Jobs · Healthcare

Registered Nurse-Quality of Care

CareOregon · Oregon, United States · 1 mo ago
RemoteRemoteHealthcare$102k–$125k/yrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. Must not include Job ID etc. Remove boilerplate like EEO, application instructions, etc. We need to parse the posting. Key info: - Title: Registered Nurse - Quality of Care (but we don't output heading for title) - About the role: The Registered Nurse - Quality of Care main function is to manage internal quality of care referrals and support other quality efforts under Clinical Services and CareOregon Quality Health Outcomes quality initiatives. - Estimated Hiring Range $102,330.00 - $125,070.00 Bonus Target Bonus - SIP Target, 5% Annual - Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. (application instruction -> remove) - Essential Responsibilities: list of responsibilities. - Required Experience and/or Education: Minimum 3 years of experience as an RN in the healthcare industry; Current unrestricted license as a registered nurse in the State of Oregon; Preferred Bachelor’s degree in Nursing; Prior primary care and/or specialty clinic practice experience and behavioral health experience highly desired; RN experience with quality improvement, population health and/or case management - Knowledge, Skills And Abilities: Required Knowledge: Knowledge of or desire to learn about current clinical practices specifically issues related to quality of care for our members; Skills And Abilities: list many. - Working Conditions: Work Environment(s): Indoor/Office, Community; Member/Patient Facing: No; Hazards: may include physical and ergonomic hazards; Equipment: General office equipment; Travel: occasional required or optional travel outside of the workplace; Work Location: Hybrid-Office 1-2 days/month - Benefits: We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. - Pay: Already captured in Estimated Hiring Range and Bonus. - Schedule: Not explicitly given; maybe hybrid schedule: Hybrid-Office 1-2 days/month. That's schedule? Could be considered schedule. The posting mentions Work Location: Hybrid-Office 1-2 days/month. That's more location than schedule. No explicit schedule like full-time, part-time, shift. So we may not include Schedule section unless there is real specific content. There's no schedule info besides maybe "Hybrid-Office 1-2 days/month" which is location. So we omit Schedule. - About the role: we have that sentence. - Responsibilities: list. - Requirements: maybe combine Required Experience and/or Education plus Knowledge? Usually Requirements = experience/education; Qualifications = preferred? But we can follow instruction: Use headings for About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide what goes where. We have: - About the role: main function sentence. - Responsibilities: list of essential responsibilities. - Requirements: Minimum 3 years experience as RN, current unrestricted license in OR. - Qualifications: Preferred Bachelor’s degree in Nursing; Prior primary care and/or specialty clinic practice experience and behavioral health experience highly desired; RN experience with quality improvement, population health and/or case management. - Skills: Knowledge, Skills And Abilities list. - Benefits: description. - Pay: Estimated Hiring Range $102,330.00 - $125,070.00 Bonus Target Bonus - SIP Target, 5% Annual. - Schedule: none. We must not create sections with filler. So omit Schedule. We must not repeat job title as heading. We must not include metadata like Job ID. We must remove boilerplate: EEO, equal opportunity, application instructions, etc. We must preserve all substantive information. We need to output only HTML fragment, no /, no markdown. We'll produce something like:

About the role

The Registered Nurse - Quality of Care main function is to manage internal quality of care referrals and support other quality efforts under Clinical Services and CareOregon Quality Health Outcomes quality initiatives.

