[Hiring] Quality Improvement Coordinator /Registered Nurse @Sentara Health

Role Description

Sentara Health Plans is hiring a Quality Improvement Coordinator /Registered Nurse (RN) - Remote in Virginia!

• Full-time, permanent position (40 hours)
• Standard working hours: 8am to 5pm EST, M-F
• Remote position; applicants must be located in Virginia
• Responsible for handling critical incident investigations and managing special projects as directed by DMAS and CMS

The Quality Improvement Coordinator is responsible for:

• Coordinating the design, development, implementation, and evaluation of the health plan's clinical quality functions
• Assisting in developing focused and/or specialized studies based on high volume, high risk, high cost, and/or problem prone areas
• Monitoring and evaluating related performance goals
• Collaborating with Clinical Care Services to improve health status for chronic diseases based on demographic and epidemiological characteristics of the membership
• Assisting in maintaining accreditation and certifications for NCQA and MCHIPS
• Meeting the requirements for state and federal (DMAS and CMS) regulations and requirements

Qualifications

• Associate’s Degree REQUIRED or LPN Diploma may be accepted in lieu of associate’s degree
• 3 years of quality improvement experience REQUIRED
• 3 years of regulatory and accreditation experience REQUIRED
• Nursing background in different settings (acute, ambulatory, home health, hospice, behavioral health) preferred
• Health Plan experience preferred

Benefits

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met

Company Description

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

• Robust provider network, including specialists, primary care physicians, and hospitals
• Programs to support members with chronic illnesses
• Customized wellness programs
• Integrated clinical and behavioral health services
• Family-friendly culture that encourages community involvement
• Unlimited opportunities for development and growth

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-100510