Regional Quality Manager, RN

Responsibilities: ABOUT SOUTH TEXAS HEALTH SYSTEM – CLINICS Join our South Texas Health System Clinics (formerly Valley Care Clinics) team! Providers with South Texas Health System (STHS) Clinics deliver high quality family medicine, health screenings and advanced specialized care to the people of the Rio Grande Valley.
STHS Clinics is committed to delivering quality healthcare and service excellence.
Our clinics are affiliated with South Texas Health Systems’ four acute care hospitals, behavioral health hospital, six freestanding emergency rooms and one joint venture hospital.
Specially trained and highly experienced, our physician group treats a wide range of conditions using advanced technologies and minimally invasive techniques.
Website: sthsclinics.
com Position Summary: The Regional Quality Manager (RQM) RN is an RN who functions in a regional quality leadership role for assigned markets to support improvements in Value Based Programs and Population Health outcomes.
This individual helps to drive quality best practices in a collaborative effort with payers, providers, support staff, managed care, VBC leaders and administration.
The RQM will participate in quality improvement initiatives, develop recommendations for quality remediation plans and create tools and databases to capture relevant data for their respective region.
The RQM will also be a leader for local quality support teams in multiple markets, with attention to assigning responsibilities for quality support staff across respective markets.
This individual will also develop collaborative payer relationships to maximize resource utilization for patient care.
Additionally, the RQM will track quality performance on an ongoing basis with dissemination of performance metrics to key stakeholders (clinics, providers, administration) as a part of their leadership within a matrix relationship.
The RQM will be responsible for driving performance across plan metrics as outlined by the respective plans, optimize patient outcomes and system utilization, focus on STARS and HEDIS performance/metrics and help with MIPS measures.
Additionally, the RQC will help support quality staff competency and optimize clinic quality workflows within their region.
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS.
IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities.
It also provides select services for the Behavioral Health division of UHS.
Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia.
Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.
Benefit Highlights A Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match Career development opportunities within UHS and its 300+ Subsidiaries! About Universal Health Services (UHS), Inc.
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc.
(UHS) has built an impressive record of achievement and performance.
Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.
4 billion in 2022.
During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries.
Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.
S.
states, Washington, D.
C.
, Puerto Rico and the United Kingdom.
www.
uhs.
com Qualifications: Education: Graduation from an accredited RN nursing education program.
Actively licensed by the worked in State to practice as a Registered Nurse.
Work experience: Minimum of 5 years of associated Population Health/Quality experience within the health care industry, preferably ambulatory based and includes experience with HEDIS/STARS and MIPS Travel: This posiition will require travel and oversight in both McAllen and Laredo markets.
EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates.
UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.
We take pride in creating a highly efficient and best in class candidate experience.
During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.
) from you via email.
The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at https://uhs.
alertline.
com or 1-800-852-3449.