Health Plan Quality Improvement Coordinator
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Job Location:
Virginia Beach, VA - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
City/State
Virginia Beach VAWork Shift
First (Days)Overview:
Sentara Health Plans in Virginia Beach is looking to hire a Remote Health Plan Quality Improvement Coordinator.
This is a remote position; however candidates must reside in Virginia North Carolina or Florida.
The Quality Improvement Coordinatoris responsible forcoordinating the design development implementation and evaluation of theheathplans clinical quality developing focused and/or specialized studies based on high volumehigh riskhigh cost and/orproblem proneareas and periodicallymonitorsand evaluates related performance goals. Collaborates with Clinical Care Services to improve health status for chronic diseases based on demographic and epidemiological characteristics of the membership. Assists in maintaining accreditation and certifications for NCQA and MCHIP as well as assisting to meet the requirements for state and federal (DMAS and CMS) regulations andrequirement.
Education
- BSN preferred
- Associates degree(Required)or
- LPN Diploma may be accepted in lieu of associates degree
Certification:
- Registered Nurse preferred.
Experience
- 3 years of quality improvement experience (Required)
- 3 years of regulatory and accreditation (Required)
Keywords: Talroo-Allied Health Quality Improvement NCQA MCHIP DMAS CMS
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
IC
Key Skills
- EMR Systems
- Employee Relations
- Typing
- Patient Care
- Clerical Experience
- HIPAA
- Computer Skills
- EMT Experience
- Medical Terminology
- Transcription
- Epic
- Phone Etiquette
About Company
Sentara Health, is an integrated, not-for-profit health care delivery system in Virginia and North Carolina. Sentara improves health everyday.
