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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

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