Welcome to Montage Health’s application process! Job Description: The Health Plan Quality RN plays a key role in leading quality and performance improvement initiatives with a primary focus on CMS Medicare Star Ratings. This position is responsible for the identification, development, and implementation of strategic programs that enhance the health plan’s quality performance and regulatory compliance. The Quality RN provides clinical insight into appeals and grievances, oversees potential quality issues (PQIs), and collaborates across internal teams, provider partners, and external vendors to drive continuous improvement in quality, member outcomes, and satisfaction. Essential Job Functions Leads the clinical strategic management of Star Ratings and other value-based performance strategies across the medical management division. Ensures alignment of Stars and quality activities with the organization’s mission and performance goals. Provides oversight and analysis of all regulatory guidance, rules and data related to Star Ratings to continuously monitor performance and proactively identify risks and barriers. Provides education, understanding and subject matter expertise regarding the performance measures; highlights the significant impacts of improved ratings with community partners. Coordinates activities throughout the organization to drive clinical improvements in provider engagement, clinical care, data integrity, customer satisfaction, and communication with members and providers. Develops, implements, and monitors the Stars Program and tactical work plan through complete understanding of the CMS Medicare Star Ratings. Tracks and reports progress toward organizational clinical quality goals, ensuring accountability across teams. Understands organizational clinical and operational activities related to Stars measures and other value-based performance measures to ensure alignment and identifies opportunities for collaboration and continuous improvement. Facilitates the integration of quality initiatives within daily operations and clinical workflows. Designs and implements tools as needed to monitor performance. Conducts clinical measure risk assessments to proactively identify risks to measure performance and creates cross-functional plans to mitigate risks. Performs preliminary clinical review of appeals and grievances cases with SBAR for CMO to review. Creates and manages the PQI process, including investigations, provider communication, and peer review preparation. Ensures alignment with delegated responsibilities by line of business (Medicare Advantage and employer plans). Uses data to drive initiatives. When necessary, manages external vendor relationships as they relate to value-based performance activities. Is highly-organized and collaborative, demonstrating the ability to work independently and meet deadlines. Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge and abilities to perform, within scope, role specific functions Other duties as assigned Experience Minimum Required: RN with at least 2 years of health plan experience in the area of Quality (including HEDIS or Stars). MA plan experience preferred. Must have at least 3 years of clinical practice experience. Preferred: Experience in project management in healthcare industry. Experience in health plan quality performance and ratings. Certifications/Licenses RN license state of California (unrestricted). Preferred: Certifications such as CPHQ, CCM, or PMP. About Aspire Aspire Health Plan is a locally owned Medicare Advantage HMO that provides comprehensive medical coverage to seniors and other Medicare recipients in Monterey County. We’re proud to be a community-centered organization backed by Community Hospital of the Monterey Peninsula and Salinas Valley Memorial Hospital. Over 700 doctors, many other healthcare providers, and all four Monterey County hospitals are part of the Aspire Health Plan network. It’s the care you need from people you know. Aspire Health is an equal opportunity employer. Pay rate: $64.91 per hour Assigned Work Hours: Full time. Remote Position Type: Regular
Welcome to Montage Health’s application process! Job Description: Position Summary Under the leadership of the Quality Management Director, the Clinical Quality RN Analyst helps operationalize the organization’s annual patient safety and quality program so that it supports the hospital’s strategic plan, quality commitment, and values. The role ensures compliance with hospital policies/procedures and applicable laws and standards, including The Joint Commission (TJC), California Code of Regulations, Title 22, and the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation. The Clinical Quality RN Analyst is responsible and accountable for assigned areas including policy development, routine reporting, and group/committee facilitation. Responsibilities span surveillance, prevention, and risk‑mitigation activities that reduce the likelihood and impact of patient safety events reported through the organization’s patient safety program. The Analyst facilitates and supports high‑performing teams through excellent employee and medical staff relations in a collaborative environment. This position establishes and maintains effective working relationships with medical staff, organizational leaders, and interdepartmental partners, fostering a collaborative culture to achieve department and organizational goals. The Analyst provides regular reports to hospital Administration and the Board of Trustees and maintains current knowledge of changing regulations. The role requires active participation in Joint Commission surveys and other external regulatory inspections. Essential Responsibilities Program Operations, Compliance & Readiness Operationalize