Quality Management Coordinator
About The Position
The responsibilities of the QM Coordinator are as follows: Investigate home care related allegations (review electronic medical record, conduct staff & patient interviews) and provide recommendations for interventions within 48-72 hours. Respond to MLTC & DOH grievances within allotted timeframe. Manage complaint database and monthly reporting to Upper Management in good faith of Quality Improvement Program. Maintains privacy and confidentiality of clients/patients, visitors, and staff. Serves as a resource to staff for educational needs, providing individual and group training as needed & ensures compliance with agency, regulatory, and reimbursement standards...and performs other related duties as required.
Requirements
- Baccalaureate degree preferred
- Critical thinker, highly motivated self-starter, strong organizational skills, ethical standards and professionalism required.
- Ability to communicate both in writing and verbally required.
- Healthcare/home care experience in data and system analysis with proven outcome enhancement required.
- Experience with HHA eXchange required.
- Proficiency in Word and Excel required.
Responsibilities
- Investigate home care related allegations (review electronic medical record, conduct staff & patient interviews) and provide recommendations for interventions within 48-72 hours.
- Respond to MLTC & DOH grievances within allotted timeframe.
- Manage complaint database and monthly reporting to Upper Management in good faith of Quality Improvement Program.
- Maintains privacy and confidentiality of clients/patients, visitors, and staff.
- Serves as a resource to staff for educational needs, providing individual and group training as needed & ensures compliance with agency, regulatory, and reimbursement standards.
- Performs other related duties as required.
Benefits
- Comprehensive benefits including, medical, dental, and vision
- 401K plan with company match
- Robust time off including sick, vacation, personal days, cultural heritage day and your birthday off
- Opportunity for advancement
- Employee discount program on events, movie tickets, mobile phone plan discounts and more.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
