UNM Medical Group, Inc.’s Post

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#hiring Quality Improvement Specialist, Clinical, New York City, United States, $106K, fulltime #jobs #jobseekers #careers $106K #NewYorkCityjobs #NewYorkjobs #HealthcareMedical Apply: https://lnkd.in/gH4vd-si Overview Leads interdepartmental quality improvement activities such as development and engagement, clinical review, clinical risk management, and patient satisfaction. Serves as a resource to quality improvement committees and work groups. Analyzes outcome reports. Implements, directs and evaluates a system for quality improvement program designed to promote and maintain optimal patient care. Manages Health Plans quality improvement activities and assures quality clinical and non-clinical compliance with regulatory authorities. Works under general direction.Compensation: $85,000.00 - $106,300.00 Annual• Conducts clinical assessment including and not limited to, medication reconciliations, post-discharge transitions of care assessment and follow-up post emergency department assessment • Collaborates with programs to assure compliance with DOH/CMS/NCQA requirements. Coaches, facilitates and monitors continuous improvement to attain strategic quality objectives and industry benchmarks for patient outcomes, satisfaction cost and regulatory requirement. • Conducts clinical reviews with primary care providers or specialist to address non-adherence and/or clinical diagnosis for HEDIS/QARR exclusion. • Participates and leads improvement teams and projects and other committees related to performance improvement, measurement and documentation. • Performs audits on medical records and provide counseling/guidance to PCPs on VNS Health Medical Record Documentation Standards. • Conducts audits of patient care records. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review methodology. • Performs utilization and quality assessment reviews to maintain compliance with Federal and State regulatory requirements. Identifies & analyzes results to inform the development of correction plans. • Develops action plans in collaboration with management staff based on quality reviews and root cause analysis findings. Makes recommendations to appropriate staff and/or committees about findings of reviews, surveys and studies. • Participates in the preparation for and assists with site visits of outside provider for the purpose of regulatory quality compliance. • Investigates patient related complaints, at the direction of the Director. Prepares related reports of investigations and recommendations for correction/improvement. • Develops training materials for and spreads protocols/standards for patient populations within a collaborative framework. • Conducts follow-ups and reassessment and reports findings to evaluate whether corrective actions for regulato

#hiring Quality Improvement Specialist, Clinical, New York City, United States, $106K, fulltime #jobs #jobseekers #careers $106K #NewYorkCityjobs #NewYorkjobs #HealthcareMedical Apply: https://lnkd.in/gH4vd-si Overview Leads interdepartmental quality improvement activities such as development and engagement, clinical review, clinical risk management, and patient satisfaction. Serves as a resource to quality improvement committees and work groups. Analyzes outcome reports. Implements, directs and evaluates a system for quality improvement program designed to promote and maintain optimal patient care. Manages Health Plans quality improvement activities and assures quality clinical and non-clinical compliance with regulatory authorities. Works under general direction.Compensation: $85,000.00 - $106,300.00 Annual• Conducts clinical assessment including and not limited to, medication reconciliations, post-discharge transitions of care assessment and follow-up post emergency department assessment • Collaborates with programs to assure compliance with DOH/CMS/NCQA requirements. Coaches, facilitates and monitors continuous improvement to attain strategic quality objectives and industry benchmarks for patient outcomes, satisfaction cost and regulatory requirement. • Conducts clinical reviews with primary care providers or specialist to address non-adherence and/or clinical diagnosis for HEDIS/QARR exclusion. • Participates and leads improvement teams and projects and other committees related to performance improvement, measurement and documentation. • Performs audits on medical records and provide counseling/guidance to PCPs on VNS Health Medical Record Documentation Standards. • Conducts audits of patient care records. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review methodology. • Performs utilization and quality assessment reviews to maintain compliance with Federal and State regulatory requirements. Identifies & analyzes results to inform the development of correction plans. • Develops action plans in collaboration with management staff based on quality reviews and root cause analysis findings. Makes recommendations to appropriate staff and/or committees about findings of reviews, surveys and studies. • Participates in the preparation for and assists with site visits of outside provider for the purpose of regulatory quality compliance. • Investigates patient related complaints, at the direction of the Director. Prepares related reports of investigations and recommendations for correction/improvement. • Develops training materials for and spreads protocols/standards for patient populations within a collaborative framework. • Conducts follow-ups and reassessment and reports findings to evaluate whether corrective actions for regulato

