UR Nurse (RN)

Company: Lutheran Medical Group
Location: Fort Wayne
Posted on: January 9, 2021

Job Description:

Under the direction of the Quality Manager, assists the Quality department in coordinating, developing, implementing, and maintaining the health plan regulatory requirements for HEDIS, NCQA, MACRA, CMS, and ACO improvement programs. This position will participate in the development of policies and procedures, standard work and educational materials for the clinic staff members, providers, and leadership. Support and focus on performance improvement of quality scores based on data surrounding the regulatory quality improvement initiatives and proper medical record documentation. Additionally, this person will be member facing coordinating/educating care gap closure and in the completion of selected care gaps such as Retinal Eye Exams, Bone Density Screenings, Diabetic Screenings, etc.Essential Functions:

• Manage / analyze data in various formats (including spreadsheets, PowerPoint, graphs, etc.)
• Support and implement quality improvement initiatives to improve quality outcomes
• Evaluate reports for member compliance and improvement opportunities in each quality measure
• Ability to work independently with minimal supervision
• Ability to plan, coordinate, and organize multiple priorities
• Attend department meetingsOther duties as requested

Keywords: Lutheran Medical Group, Fort Wayne , UR Nurse (RN), Healthcare , Fort Wayne, Indiana