Quality Improvement, RN

IEHP; Rancho Cucamonga (CA); Hybrid; USD 91,249 - 120,910; Full time

Benefits offered by this job

Competitive salary

Hybrid schedule

State-of-the-art fitness center on-site

Medical insurance with dental and vision

Life, short-term, and long-term disability options

Career advancement opportunities

Flexible Spending Account – Health Care/Childcare

CalPERS retirement

457(b) option with contribution match

Paid life insurance for employees

Pet care insurance

Job summary

IEHP in Rancho Cucamonga, California is seeking a Quality Improvement RN to facilitate quality improvement initiatives across healthcare delivery. The ideal candidate will have at least four years of clinical experience, including at least two years in quality improvement. Requirements include a Bachelor's degree in a healthcare-related field, active RN license issued by California BRN, and preferably a Master's degree. The position offers a competitive salary, hybrid schedule, and benefits including medical insurance and retirement plans.

Qualifications

• Minimum four years of clinical/health care experience, including two years in quality improvement.
• Strong understanding of healthcare quality performance metrics.
• Ability to manage and prioritize tasks in a fast-paced environment.

Responsibilities

• Facilitate quality improvement initiatives across the continuum of care.
• Coordinate and promote service improvement projects.
• Communicate with multidisciplinary teams to ensure resource availability.

Skills

Healthcare quality performance knowledge

Analytical skills

Proficiency in Microsoft Excel

Communication skills

Problem-solving skills

Facilitation skills

Attention to detail

Education

Bachelor’s degree in science or health-related field

Master’s degree in science or health-related field (preferred)

Certified Professional of Healthcare Quality (CPHQ)

Active RN license issued by California BRN

Job description

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and pivot from a “job” opportunity to an authentic experience. Reporting to the Director of Hospital Relations, the Quality Improvement RN facilitates quality improvement initiatives across the continuum of care to enhance the overall quality of care delivered to members.

Responsibilities

• Identify, develop, coordinate, promote, support, and implement assigned clinical quality and/or service improvement projects and programs.
• Integrate evidence‑based practice, provide provider training/education, review/develop policy, and interpret regulatory/accreditation requirements.
• Develop continuous and targeted activities to improve performance related to CMS Star Ratings, HEDIS, CAHPS, HOS, P4P, and other identified performance measures.
• Provide direct support for multiple initiatives aimed at improving the quality and effectiveness of health care delivery and/or services.
• Communicate with external partners, internal quality leaders, and stakeholders to ensure multidisciplinary teams have the resources and information they need.

Education & Requirements

• Minimum four (4) years of clinical/health care experience, including at least two (2) years performing quality improvement analysis or project coordination functions.
• Bachelor’s degree in science or a health/healthcare‑related field from an accredited institution.
• Master’s degree in science or a health/healthcare‑related field from an accredited institution (preferred).
• Certified Professional of Healthcare Quality (CPHQ) or another recognized quality‑improvement certificate required or to be obtained within one (1) year of hire and maintained throughout employment.
• Active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN.

Key Qualifications

• Working knowledge of healthcare quality performance and measurement sets, including CMS quality withhold, Managed Care Accountability Set, NCQA Quality Improvement Standards, and HEDIS.
• Ability to apply continuous improvement tools and work process redesign.
• Knowledge of advanced clinical processes and/or hospital operations.
• Understanding of local healthcare market, patient demographics and needs, and plan‑specific information.
• Strong analytical and critical‑thinking skills.
• Proficiency in Microsoft Office applications, especially Excel and PowerPoint.
• Effective verbal, written, and listening communication skills with the ability to interact with key stakeholders.
• Attention to detail.
• Facilitation skills to lead quality improvement project teams.
• Problem‑solving, conflict management, and team‑collaboration skills that contribute to a productive work environment and achievement of goals.
• Ability to read and interpret data.
• Capability to manage and prioritize tasks efficiently under pressure in a fast‑paced environment.
• Support application of basic facilitation techniques within quality improvement project groups.

Benefits

• Competitive salary
• Hybrid schedule
• State‑of‑the‑art fitness center on‑site
• Medical insurance with dental and vision
• Life, short‑term, and long‑term disability options
• Career advancement opportunities and professional development
• Wellness programs that promote a healthy work‑life balance
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

Pay Range

• $91,249.60 USD annually – $120,910.40 USD annually