Providence Health & Services RN - Quality Management Specialist in Santa Monica, California


Providence is calling a Registered Nurse - Quality Management Specialist ( Full Time / Day Shift ) to our Mission Hills OR Santa Monica locations.

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 objectivelymonitor, evaluate, and document the quality and appropriateness of healthcare.Report all findings to the QualityManagement Manager and Quality Assurance Medical Director and appropriateadministrative staff.

  • Monitor clinical performance forimprovement and investigate problems identified concerning theorganization.Track and trendgrievances, appeals and quality issues.

  • Assurecompliance with regulatory and accreditation standards including performingsite audits within the organization and contracted Health DeliveryOrganizations.

  • Identifyany potential liabilities resulting from patient complaints and/or carerendered. Receive and document patient grievances and appeals.


Required qualifications for this position include:

  • RN graduate of an accredited school of nursing with a current California RN license.

  • Minimum three to five years experience of clinical nursing in a medical setting with strong emphasis on surgical nursing or specialty area.

  • Experience in developing educational programs and procedures required.

  • Knowledge of Title XXII, NCQA, AAAHC requirements and standards, CDC and infection control standards, building codes, fire department safety standards, OSHA requirements (Title VIII).

  • Must possess excellent teaching skills including presentation.

  • Experience with HMOs and health plans highly recommended.

Preferred qualifications for this position include:

  • Bachelor’s or Master’s degree in Nursing or Education.

  • Minimum two years of ambulatory care experience.

  • Quality Assurance/Risk Management experience desirable.

About the organization you will serve:

Saint John’s Medical Foundation was founded in January 2017. This new medical group brings together the Medical Doctors of Saint John’s and Providence Specialty Medical Group. With positions available in Santa Monica, Playa Vista and Mission Hills, California, this new and expanding medical group will be an integral part of Providence Saint John’s Health Center which has been serving the Santa Monica and Westside communities since 1942. This new medical group is comprised of specialists who are world renowned in their fields of oncology, urology, cardiology and orthopedics. The Saint John’s Medical Foundation physicians will provide increased access by offering personalized, compassionate care to patients coming from Southern California and beyond.

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-Santa Monica

Req ID: 158167