Clinical Quality Improvement Specialist Job – Northampton MA
Why You'll Love this Clinical Quality Improvement Specialist Job
Do you know someone who’s been affected by addiction? Do you want to provide care for those suffering from addiction in your own community?
Are you ready to be a voice for change in the way we treat and discuss addiction in America?
Your empathetic and compassionate motivation will make a difference in thousands of lives. You’ll be supported in a flexible work environment that offers continuing education and advancement opportunities.
Enhance your career fulfillment and growth. Apply now!
Job Duties & Responsibilities
• Assumes responsibility for the clinical data audits of the medical record and reporting of clinical quality data. Performs clinical data analysis, ensuring variances are within acceptable standards. Works with Coding Operations Manager, Medical Directors, clinical Education Team and Credentialed providers when goals are not achieved; • Participates in organizational quality, and service improvement teams identifying potential and actual areas for improvement. Exercises sound judgment and decision-making skills, related to areas of responsibility; • Assist with the development and implementation of processes to: achieve and maintain full licensure and CARF accreditation. In doing so, provides coordination for mock and actual surveys, conducts analysis of trends, and preparation of appropriate reports for leadership and governance; • Responsible for leading and facilitating projects. Utilizes and instructs team members in use of various quality improvement tools to identify and improve clinical processes and outcomes; • Conducts concurrent and retrospective review to retrieve data for physician quality profile activities and records pertinent data accurately in chronological order of event. Facilitates notification of appropriate personnel verbally and in writing.• Creating, maintaining and educating clinical policies & procedures and generating standard operating procedures for clinical processes. • Maintain appropriate professional conduct and appearance • Adhere to Company policies regarding confidentiality
- Bachelor’s Degree or actively working towards achieving a Bachelor’s Degree is required.
- At least two (2) years’ experience in Quality and Regulatory Compliance is required.
- Above average communication, conflict resolution and problem solving skills.
- Ability to use computer applications and systems to communicate, track and monitor information that will affect provider enrollment;
- Must possess superior verbal and written communication skills, as well as be detailed oriented;
- Able to meet deadlines and perform tasks within assigned time frames;
- Must be able to work with associates and providers with professionalism and courtesy.