Clinical - Quality Improvement Coordinator I

Immediate need for a talented Clinical - Quality Improvement Coordinator I. This is a 03 Months Contract opportunity with long-term potential and is located in AZ (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-95400

Pay Range: $22 - $24/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits.
• Perform community activities related to clinical initiatives such as health fairs and communication with agencies and providers.
• Collaborative culture. Key project to complete AHCCCS Medicaid QOC investigations.
• Receive 1-2 QOC investigations daily that are due 60 days from the assignment date.
• Reviewing medical records, provider policies/manuals and statutes to ensure providers are rendering appropriate care to our members per the guidelines.
• Writing an investigative report of findings and submitting reports.
• Expectation to complete 1 investigative report per day.
• The role is unique as it requires clinical knowledge to be able to identify quality concerns and develop quality improvement plan to address the concerns with the provider.

Key Requirements and Technology Experience:

• Must have skills: - “Quality Improvement", "Medical Records", "Investigations", “Abstractions”, “Physical Health”, "Behavioral health
• 3 years of clinical, quality improvement or healthcare experience.
• MUST have BH or physical health setting experience.
•  2 years of experience in quality function in a healthcare setting. 

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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