Quality Critical Incident Clinical Coordinator

Davita Inc.; Albuquerque (NM); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare company in Albuquerque seeks a Quality Critical Incident Clinical Coordinator. This position involves the coordination of critical incident reporting processes, ensuring healthcare and safety needs are met while maintaining compliance with contractual obligations. Ideal candidates will have an RN license and significant clinical nursing experience to handle complex case management and care coordination tasks.

Benefits

Medical Benefits

Wellness Program

Vision Plan

Dental Plan

Paid Time Off

Retirement Plans

Qualifications

• Associates Degree required.
• Current NM RN License required.
• 3-5 years clinical nursing experience preferred.

Responsibilities

• Responsible for applying clinical judgement to critical incident reports.
• Completes daily processing of incoming critical incidents.
• Documents all pertinent critical incident data in internal database.

Skills

Clinical Judgement

Written Skills

Oral Communication

Facilitation

Education

Associates Degree

Current New Mexico RN License

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Quality Critical Incident Clinical Coordinator

Requisition ID

2025-47961

Category

Quality/Safety

Location : Name

Rev Hugh Cooper Admin Center

Location : City

Albuquerque

Location : State/Province

NM

Minimum Offer

USD $27.11/Hr.

Maximum Offer for this position is up to

USD $41.39/Hr.

Overview

Now hiring a Quality Critical Incident Clinical Coordinator

Critical Incident Reporting is a Contractual requirement within the State of New Mexico and Presbyterian Health Plan Medicaid Contract. Critical Incidents include but are not limited to reports of abuse, neglect, and exploitation towards a Member. This Registered Nurse position is responsible for the coordination of a variety of aspects of the Critical Incident Reporting process, initiatives and specialized program activities with minimal oversight and independent judgement. Responsible for processing of daily assignment of Critical Incidents timely and accurately to ensure Members healthcare and safety needs are met and contractual timelines are met.

How you belong matters here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

Full Time - Exempt: Yes

• Job is based at Rev Hugh Cooper Admin Center
• Remote work from home: this job is intended to be conducting in the state of New Mexico.
• Work hours: Days
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.

Ideal Candidate:

Asociates Degree. Current New Mexico RN License.Three to five years experience in clinical nursing field required, three years quality improvement experience

Qualifications

• Asociates Degree Required
• Current New Mexico RN License required.
• Three to five years experience in clinical nursing field required, three years quality improvement experience preferred.
• Demonstrated ability to apply
• Nursing judgement to complex member situations. Knowledge of case management and care coordination concepts and activities preferred.
• Excellent written, oral, and facilitation skills required.
• Proficiency in Microsoft in Word, Excel, and Outlook required. Demonstrates ability to work with highly sensitive and confidential information.

Responsibilities

• Under the supervision of Critical Incident Management RN Supervisor, this position is responsible for applying clinical judgement to Critical Incident Reports.
• Completes daily processing of incoming Critical Incidents on the NM CIR Portal and refers all Critical Incidents for appropriate follow up activities with Care Coordination, Providers, Adult Protective Services, Children Youth and Families Department, and/or other quality workflows as needed.
• Documents all pertinent Critical Incident data and information in the PHP internal database.
• Upon gained knowledge and expertise will process more complex Critical Incidents.
• Collaborates with the Quality of Clinical Care (QOCC) Team to identify and refer appropriate referrals from CIR for QOC investigation.
• Actively participates and collaborates with the CIR team in routine team and department meetings to identify issues, trends, best practices, and process improvement activities.
• Performs other duties as assigned.

Benefits

We offer more than the standard benefits!

Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!

Learn more about our employee benefits:

https://www.phs.org/careers/why-work-with-us/benefits

Why work at Presbyterian?

As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.

Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.

About Presbyterian Healthcare Services

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

About Our Regional Delivery System

Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.

We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

About New Mexico

New Mexico continues to grow steadily in population and features a low cost-of living.

Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.

New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

Maximum Offer for this position is up to

USD $41.39/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

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