Clinical Quality Coordinator

Company: THE EXECU-SEARCH GROUP
Location: Bronx
Posted on: May 13, 2022

Job Description:

Academic/Faculty/Research opening in Bronx, New York. This and other physician jobs brought to you by DocCafe.com

A New York City health services network is currently seeking a new Clinical Quality Coordinator for a promising opportunity with their growing staff. In this role, the Clinical Quality Coordinator will be responsible for supporting quality assurance and performance improvement activities.

Responsibilities:

The Clinical Quality Coordinator will be responsible for:

• 
  
• Analyzing clinical data to identify trends and opportunities
  
• Recommending improvements and serving as a subject matter expert for the organization
  
• Investigating clinical grievances and quality of care concerns for all product lines
  
• Coordinating with staff to ensure the completion and submission of documents related to grievance, appeal, incident and quality improvement activities within regulatory guidelines
  
• Collaborating with Quality and IT staff in the analysis of clinical data
  
• Performing other duties, as needed
  
  
  Qualifications:
  
  
  • 
    
  • 2+ years of experience in a Managed Care setting
    
  • Bachelor's Degree in Nursing
    
  • Current NYS Registered Nurse (RN) license
    
  • Experience with Care Management, Quality, Utilization Management and/or Grievance & Appeals
    
  • Demonstrated knowledge of Medicare and Medicaid regulations
    
  • Computer savvy
    
  • Microsoft Office Suite proficient (Excel, PowerPoint, Word, etc.)
    
  • Strong analytical and problem solving skills
    
  • Great interpersonal skills
    
  • Excellent communication skills (written and verbal)
    
  • Strong attention to detail
    
  • Highly organized
    
    
    Keyphrases: medical faculty jobs, medical research jobs, biostatistics faculty jobs

Keywords: THE EXECU-SEARCH GROUP, New Rochelle , Clinical Quality Coordinator, Healthcare , Bronx, New York