Case Management and Quality Manager
Large Central CA Muliti-Specialty Medical Group seeks a Case Management and Quality Manager.
The Manager is accountable for planning, direction, oversight, and evaluation of Clinical Quality and outreach such as flu clinics, the Pay for Performance program and Rx Renewal program.
Responsible for IMQ Accreditation that occurs every 3 years, health plan audits, and for management of the Quality Department staff and programs.
Responsible for coordinating appropriate peer review as it relates to patient complaints and clinical risk.
Qualifications Education:
Bachelor of Science degree in business or health care is required.
Current RN license in the State of California.
Experience:
Five (5) years previous experience in Clinical Quality or Clinical Operations.
Management experience in an ambulatory care setting preferred.
An equivalent combination of experience and education may be substituted.
Experience in complaint resolution and working knowledge of the Lean processes KNOWLEDGE:
Must have knowledge of National and State Quality Metrics and qualifying organizations including NCQA, IMQ, IHA, Hedis, and Pay for Performance.
Click here to apply.
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Estimated Salary: $20 to $28 per hour based on qualifications.
The Manager is accountable for planning, direction, oversight, and evaluation of Clinical Quality and outreach such as flu clinics, the Pay for Performance program and Rx Renewal program.
Responsible for IMQ Accreditation that occurs every 3 years, health plan audits, and for management of the Quality Department staff and programs.
Responsible for coordinating appropriate peer review as it relates to patient complaints and clinical risk.
Qualifications Education:
Bachelor of Science degree in business or health care is required.
Current RN license in the State of California.
Experience:
Five (5) years previous experience in Clinical Quality or Clinical Operations.
Management experience in an ambulatory care setting preferred.
An equivalent combination of experience and education may be substituted.
Experience in complaint resolution and working knowledge of the Lean processes KNOWLEDGE:
Must have knowledge of National and State Quality Metrics and qualifying organizations including NCQA, IMQ, IHA, Hedis, and Pay for Performance.
Click here to apply.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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