Quality and Population Health Manager

Nevada Health Centers

Las Vegas (NV)

On-site

USD 85,000 - 125,000

Full time

5 days ago
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Job summary

Nevada Health Centers is seeking a Quality & Population Health Manager. The registered nurse will lead quality improvement across patient safety and population health initiatives, collaborating with operations, clinical, finance, marketing, and outreach teams.

The role oversees development, implementation, and evaluation of programs to improve clinical outcomes, close gaps in care, enhance patient experience, and support regulatory and value-based care requirements.

Qualifications

  • Graduate of an accredited nursing school.
  • Nevada RN license or eligibility.
  • Knowledge of FQHC operations, HRSA, NCQA, and UDS measures.
  • Current CPR/BLS certification.
  • Minimum five years in quality improvement and case management.
  • Experience with electronic health records.

Responsibilities

  • Lead quality improvement across patient safety and population health.
  • Support RN Case Managers and coordinate meetings.
  • Collaborate on patient outcomes, safety, experience, and performance.
  • Monitor quality metrics and report updates.
  • Oversee population health programs and chronic disease initiatives.
  • Plan and manage department budget and staffing with CNO and leaders.
  • Develop policies and staff education for quality initiatives.
  • Coordinate data analysis to align with quality metrics.
  • Lead national accreditation efforts and quarterly reviews.
  • Participate in health plan quality/population health meetings.

Skills

RN Licensure
Quality Improvement
Population Health
Budget Management
Data Analysis
EHR Systems

Education

BSN or higher
Master's in Nursing (preferred)

Tools

EHR Systems

Job description

The Quality & Population Health Manager is an experienced registered nurse. The role is responsible for leading quality improvement across patient safety and population health initiatives across the organization. This role oversees and actively participates in the development, implementation, and evaluation of programs designed to improve clinical outcomes, close gaps in care, enhance patient experience, and support regulatory and value-based care requirements. The Quality & Population Health Manager collaborates with operations, clinical, finance, marketing, and outreach teams to drive performance improvement, coordinate care management activities, and achieve the organization's quality goals. This position requires the ability to handle multiple and shifting priorities, work productively with minimal supervision, attention to detail, and excellent communication and presentation skills.

Essential Duties and Responsibilities

  • Supports and supervises RN Case Managers
  • Facilitate and coordinate monthly Quality Improvement and Quality Assurance Committee meetings.
  • Collaborate with quality improvement initiatives focused on patient outcomes, patient safety, patient experience, and operational performance.
  • Participates in the risk assessment and mitigation initiatives
  • Monitors, analyzes, and reports on the quality metrics updates
  • Oversees population health programs, case management activities, and chronic disease initiatives.
  • Actively collaborates with health plan quality teams and hospital case managers to plan and organize patient care transitions
  • Organizes and facilitates staff meetings, huddles and rounding
  • Works with the CNO and Director of Population Health to plan and manage the department’s operating budget and human resources
  • The quality manager will be involved in the coordination of services, assessment, monitoring and evaluation of the comprehensive health care needs of high-risk patients, ensuring the coordination of quality, cost-effective health care in a patient-centered environment
  • Collaborate to develop, revise policies, workflows, and staff education forums that support quality and population health initiatives.
  • Works closely with population health data analysis to capture, prioritize, and share actionable data that aligns with the organization's quality metrics and value-based goals.
  • Works closely with the Director of Population Health to identify key performance indicators.
  • Collaborate to execute and maintain granted support programs and projects.
  • Lead efforts and evidence-based validation to maintain national accreditations, i.e., PCMH
  • Lead and coordinate the completion of random quarterly departmental quality chart reviews and repository of results
  • Actively participates in health plan quality/population health meetings.
  • Coordinate and participate in quarterly on-site quality rounds

Required Qualifications

  • Graduate of an accredited nursing school.
  • Licensure as a registered nurse in the state of Nevada
  • Knowledge of FQHC operations, HRSA requirements, NCQA standards, and UDS reporting measures.
  • Current CPR or BLS certification
  • Minimum of five years of experience in quality improvement and case management activities.
  • Working knowledge of Electronic Health Record systems

Preferred Qualifications

  • Master’s degree in nursing
  • Working knowledge of successful project management
  • Knowledge of the essential functions, practices and procedures of a medical clinic and office
  • Working knowledge of reporting and measurement of performance activities.

Equal Opportunity Statement

Nevada Health Centers will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability, marital status, parental status, sexual orientation, gender identity and expression or any other category protected by law.

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