Quality Improvement Coordinator I

Location: Harrisburg, PA
Joining this team means you'll be surrounded by colleagues who are dedicated to meeting their own high standards, to inspiring their teammates and to making a positive impact on under-insured and uninsured individuals. The group is a fast, agile, customer-focused organization with a commitment to implementing the latest technologies.
 
Our client serves more than 55 million managed care members through their portfolio of high-quality commercial and government sponsored healthcare programs. The broad offering of programs that they provide has helped them to build both capacity and capability to successfully navigate a changing healthcare environment, while continuing to offer better health outcomes at lower costs.
 
Position Purpose:
Analyze, develop, implement and monitor clinical quality improvement initiatives to achieve healthy outcomes.
 
Job Description:
  • Perform duties and functions to comply with quality improvement programs according to state requirements.
  • Support Quality Assurance Performance Improvement work plan/initiatives.
  • Schedule and assist with committee and sub-committee preparation.
  • Assist in investigation and resolution of member quality of care complaints.
  • Audit medical records and monitor performance measures for heath care risk management, sentinel events and trends.
 
Qualifications:
Education/Experience:
  • Bachelor’s degree in nursing preferred.
  • 2+ years clinical, quality management or healthcare related experience.
  • At least one year experience in quality function in a healthcare setting.
 
Licenses/Certifications:
  • LPN, LVN, RN, PA, or LCSW license preferred.
  • Utilization management certification preferred.
  • Certified Professional in Healthcare Quality preferred.
 
Our client offers options that allow you to do more than just plan for retirement. Their programs allow shared success with employees.
  • 401(k) with company match
  • Employee stock purchase plan
  • Training and Learning Opportunities/Tuition Reimbursement/Educational Assistance
  • On-site fitness center or discount at local fitness centers (most locations)
  • Discounts for select local and national products and services, including cell phones, computers and more
  • Other amenities may be available, but vary by location
 
Equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
 
 
 
April A. Estes
Senior Recruiter
720-439-2609 Direct
april@proenlist.com 
www.proenlist.com 
www.medenlist.com 
https://www.indeedjobs.com/proenlist?hl=en_US
 
 
or
this job portal is powered by CATS