The Quality Improvement Nurse Coordinator (RN) will develop and maintain data repository for tracking, trending, and reporting all data, performance measures, and any other information that is requested by the HHSC, URAC, TDI, CMS and any other regulatory body. Coordinates/participates in QI audits of CHC providers as required for oversight of CMS, HHSC, and HEDIS requirements. QI Nurse Coordinator will participate with the HEDIS Manager and Performance Excellence Specialist in assuring compliance with timeliness of reviews, audits, and reporting requirements.
- Registered Nurse with current Texas License required.
- BSN preferred.
- Two (2) years in Managed Care required. Medicare Advantage or Marketplace Risk Adjustment, Coding, QI and HEDIS experience preferred
- Computer knowledge of Excel, Word, email, Access
- Strong written and verbal communications skills.
- Analytical, Medical Terminology
Harris Health System benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.
It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.
Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.
Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its three hospitals: Ben Taub, LBJ and Quentin Mease.
Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Association’s Hospitals & Health Networks magazine.
Additionally, Harris Health System is pleased that each of its three hospitals — Ben Taub, Lyndon B. Johnson and Quentin Mease — achieved Pathway to Excellence™ designation by the American Nurses Credentialing Center.