Providence Health & Services Specialist - Quality Management in Mission Hills, California


Providence is calling a Quality Management Specialist ( Full Time / Day Shift ) at our Providence Medical Institute Quality Management for the California region.

In this role you will:

  • Assure quality patient care standards are met throughout the organization and to identify those instances in which there is a breach in those standards requiring system or policy changes.

  • Systematically and objectively monitor, evaluate, and document the quality and appropriateness of health care.Report all findings to the Quality Management Manager and Quality Assurance Medical Director and appropriate administrative staff.

  • Monitor clinical performance for improvement and investigate problems identified concerning the organization.Track and trend grievances, appeals and quality issues.

  • Assure compliance with regulatory and accreditation standards including performing site audits within the organization and contracted Health Delivery Organizations.

  • Identify any potential liabilities resulting from patient complaints and/or care rendered. Receive and document patient grievances and appeals.


Required qualifications for this position include:

  • Minimum three to five years experience in anacute care or ambulatory care setting.

  • Experience with HMOs and health plans highlyrecommended.

  • Experience in developing educational programsand procedures required.

Preferred qualifications for this position include:

  • Bachelor’s or Master’s degree in HealthcareAdministration preferred.

  • Minimum two years of ambulatory care experience preferred.

  • Quality Assurance/Risk Management experience desirable.

About the location you will serve:

Providence Health & Services Southern California is further developing its physician integration strategy. Historically, the largest asset has been Providence Medical Institute, a medical foundation that provides administrative and other support services to affiliated medical groups. Providence Medical Institute is expected to grow significantly in the next several years, bringing with it facilities, staff and physician growth to support that objective.

We offer a full comprehensive range of benefits - see our website for details

Our Mission

As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.

About Us

Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 82,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 600 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Quality Nursing

Location: California-Mission Hills

Req ID: 160402