Clinical Quality Management Coordinator Arizona Department of AdministrationClinical Quality Management CoordinatorPhoenix, ArizonaRemoteProvide education and technical assistance to internal and external stakeholders, as appropriate, regarding covered services, and contractual or policy requirements, accurately and consistently to improve compliance with AHCCCS requirements and improve quality of care and service to AHCCCS members. This position will complete comprehensive assessments of available resources on service providers and individual members; review case material to ensure compliance with State and Federal regulations and policies; and provide timely resolution of multiple cases assigned.
Quality Management Nursing Consultant Arizona Department of AdministrationQuality Management Nursing ConsultantPhoenix, ArizonaRemoteProvide education and technical assistance to internal and external stakeholders, as appropriate, regarding covered services, and contractual or policy requirements, accurately and consistently to improve compliance with AHCCCS requirements and improve quality of care and service to AHCCCS members. This position will complete comprehensive assessments of available resources on service providers and individual members; review case material to ensure compliance with State and Federal regulations and policies; and provide timely resolution of multiple cases assigned.
Workflow Specialist - RN Required Pennant Group IncWorkflow Specialist - RN RequiredPhoenix, AZRemoteThe Workflow Specialist partners closely with clinical leadership, field staff, physicians, referral sources, and support teams to support timely patient admissions, high-quality care delivery, and positive patient outcomes. Review and suggest edits on all home health OASIS data, home health care plan required compliance items, and analyze quality outcome data for assessment and improvement of agency performance in star rating and value based purchasing methodology.
Workflow Specialist - RN Required Cornerstone Home Health and HospiceWorkflow Specialist - RN RequiredPhoenix, ArizonaRemoteThe Workflow Specialist partners closely with clinical leadership, field staff, physicians, referral sources, and support teams to support timely patient admissions, high-quality care delivery, and positive patient outcomes. Review and suggest edits on all home health OASIS data, home health care plan required compliance items, and analyze quality outcome data for assessment and improvement of agency performance in star rating and value based purchasing methodology.
NewSr. Quality of Care Review Nurse Oscar HealthSr. Quality of Care Review NurseTempe, AZRemote$83,628–$109,761.75 / yearClinical Quality programs are designed to enhance clinical outcomes and concierge-level service to our members, through review of services provided to members from network healthcare providers, facilities and Oscar employees. Experience in healthcare quality assurance, including experience auditing medical records and evaluating clinical information and internal documentation to determine the quality of care and service provided to members.