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QI Coordinator 2 at APS Health Care PR

, Puerto Rico, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Aug, 26

Salary

0.0

Posted On

23 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Quality Improvement, Data Analysis, Corrective Action Planning, Internal Auditing, Case Investigation, Regulatory Compliance, Reporting, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook

Industry

Hospitals and Health Care

Description

Position Summary: The Quality Coordinator 2 assist the QI Supervisor and in the development, coordination, and implementation of the local quality improvement program, ensuring that performance objectives and standards meet and exceed quality expectations. This key individual assist with complaints, appeals, adverse incidents, training scheduling and reporting processes. The Quality Coordinator is fully dedicated to duties of the Quality Department. Essential Functions: 1. Coordinates, organizes, analyses, and provides follow up for the TRR, as well as prepare corrective action plans. 2. Assist QI Supervisor in the development, coordination and implementation of quality indicators tools, such as silent monitoring, internal audits, and quality committee meetings, among others. 3. Compiles case information for the investigation and resolution of Adverse Events and Quality of Care. 4. Collect data, maintain databases, and assist in identifying opportunities for improvement. 5. Development of monthly, quarterly and annual reports. 6. Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable. 7. In addition, all other duties assigned by the manager and/or supervisor. Education: * Master’s Degree in a Behavioral Health field. * Current, unrestricted clinical license(s) to practice in Puerto Rico territory. Experience: * Minimum 2 years of experience in Managed Care, Behavioral Health Management and or Healthcare Quality Improvement preferred. Knowledge: * Personal computer experience should include working with Microsoft Word, Excel, Power Point and Outlook at the intermediate level at a minimum.

Responsibilities

The QI Coordinator 2 assists in developing and implementing the local quality improvement program to ensure performance standards are met. Key duties include managing complaints, appeals, adverse incidents, and preparing monthly and annual reports.