Quality Improvement Coordinator II

Overview

Position Title: Quality Improvement Coordinator II

Work Location: Remote - AZ

Assignment Duration: 3 months with possible extension or conversion

Work Arrangement: Remote

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 members per the guidelines.

• Receive 1-2 QOC investigations daily that are due 60 days from the assignment date.
• Review medical records, provider policies/manuals and statutes.
• Ensure providers are rendering appropriate care to members per guidelines.
• Write investigative reports of findings and submit reports.
• Complete 1 investigative report per day.
• Identify quality concerns and develop quality improvement plans to address concerns with the provider.

• Bachelor's degree in nursing or license preferred.
• Counselor/Social Worker preferred.
• LPN, LVN, RN, PA, LPC, LAC or LCSW license preferred.
• CPHQ (Certified Professional in Healthcare Quality) preferred.
• 3+ years of clinical, quality improvement, or healthcare experience.
• MUST have Behavioral Health or Physical Health setting experience.
• 2+ years of experience in a quality function in a healthcare setting.

• No clinical Behavioral Health or Physical Health experience.