Aligns departmental standards for conducting assessments and implementing best practices for providing diagnoses. Fosters a culture of empathetic communication when sharing results, providing resources, and answering questions, and leads the development and implementation of standards for assessing clinical situations. Contributes to the development of best practices for member/patient advocacy and implements guidelines for incorporating feedback and/or investigating complaints to maximize satisfaction, refines care experience standards, establishes guidelines to determine the appropriate services for referrals, and maintains relationships with providers. Oversees program development and implementation to ensure quality of services, implementing adjustments to maximize impact, and oversees the progress of new systems and improvements to programs and makes strategic decisions regarding program optimization. Champions a culture of compliance with guidelines as well as regulatory policies, standards, and procedures, ensuring up-to-date compliance across the department, communicating with Compliance, and implements processes for documentation, records, and reports according to regulations.
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Job Type
Full-time
Career Level
Director
Industry
Religious, Grantmaking, Civic, Professional, and Similar Organizations
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees