QI Coordinator 2

APS Health Care PR • San Juan, PR, US, PR

2d

About The Position

The Quality Coordinator 2 assists the QI Supervisor in the development, coordination, and implementation of the local quality improvement program, ensuring that performance objectives and standards meet and exceed quality expectations. This key individual assists with complaints, appeals, adverse incidents, training scheduling, and reporting processes. The Quality Coordinator is fully dedicated to the duties of the Quality Department.

Requirements

• Master’s Degree in a Behavioral Health field.
• Current, unrestricted clinical license(s) to practice in Puerto Rico territory.
• Minimum 2 years of experience in Managed Care, Behavioral Health Management and/or Healthcare Quality Improvement.
• Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.

Nice To Haves

• Experience in Managed Care, Behavioral Health Management and/or Healthcare Quality Improvement is preferred.

Responsibilities

• Coordinates, organizes, analyzes, and provides follow-up for the TRR, as well as prepares corrective action plans.
• Assists QI Supervisor in the development, coordination, and implementation of quality indicators tools, such as silent monitoring, internal audits, and quality committee meetings, among others.
• Compiles case information for the investigation and resolution of Adverse Events and Quality of Care.
• Collects data, maintains databases, and assists in identifying opportunities for improvement.
• Development of monthly, quarterly, and annual reports.
• Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.
• Performs other duties assigned by the manager and/or supervisor.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level