge of MS Office, including large-scale database management required.
Proficiency in Access and SQL preferred.
nowledge of Lean, Six Sigma, CQI Principles, and Project Management strongly preferred.
Registered Nurse required.
Internal Number: 43302
About Cook Children's Health Care System
Cook Children's Health Care System is a not-for-profit, nationally recognized pediatric health care organization comprised of eight entities – a Medical Center, Physician Network, Home Health company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Health Services Inc., and Health Foundation.Cook Children's Medical Center Based in Fort Worth, Texas, the integrated system has more than 60 primary and specialty care offices throughout North Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing nearly half the state.Cook Children's traces its roots back to 1918, but throughout its continual change and robust growth, it still embraces an inspiring promise – to improve the health of every child in its region through the prevention and treatment of illness, disease and injury. To live up to this promise, Cook Children's combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day.History – Cook Children's has a rich history of nearly a century of caring for children.Our Promise – Knowing that every child's ...life is sacred, it is the promise of Cook Children's to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.Companies – Based in Fort Worth, Texas, Cook Children's is a not-for-profit organization that is comprised of eight nationally recognized companies.Community Health Outreach – Cook Children's Community Health Outreach works together with over 150 partner organizations to improve the safety and health of at-risk children through education, disease and injury prevention and support.Clinical Research – Cook Children's is home to a skilled team of research-minded physicians, nurses and health care professionals and administrators who drive our commitment to excellent clinical care and the search for medical advances.Public Relations – Cook Children's Public Relations works with national and local media outlets, produces Cook Children's publications, coordinates special events and helps develop key relationships within the community.Contractor & Vendor Information – Cook Children's contractors and vendors must ensure their employees are knowledgeable about working with our organization.Sponsorship guidelines – Cook Children's sponsors a select number of events that are strongly aligned with its promise to improve the health of every child in the region through the prevention and treatment of illness, disease and injury.