Uphold and support the mission, values, and policies of Somatus
Assist Directors of Quality on quality and utilization audits as assigned, including targeted audits as requested by the Sr. Quality Manager and/or Director.
Document audit results, record findings, and suggest appropriate actions.
Monitor and analyze processes and outcomes to ensure Somatus goals, objectives, accreditation, and regulatory requirements are met.
Support quality improvement team in the development of reporting to prioritize clinical and service improvement initiatives and address identified barriers.
Actively participate in new employee orientation, ongoing educational and compliance programs, staff meetings, continuous quality improvement, and periodic performance/protocol evaluations and development
Maintain current nursing licensure by completing applications for renewal in a timely manner and by complying with all requirements for continuing education.
Travel (up to 25%) to local renal care providers for quality oversight and utilization review collection
Other duties as assigned.
Graduate of an accredited School of Nursing with BS/BA in Nursing at a minimum
Prior clinical experience in dialysis or renal care setting is a must.
Current Registered Nurse compact state licensure and other states as deemed necessary by state law or client contract.
Minimum of three years recent clinical experience in a data-driven, quality focused role with a health plan, hospital, dialysis center, or large physician practice
Participation in continuing education programs to maintain licensure.
Strong Microsoft Word, Excel, PowerPoint skills to effectively communicate data and reports to internal and external stakeholders concisely and clearly.
Prior experience with analyzing, interpreting, and presenting data sets.
Prior experience in population health, implementing market strategies, analyzing interventions and outcomes, and quality indicator data.
Experience with data to inform clinical intervention processes, resource management, and strategic decision making.
Experience with using or advising on data use for dashboard development, clinical best practices, and workflows.
Knowledge of industry regulatory standards and accrediting bodies for population health, healthcare quality assurance, and care management