Quality Manager
Company: True Health
Location: Sanford
Posted on: May 8, 2024
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Job Description:
Job Description: Quality ManagerJob SummaryTrue Healths Quality
Manager is primarily responsible for the daily operations of the
care coordination and case management teams. This position ensures
that program practices are consistent with established standards,
procedures, and requirements. The Quality manager will identify and
implement opportunities to improve health care quality and patient
satisfaction.Essential FunctionsOversee and monitor quality
improvement activities and promote improvement of quality measures
while remaining in compliance with all required regulations.Direct
oversight of care coordination and case management team
members.Oversee and manage an integrative system of care
coordination.Initiate and oversee ongoing quality improvement
practices.Meet with insurance company representatives regularly to
review quality metrics and outline areas of opportunity with a plan
of action.Monitor quality performance and identify activities to
further enhance the quality of care.Monitor call queue metrics,
bucket reports, and other necessary reports needed to ensure
efficiency within the department.Participate in regular meetings
with insurance companies, external partners, departmental and
company-led meetings, as requested.Maintain departmental policies,
procedures along with standard operating procedures as defined by
company policy and procedures.Coordinate with the Chart Auditor,
Quality Data Specialist and EMR Trainers to develop audit systems,
perform data analysis and prepare reports related to measuring
objectives and tracking outcomes as required by grants, or
contracts.Analyze and report data, as required, in conjunction with
the QI Reporting calendar and for continued recognition through
AAAHC and HRSA UDS.Coordinate with Quality Director, Medical
Directors, CNO, Clinical Directors as well as members of Management
to organize and lead chronic disease care improvement
efforts.Collaborate with Director of Quality and Medical Directors
to develop new or update existing clinical outcome measures,
protocols, policies and procedures to ensure compliance with
policies through a peer review processEducation and
ExperienceCompletion of accredited Registered Nursing (RN) program
with current Florida RN license active and in good
standing.Bachelors degree in nursing is preferred.Five (5) years of
management experience in a related program area.Knowledge, Skills,
and AbilitiesDemonstrated experience working with community-based
organizations, consumers, and others. community
stakeholders.Effective written, verbal, and electronic
communication skills.Knowledge of Microsoft Suite and Windows-based
applications.Aptitude to interpret, present and explain basic
public health data and statistics.Effective in development and
implementation of work plans and timelines.Ability to manage
complex tasks and meet deadlines.Demonstrated commitment to health
equity.Foster and maintain teamwork.Ability to effectively
communicate with healthcare teams.Good organizational skills to
handle multiple priorities while remaining professional and
calmAbility to work well with others.Competent in prioritizing, and
organized, while carrying out work assignments independently and
efficiently in addition to being self-directed and flexible.Must be
able to make suggestions on workflow or system efficiency and
effectiveness.Ability to build and motivate teams with demonstrated
leadership and facilitation experience.Travel required.Additional
QualificationsExperience working with diverse communities,
organizations and agencies preferred.Bilingual (English/Spanish) a
plus.Must have reliable transportation.Relationship
ReportingReports to Director of Qualityby Jobble
Keywords: True Health, Orlando , Quality Manager, Accounting, Auditing , Sanford, Florida
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