Responsibilities

  • Complete Quality of Care reviews.
  • Work closely with the director of Quality of Care to ensure quality and clinical issues are addressed in a timely and thorough manner.
  • Maintain accurate and complete documentation for files related to quality of care.
  • Utilize enterprise tools such as QNXT, Sharepoint and smartsheets to aid in quality monitoring.
  • Coordinate and facilitate risk reduction strategies for quality and patient safety issues when opportunities are identified.
  • Collaborate with other departments in ensuring quality of care process is working effectively.
  • Conduct annual and other trainings as needed.
  • Take lead in the implementation and ongoing administration of health improvement programs and provide ongoing feedback to Quality of Care Director and others as appropriate.
  • Identify education/ training programs for network providers, members, other health care workers and CareOregon staff in support of appeals and grievance process.
  • Develop and monitor a tracking system to ensure accuracy of data, tracking and trending of providers with quality of care issues and other possible data sources related to clinical quality.
  • Provide clinical expertise to other department members, in evaluation of program outcomes, providing input for program activities.
  • Ability to apply CMS, OAR, Contract Requirements and other regulatory standards when performing work.
  • Apply the Equity First approach when conducting work and participate in helping to develop and implement the Equity First approach.
  • Participate in committees such as contract review, peer review and quality oversight as needed.
  • Participate in Provider site visits as needed.
Note: Some responsibilities duplicated (coordinate and facilitate risk reduction strategies appears twice). We should keep both? The posting had duplicate line. We should preserve all substantive information; but duplicate is still substantive? Might be considered duplicated lines; instruction says remove duplicated lines. So we should remove duplicate line. So only one entry for that. Also "Ability to apply CMS, OAR, Contract Requirements..." appears under responsibilities? Actually that is under Knowledge, Skills And Abilities? Wait it's in responsibilities list: "Ability to apply CMS, OAR, Contract Requirements and other regulatory standards when performing work." That seems more like a skill but it's in responsibilities list. We'll keep it as responsibility. Now Requirements:

Requirements

  • Minimum 3 years of experience as an RN in the healthcare industry
  • Current unrestricted license as a registered nurse in the State of Oregon
Qualifications:

Qualifications

  • Preferred Bachelor’s degree in Nursing
  • Prior primary care and/or specialty clinic practice experience and behavioral health experience highly desired
  • RN experience with quality improvement, population health and/or case management
Skills: We need to split Knowledge and Skills And Abilities. The heading Skills can cover both knowledge and skills. We'll create a
    with items. List: - Knowledge of or desire to learn about current clinical practices specifically issues related to quality of care for our members - Ability to efficiently glean clinical information from a medical record, or other specialized software, and save supporting documentation in appropriate data management tool - Critical thinking skills - Strong attention to detail - Competency with computers and software programs, e.g. PDF, MS Outlook, Word, Excel and EMR systems - Ability to learn and adapt to new EMR systems, software programs, specification changes and deadlines - Ability to maintain strict confidentiality of protected health information - Awareness of the social determinants of health impacting CareOregon members and approaching interactions with clinics, members or CareOregon embedded staff with kindness and friendliness - Ability to work in an environment with diverse individuals and groups - Have a high degree of initiative and motivation along with ability to effectively collaborate and plan with co-workers and others - Ability to manage multiple tasks and flexibility to switch tasks as needed - Act professionally at all times when representing CareOregon - Ability to work under pressure and help the team meet deadlines for regulatory deliverables - Good written and verbal communication skills - Excellent customer service skills and ability to work across multiple departments - Ability to prioritize work in a remote environment - Ability to work effectively with diverse individuals and groups (duplicate? we already have ability to work in environment with diverse individuals and groups; similar but we can keep one) - Ability to learn, focus, understand, and evaluate information and determine appropriate actions - Ability to accept direction and feedback, as well as tolerate and manage stress - Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day - Ability to hear and speak clearly for at least 3-6 hours/day - Ability to lift, carry, push, pull, and/or pinch small objects for at least 1-3 hours/day We should remove duplicated lines: "Ability to work effectively with diverse individuals and groups" similar to "Ability to work in an environment with diverse individuals and groups". Might be considered duplicate; we can keep one. Also "Ability to work effectively with diverse individuals and groups" appears twice in the list (once near end). We'll keep one. Now Benefits:

    Benefits

    We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks.

    Pay:

    Pay

    Estimated Hiring Range $102,330.00 - $125,070.00; Bonus Target: SIP Target, 5% Annual.

    We should not include Schedule. Now ensure we didn't include any boilerplate like EEO, application instructions, etc. We removed those. Check for any leftover boilerplate: The posting had

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