#hiring Quality Improvement Specialist, Clinical, New York City, United States, $106K, fulltime #jobs #jobseekers #careers $106K #NewYorkCityjobs #NewYorkjobs #HealthcareMedical Apply: https://lnkd.in/gH4vd-si Overview Leads interdepartmental quality improvement activities such as development and engagement, clinical review, clinical risk management, and patient satisfaction. Serves as a resource to quality improvement committees and work groups. Analyzes outcome reports. Implements, directs and evaluates a system for quality improvement program designed to promote and maintain optimal patient care. Manages Health Plans quality improvement activities and assures quality clinical and non-clinical compliance with regulatory authorities. Works under general direction.Compensation: $85,000.00 - $106,300.00 Annual• Conducts clinical assessment including and not limited to, medication reconciliations, post-discharge transitions of care assessment and follow-up post emergency department assessment • Collaborates with programs to assure compliance with DOH/CMS/NCQA requirements. Coaches, facilitates and monitors continuous improvement to attain strategic quality objectives and industry benchmarks for patient outcomes, satisfaction cost and regulatory requirement. • Conducts clinical reviews with primary care providers or specialist to address non-adherence and/or clinical diagnosis for HEDIS/QARR exclusion. • Participates and leads improvement teams and projects and other committees related to performance improvement, measurement and documentation. • Performs audits on medical records and provide counseling/guidance to PCPs on VNS Health Medical Record Documentation Standards. • Conducts audits of patient care records. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review methodology. • Performs utilization and quality assessment reviews to maintain compliance with Federal and State regulatory requirements. Identifies & analyzes results to inform the development of correction plans. • Develops action plans in collaboration with management staff based on quality reviews and root cause analysis findings. Makes recommendations to appropriate staff and/or committees about findings of reviews, surveys and studies. • Participates in the preparation for and assists with site visits of outside provider for the purpose of regulatory quality compliance. • Investigates patient related complaints, at the direction of the Director. Prepares related reports of investigations and recommendations for correction/improvement. • Develops training materials for and spreads protocols/standards for patient populations within a collaborative framework. • Conducts follow-ups and reassessment and reports findings to evaluate whether corrective actions for regulato

#hiring Quality Improvement Specialist, Clinical, New York City, United States, $106K, fulltime #jobs #jobseekers #careers $106K #NewYorkCityjobs #NewYorkjobs #HealthcareMedical Apply: https://lnkd.in/gH4vd-si Overview Leads interdepartmental quality improvement activities such as development and engagement, clinical review, clinical risk management, and patient satisfaction. Serves as a resource to quality improvement committees and work groups. Analyzes outcome reports. Implements, directs and evaluates a system for quality improvement program designed to promote and maintain optimal patient care. Manages Health Plans quality improvement activities and assures quality clinical and non-clinical compliance with regulatory authorities. Works under general direction.Compensation: $85,000.00 - $106,300.00 Annual• Conducts clinical assessment including and not limited to, medication reconciliations, post-discharge transitions of care assessment and follow-up post emergency department assessment • Collaborates with programs to assure compliance with DOH/CMS/NCQA requirements. Coaches, facilitates and monitors continuous improvement to attain strategic quality objectives and industry benchmarks for patient outcomes, satisfaction cost and regulatory requirement. • Conducts clinical reviews with primary care providers or specialist to address non-adherence and/or clinical diagnosis for HEDIS/QARR exclusion. • Participates and leads improvement teams and projects and other committees related to performance improvement, measurement and documentation. • Performs audits on medical records and provide counseling/guidance to PCPs on VNS Health Medical Record Documentation Standards. • Conducts audits of patient care records. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review methodology. • Performs utilization and quality assessment reviews to maintain compliance with Federal and State regulatory requirements. Identifies & analyzes results to inform the development of correction plans. • Develops action plans in collaboration with management staff based on quality reviews and root cause analysis findings. Makes recommendations to appropriate staff and/or committees about findings of reviews, surveys and studies. • Participates in the preparation for and assists with site visits of outside provider for the purpose of regulatory quality compliance. • Investigates patient related complaints, at the direction of the Director. Prepares related reports of investigations and recommendations for correction/improvement. • Develops training materials for and spreads protocols/standards for patient populations within a collaborative framework. • Conducts follow-ups and reassessment and reports findings to evaluate whether corrective actions for regulato

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