the annual patient safety and quality plan; maintain alignment with strategic goals and values. Ensure ongoing compliance with TJC, Title 22, CMS and related regulatory and payer programs (e.g., IQR, HACRP, HRRP, Leapfrog as applicable). Lead/participate in mock tracers, audits, and readiness rounds; maintain evidence of compliance. Participate actively during TJC surveys and other regulatory inspections; coordinate corrective actions and sustainment plans. Develop, maintain, and educate on policies, procedures, and standard work related to assigned measures and safety practices. Provide routine reporting to Administration, Board committees, Medical Staff committees, and quality councils. Quality Measurement, Analytics & Reporting Own assigned inpatient measures (e.g., CLABSI, CAUTI, HAPI, falls with injury, sepsis bundle/SEP‑1, readmissions, mortality, LOS/throughput, hand hygiene). Perform surveillance and data validation (including inter‑rater reliability); translate findings into actionable insights for leaders and frontline teams. Build and maintain run/control charts, dashboards, and huddle briefs using Epic, Vizient, and Microsoft Office tools. Support external submissions and data integrity for relevant programs (e.g., NHSN, CMS IQR, Leapfrog) in collaboration with Analytics/IT. Apply statistical process control (SPC) to detect special cause variation; stratify results to close outcome gaps. Patient Safety Events, Risk Mitigation & Learning Partner with Risk Management to review patient safety events, near misses, and grievances; perform targeted chart reviews and case tracers. Facilitate or contribute to RCAs/After‑Action Reviews; develop corrective action plans (CAPs) and monitor effectiveness and sustainment. Lead proactive hazard surveillance and failure mode identification; embed feedback loops (huddles, visual controls, standard work audits). Performance Improvement & Education Facilitate Lean Model for Improvement projects (AIM, driver diagram, PDSA cycles) at the unit and service line level. Coach leaders, charge nurses, educators, and physicians on measure definitions, documentation, and bundle reliability tactics. Design and deliver adult‑learning education (tip sheets, micro‑learning, in‑services) based on identified performance gaps. Committee & Workgroup Facilitation; Stakeholder Engagement Lead or co‑lead relevant committees/work groups (e.g., Patient Safety, Sepsis, Falls, Pressure Injury, Throughput, Unit‑based councils). Prepare agendas, minutes, dashboards, and storyboards; track actions to closure and communicate progress. Maintain strong relationships with Nursing, Medical Staff, Case Management, Infection Prevention, Pharmacy, Lab, Radiology, and IT/Analytics. Provide supported groups with reliable data, coaching, and process improvement support. Experience Minimum of 3 years recent acute inpatient care experience (e.g., ICU, Telemetry, Med‑Surg, ED). Proficiency with Microsoft Office (Excel pivot tables/lookups, PowerPoint, Word). Experience in clinical performance improvement, health informatics, and teaching adult learners preferred. Hands‑on with Epic, Vizient, (or similar BI tools) preferred. Qualifications Education Bachelor’s degree in Nursing (BSN) required or BSN in progress with attainment within 12 months of hire. Master’s degree in Nursing, Healthcare Administration, Public Health, or related field preferred. Licensure/Certifications Current State of California RN license (unencumbered) required. CPHQ certification active or ability to attain within two years of hire. Working knowledge of Title 22, TJC standards, CMS Conditions of Participation preferred. Equal Opportunity Employer #LI-AC1 Assigned Work Hours: Full Time (Exempt) Position Type: Regular Pay Range (based on years of applicable experience): $72.45 to $96.90
Welcome to Montage Health’s application process! Job Description: Under the leadership of the department director, assistant director, nursing supervisor, and/or charge nurse, the registered nurse is responsible and accountable for planning directing, assessing and providing nursing care according to the policies and procedures of the hospital and Emergency Department. Important dimensions of this position consist of quality of care, professional commitment, teamwork, interpersonal skills, safety, good public/customer relations and a broad nursing knowledge. The registered nurse is an experienced nurse who shall orient new staff, precept students, and assume relief charge nurse duty as oriented and assigned. Experience Must have a minimum of 1 year of recent Emergency Department experience and/or successful completion of the CHOMP Emergency Nurse Orientation (ENO) program. Must have knowledge of hemodynamics and basic IV skills, and a thorough understanding of cardiac rhythms. Excellent assessment skills, above average critical thinking skills, the ability to work in a fast- paced and often stressful environment, and the ability to work autonomously are essential. Education Bachelor’s degree in nursing preferred. Must pass orientation and initial competency assessment prior to independent assignment of patients requiring the applicable skill, and must complete and pass all annual competencies. Licensure/Certifications State of California RN license required. American Heart Association Healthcare Provider BLS, ACLS, PALS, and NIHSS*- Stroke Certification is required. Assault crisis training must be completed within the first 6 months of hire. *Training program positions and internal transfers from units not requiring stroke certification must complete required stroke certification before taking an independent stroke assignment. Education to be completed by the stroke coordinator. In her absence the educator or manager may deliver required stroke education. Equal Opportunity Employer #LI-CF1 Assigned Work Hours: Night Shifts, 3 shifts per week. Position Type: Regular Pay Range (based on years of applicable experience): 78.54 USD to $95.48 The hours employees work determine when a shift differential is paid. Hourly Evening Shift Differential: $5.50 Hourly Night Shift Differential: $8.00
