Dignity Health

Quality Management Nurse

Job ID
Employment Type
Full Time
Quality Management
Hours / Pay Period
Dignity Health Management Services Organization
Standard Hours
Mon-Fri (8-5 PM)


The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.


Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.



The Sequoia Quality Care Network (SQCN) is a clinically integrated physician network sponsored by Dignity Health.  The QM Nurse provides direct local service area support to the Clinical Integration (CI) program. The QM Nurse reports to the SQCN Executive Director and is an employee of Dignity Health Management Services Organization (Dignity Health MSO).


The QM Nurse provides local support to the CI Program through continuous interaction and education with the participating physicians and mid-level providers, as well as hospital QM staff



  • Serve as a key interface and liaison for the local participating physicians through collaboration with the Executive Director, CIN Medical Director, Physician Practice Liaison, and local hospital quality management staff.
  • Responsible for physician education and training on processes and workflow related to clinical initiatives undertaken as a part of the CI Program, including CPTII coding, documenting quality data in paper and electronic charts, and reporting via the dashboard.  This requires travel to provide on-site training in physician offices.
  • Work closely with Physician Practice Liaison to provide physician office staff education regarding support for physician in implementing clinical initiatives undertaken within the physician’s area of specialty.
  • Collaborate with Physician Practice Liaison by developing proficiency in understanding data extracts and reporting.  
  • Provide one-on-one education on use of dashboard reports and other communications as appropriate to identify potential improvements and assist physicians in understanding methods and processes required to achieve measurable results.
  • Collaborate with the Executive Director and the Medical Director in preparing analyses, as well as monitoring, interpreting, and educating on results of clinical (ambulatory and hospital) quality, cost and utilization data.
  • Responsible for monitoring and evaluating physician compliance and performance with quality standards, as identified in weekly, monthly and quarterly reports and provide feedback to the Executive Director and Medical Director. 
  • Perform patient chart review to reconcile quality reporting results with chart documentation.
  • Provide Medical Director with support on performance improvement and development of remediation plans at the local service area level.
  • Support marketing and communications with materials relating to disease management programs.
  • Plan for and manage local quality management committee meetings.
  • Assists the Executive Director with other duties as assigned.




A)  EXPERIENCE:  Minimum 2 years experience in a quality management program in a managed care/health plan, IPA, hospital setting(s). Must possess a keen working knowledge of Medical Management process improvement activities (QM Programs, Pay-for-Performance measures), including analysis of qualitative and quantitative clinical data concerning patient outcomes, to ensure the highest quality care is documented consistent with the CI Program guidelines. Experience navigating through patient information in an Electronic Medical Record (EMR) application in the ambulatory setting.

B)  EDUCATION AND TRAINING: Degree from college or university nursing program.

C)  LICENSE, CERTIFICATION AND REGISTRATION: Current registered or vocational nurse licensed in the State of California.

D)  SPECIALIZED KNOWLEDGE AND SKILLS:  Demonstrated skills in the areas of written and verbal communication, judgment, problem-solving, presentation and public relations.

E)  OTHER REQUIREMENTS:  This position requires a dynamic and highly motivated person with the ability to inspire and lead people, as well as communicate effectively with employees, Physicians, other Management Service Organization Administrators and staff and Hospital staff.


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