Hiring, training, coaching, counseling, and evaluating performance of direct reports. Must meet the following requirements for consideration: BA/BS degree. 5 years of experience in quality management in a managed care environment. RN, MBA, MPH, or additional Quality certifications preferred.
An analystics company has a current position open for a Virtual Healthcare Quality Subject Matter Expert. Candidates will be responsible for the following: Ensuring yearly NCQA certification. Serving as a resource regarding accreditation standards.
Minimum 5 years inpatient and outpatient coding experience in an acute care facility. High School Diploma with RHIA, RHIT, and/or CCS credential. I-10-CM/PCS training. Computer proficiency, able to research coding questions. Experience using Electronic Health Record (EHR)
A staffing agency is seeking a Remote Quality Medical Care Reviewer. Candidates will be responsible for the following: Auditing and reviewing case manager and provider documentation. Conducting ongoing activities which monitor quality of care standards.
A non-profit healthcare organization is filling a position for a Telecommuting Physician Documentation Coding Auditor in Tyler. Individual must be able to fulfill the following responsibilities: Complete scheduled audits of assigned providers at designated intervals.
A health information management company is in need of a Telecommuting Oncology Data Consultant I in Jacksonville. Core Responsibilities of this position include: Performing abstracting, case-finding and follow-up activities.
Leading accreditation team to achieve zero defects across all health plans. Position Requirements Include: At least 2 years of experience directly managing staff. A minimum of 5 years' experience in quality improvement in a managed health care setting.
Assist management in preparing for health plan and SOC1 audits. Skills and Requirements Include: 10% travel. Expert knowledge of NCQA guidelines. Minimum 3-5 years relevant credentialing experience in a managed care setting. Proficiency in computer and software programs.
Must have at least three years of clinical experience in an acute care hospital setting. Must have at least three years of experience as a CDIS. Must have either the CCDS or CDIP credential, and or be an RN, NP, PA, RHIA, RHIT with prior CDI hospital based experience.
A company that provides services to government and commercial sectors is in need of a Telecommuting Senior Occupational Safety and Health Specialist in the Detroit Area. Candidates will be responsible for the following: