Utilization Review Coordinator - Quality Department

  • Contra Costa County, CA
  • Martinez, California
  • Jul 14, 2022
Full Time Public Health
  • Salary: $145,860.96 - $177,294.84 Annually USD

Job Description

The Position

*** This job posting is open until the position is filled.***

This recruitment may close at any time, qualified candidates are encouraged to apply immediately.

Why Join Contra Costa County Health Services?
Contra Costa Regional Medical Center and Health Centers are in beautiful Contra Costa County across the bay from San Francisco and Marin Counties. We are a public hospital and health system dedicated to improving the health of our population.

The quality department consists of a group of dynamic dedicated individuals focused on improving the quality of care, patient safety & regulatory compliance in the acute care and ambulatory settings. We collaborate with multiple disciplines to design, monitor, and improve processes. Our staff are truly collaborative and respectful.

The quality department is in the park-like setting of the Martinez campus.

We are looking for someone who is:
  • Action-oriented and results-focused. You will need to take initiative and ensure tasks are completed in a timely and efficient manner.
  • Analytical. You will be responsible for gathering and analyzing information and presenting meaningful results.
  • Tenacious and results-driven. You will need to balance multiple assignments and priorities in a fast-paced environment.
  • Calm, collected, and coolheaded. You will need to maintain a calm demeanor, exercise compassion, and manage stress effectively.
  • An innovative problem-solver. As problems arise, you will need to gather and review all related information to develop and implement strategic solutions.
What you will typically be responsible for:
  • Facilitating teams and utilizing performance improvement methodology to support content experts in improving the quality and safety of care provided with the goal of optimizing patient outcomes.
  • Supporting medical staff peer review including case identification and meeting support.
  • Ensuring regulatory compliance and continuous survey readiness.
  • Designing and performing audits, observations, rounds, and tracers to evaluate regulatory compliance and quality of care, as well as to identify opportunities for improvement.
  • Participating in the creation and monitoring of corrective action plans through resolution.
  • Collecting, analyzing, and presenting data in writing and verbally.
  • Serving as a resource to others in the organization on regulations and performance improvement.
  • Participating in policy and procedure development and implementation.
A few reasons why you might love this job:
  • CCRMC has a positive impact on the lives of a vulnerable patient population.
  • We are a dynamic organization with a highly dedicated and diverse team of professionals who value the service of others.
  • Our organization prioritizes quality improvement, creativity, and life-long learning.
  • CCRMC offers professional stability and career growth.
A few challenges you might face in this job:
  • You will be working in a fast-paced environment providing support for team members who serve a population with complex needs.
  • You will need to find a balance between supporting team members while staying focused and organized with your own workload including multiple simultaneous long-term and short-term projects.
  • You will need to devise effective solutions when opportunities for improvement are identified.
  • You will need to adjust to the quickly changing priorities of work.
Competencies Required:
  • Analyzing & Interpreting Data: Drawing meaning and conclusions from quantitative or qualitative data
  • Fact Finding: Obtaining facts and data pertaining to an issue or question
  • Legal & Regulatory Navigation: Understanding, interpreting, and ensuring compliance with laws and regulations
  • Safety Focus: Showing vigilance and care in identifying and addressing health risks and safety hazards
  • Attention to Detail: Focusing on the details of work content, work steps, and final work products
  • Self-Management: Showing personal organization, self-discipline, and dependability
  • Writing: Communicating effectively in writing
  • Involving Others (Engaging Teams): Engaging others for input, contribution, and shared responsibility for outcomes
  • Group Facilitation: Enabling constructive and productive group interaction
  • Managing & Facilitating Change: Addressing key factors that influence successful organizational change
  • Leveraging Technology: Applying technology for improvements in organizational efficiency and effectiveness
  • Project Management: Ensuring that projects are on-time, on-budget, and achieve their objectives
  • Strategic Thinking & Perspective: Evaluating immediate actions in context of achieving long range objective

To read the complete job description, please click here. The eligible list established from this recruitment may be used to fill future openings for up to 6 months.

Minimum Qualifications
License Required: Candidates must possess and maintain throughout the duration of employment a current, valid and unrestricted license as a Registered Nurse in the State of California.

Applicants are required to attach a copy of their license to their application.

Contra Costa County Regional Medical Center Assignment:
Experience: Two (2) years of full-time (or the equivalent of full-time) experience as a Registered Nurse in an acute care hospital

Substitution: Possession of a bachelor's degree in nursing may be substituted for six (6) months of the required experience except in the Public Health assignment.

Desirable Qualifications:
  • Experience as a registered nurse utilizing quality improvement methodologies within an acute care hospital
  • Documented training completion in Quality Improvement Methodologies
  • Experience as a registered nurse utilizing EPIC
  • Work experience that required you to write succinct reports and give presentations

Selection Process
  1. Application Filing and Evaluation: Applicants will be required to complete a supplemental questionnaire at the time of application. Applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process.

  2. Training and Experience Evaluation: Candidates who clearly demonstrate that they possess the minimum qualifications will have their training and experience evaluated. The responses to the supplemental questions, at the time of filing, will be evaluated to determine each candidate's relevant education, training, and/or experience as presented on the application and supplemental questionnaire. (Weighted 100%)

The Human Resources Department may change the examination steps noted above in accordance with the Personnel Management Regulations and accepted selection practices.

COVID-19 Vaccine Requirements
Please note that as of August 24, 2021, Contra Costa County enacted a mandatory COVID-19 vaccine requirement for employees. Proof of full vaccination will be required of all employees, including new hires. The policy requirements can be found here: https://www.contracosta.ca.gov/DocumentCenter/View/72164/2021824-Mandatory-Vaccination-Policy-PDF?bidId=

After you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances. Having a conviction history does not automatically preclude you from a job with Contra Costa County. If you accept a conditional job offer, the Human Resources department will contact you to schedule a fingerprinting appointment.

All Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

It is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.

Job Address

Martinez, California United States View Map