Welcome to Montage Health’s application process! Job Description: Position Summary Under the leadership of the department director, assistant director and the supervision of an RN, the Surgical Technologist is responsible and accountable for working intra-operatively in cardiothoracic surgery for the preparation and handling of supplies and equipment to maintain a safe and therapeutic surgical environment for the patients in accordance with the policies and procedures of the hospital and department. The Surgical Technologist demonstrates advanced clinical expertise in scrubbing a variety of open heart, chest and vascular (inclusive of peripheral vascular) procedures. Important dimensions of this position consist of quality of care, professional commitment, teamwork, interpersonal skills, safety, good public/customer relations and a broad professional knowledge. Experience A minimum of two years scrub experience as a Surgical Technologist in cardiothoracic surgery. Education Graduate of a surgical technologist training program strongly preferred. Will consider extensive hospital surgical technologist experience in lieu of graduate of training program. Licensure/Certifications American Heart Association Healthcare Provider BLS is required. Surgical Technologist certification is strongly preferred. Equal Opportunity Employer #LI--ES1 Assigned Work Hours: Full Time 8-hr shifts: varied between 6AM-2:30PM or 6:30am-3:30PM. Position Type: Regular Pay Range (based on years of applicable experience): $43.31 to $57.94 The hours employees work determine when a shift differential is paid. Hourly Evening Shift Differential: $2.78 Hourly Night Shift Differential: $4.17
Welcome to Montage Health’s application process! Job Description: Under the direction of the Quality Management Director, the Infection Prevention Manager provides leadership and oversight for the organization’s infection prevention and control program. This role ensures compliance with federal, state, and local regulations, as well as organizational policies and standards. The IPC Manager is responsible for strategic planning, program development, and operational execution to prevent healthcare-associated infections (HAIs). The position leads surveillance activities, data analysis, and implementation of evidence-based practices, while fostering collaboration across departments. The IPC Manager serves as a subject matter expert, provides education, and ensures readiness for regulatory surveys. Essential Responsibilities Program Leadership & Compliance Direct and manage the infection prevention and control program in alignment with CDC, TJC, Title 22, OSHA, APIC, CMS, and state regulations. Ensure organizational readiness for regulatory surveys and inspections; lead corrective action and sustainment plans. Develop and maintain policies, procedures, and standard work for infection prevention practices. Provide routine reporting to Administration, Board committees, Medical Staff committees, and quality councils. Surveillance & Data Collection Oversee surveillance for HAIs using standardized definitions. Ensure accurate data collection, validation, and reporting to NHSN and other required systems. Monitor trends and present actionable insights to leadership and committees. Patient Safety Events, Risk Mitigation & Learning Lead reviews of patient safety events and facilitate root cause analyses (RCAs) and after-action reviews. Develop and monitor corrective action plans and sustainment strategies. Drive proactive hazard surveillance and failure mode identification. Performance Improvement & Education Champion Lean Model for Improvement projects (AIM, driver diagram, PDSA cycles) at the unit and service line level. Coach IPC specialists, leaders, charge nurses, educators, and physicians on measure definitions, documentation, and bundle reliability tactics. Design and deliver adult‑learning education (tip sheets, micro‑learning, in‑services) based on identified performance gaps. Committee & Workgroup Facilitation; Stakeholder Engagement Co-Chair relevant committees/work groups (e.g., Infection Prevention Work Group, Unit‑based councils, etc.). Prepare agendas, minutes, dashboards, and storyboards; track actions to closure and communicate progress. Build strong relationships with Nursing, Medical Staff, Case Management, Infection Prevention, Pharmacy, Lab, Radiology, and IT/Analytics. Provide supported groups with reliable data, coaching, and process improvement support. Experience Minimum of 5 years recent acute care experience, including at least 2 years in infection prevention leadership. Demonstrated ability to lead teams, manage projects, and drive performance improvement. Strong knowledge of NHSN reporting, APIC guidelines, and regulatory standards. Working knowledge of Title 22, TJC standards, CMS Conditions of Participation preferred. Proficiency in Microsoft Office and electronic health record systems (Epic preferred). Qualifications Education Bachelor’s degree in nursing (BSN) required. Master’s degree in nursing, Healthcare Administration, Public Health, or related field preferred. Licensure/Certifications Current State of California RN license (unencumbered) required. Certification in Infection Control (CIC) required. Equal opportunity employer. #LI-AC1 Assigned Work Hours: Full-time (Exempt) Position Type: Regular Pay Range (based on years of applicable experience): $72.45 to $96.90
