Position Details
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Quality Outcomes Manager
| Job Number | Full/Part Time | Schedule | Salary |
|---|---|---|---|
| 22790654 | Full Time | 8AM - 5PM | $71,100 - $128,700 |
Position Information
This position works closely with the Chief Medical Officer (CMO) to understand, implement, and educate to create better practices/processes which have an impact to the financial being of the clinic setting. Maintains compliance with regulatory agencies such as Centers for Medicare and Medicaid services (CMS). Provides project management support to clinic operations by collaborating with leadership in the changes to services lines and opening new clinic locations. This position may require travel up to 25% of the time.
Education
Education Requirements
| Degree | Requirement |
|---|---|
| Bachelor's degree in nursing or other healthcare profession, or a combination of comparable clinical education and/or experience. | Required |
Experience
| Experience | Requirement |
|---|---|
| Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS), Quality Assurance Reporting Requirements (QARR), National Committee for Quality Assurance (NCQA), Medicare Shared Savings Program Accountable Care Organization (ACO) and Group Practice Reporting Organization (GPRO) measures. | Preferred |
| 2 - 4 years of related experience. | Required |
| Project management and quality improvement techniques/methodology including process mapping and work-flow analysis tools experience. | Preferred |
Special Conditions
| Special Condition | Requirement |
|---|---|
| Overtime | Required |
| Travel | Required |
Minimum Requirements
Knowledge of medical office practices, procedures and methods.
Excellent critical thinking and problem-solving skills.
Demonstrated interpersonal skills for collaborating effectively with a range of clinical and technical staff and representatives of external regulatory agencies.
Detail oriented, with demonstrated organizational skills and the ability to complete projects and tasks on a timely basis.
Demonstrated problem solving skills to assess problems quickly and develop multiple options for effective and timely resolution.
Computer proficiency and first-hand experience in using electronic health records systems to document patient interactions and coordinate care.
Demonstrated ability to effectively convey complex clinical and technical information both verbally and in writing, and to produce reports, presentations and documentation.
Working knowledge of QI models, tools, and techniques, including collection, aggregation, abstraction, analysis, and reporting of data.
Working knowledge of various administrative and business software packages, and of the specialized applications for quality data management.
Working knowledge of QI standards, clinical chart review and abstraction, and regulatory requirements.
Excellent critical thinking and problem-solving skills.
Demonstrated interpersonal skills for collaborating effectively with a range of clinical and technical staff and representatives of external regulatory agencies.
Detail oriented, with demonstrated organizational skills and the ability to complete projects and tasks on a timely basis.
Demonstrated problem solving skills to assess problems quickly and develop multiple options for effective and timely resolution.
Computer proficiency and first-hand experience in using electronic health records systems to document patient interactions and coordinate care.
Demonstrated ability to effectively convey complex clinical and technical information both verbally and in writing, and to produce reports, presentations and documentation.
Working knowledge of QI models, tools, and techniques, including collection, aggregation, abstraction, analysis, and reporting of data.
Working knowledge of various administrative and business software packages, and of the specialized applications for quality data management.
Working knowledge of QI standards, clinical chart review and abstraction, and regulatory requirements.
Preferred Qualifications
Knowledge of database design.
Advanced Excel skills including the use of conditional formatting, formulas, pivot tables and charts.
Advanced Excel skills including the use of conditional formatting, formulas, pivot tables and charts.
Additional Information
In the Heart of Inland Southern California, UC Riverside is located on nearly 1,200 acres near Box Springs Mountain in Southern California; the park-like campus provides convenient access to the vibrant and growing Inland region. The campus is a living laboratory for the exploration of issues critical to growing communities' air, water, energy, transportation, politics, the arts, history, and culture. UCR gives every student, faculty and staff member the resources to explore, engage, imagine and excel.
UC Riverside is recognized as one of the most ethnically diverse research universities in the country boasting several key rankings of which we are extremely proud.
The University of California is an Equal Opportunity/Affirmative Action Employer with a strong institutional commitment to the achievement of excellence and diversity among its faculty and staff. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by law.
For information about our generous employee benefits package, visit: Employee Benefits Overview
UC Riverside is recognized as one of the most ethnically diverse research universities in the country boasting several key rankings of which we are extremely proud.
- UC Riverside is proud to be ranked No. 12 among all U.S. universities, according to Money Magazine's 2020 rankings, and among the top 1 percent of universities worldwide, according to the 2019-20 Center for World University rankings.
- UC Riverside is the top university in the United States for social mobility. - U.S. News 2020
- UCR is a member of the University Innovation Alliance, the leading national coalition of public research universities committed to improving student success for low-income, first-generation, and students of color.
- Among top-tier universities, UC Riverside ranks No. 2 in financial aid. - Business Insider 2019
- Ranked No. 2 in the world for research, UCR's Department of Entomology maintains one of the largest collections of insect specimens the nation. - Center for World University Rankings
- UCR's distinguished faculty boasts 2 Nobel Laureates, and 13 members of the National Academies of Science and Medicine.
The University of California is an Equal Opportunity/Affirmative Action Employer with a strong institutional commitment to the achievement of excellence and diversity among its faculty and staff. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by law.
For information about our generous employee benefits package, visit: Employee Benefits Overview