LOCATION: JOHN H. STROGER HOSPITAL/MANAGED CARE - CHICAGO, IL
Under the direction of the Manager of Quality and Risk-Managed Care, supports the development and implementation of health plan quality improvement initiatives, audits including Healthcare Effectiveness Data Information Set (HEDIS) and investigations; assists in resolving deficiencies in quality, regulatory and accreditation standards within CountyCare/Managed Care. Interacts with a diverse range of clinical and administrative professionals, resolves complex issues and performs data analytic and reporting activities to ensure CountyCare member care is coordinated and managed appropriately.
Bachelor 's degree from an accredited college or university is required.(Must provide official transcripts at time of interview).
Must be licensed as a Registered Professional Nurse in the State of Illinois.
A minimum of five (5) years of experience working in a clinical, administrative, and/or health plan role is required.
A minimum of one (1) year of experience in a health care quality improvement or quality assurance capacity with a focus on assessing and/or acting on the quality of health care services is required.
Intermediate proficiency using Microsoft Office Suite (Access, Excel, PowerPoint, and Word) is required .
Must be able to travel to work sites throughout Cook County.
Prior experience in a managed care or health plan setting is preferred.
CPHQ (Certified Professional in Healthcare Quality) is preferred.
Prior experience with HEDIS (Healthcare Effectiveness Data Information Set) is preferred.
Experience with diverse populations and improving cultural competence is preferred.
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To take advantage of this preference a Veteran must :
Meet the minimum qualifications for the position.
Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question,
The Cook County Health & Hospitals System’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCHHS is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCHHS is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, collaborative health plan and enhancing the patient experience.