Quality Management Coordinator RN

Summary/Position Objectives:
Performs assessments of the quality of care and service rendered by MCP providers. Assists in the development and implementation of improvement action plans designed to improve individual and network wide performance. Participates in other quality improvement and accreditation activities.

Responsibilities:
Essential Functions:

1.Conducts retrospective and concurrent review of medical records for potential quality of care and risk issues.

2.Schedules and performs clinical ambulatory medical record audits, compiles results, and provides feedback to providers.

3.Provides education and works with providers to develop improvement action plans aimed at increasing compliance with MCP standards of care and medical record documentation.

4.Performs data entry and analysis of QM findings.

5.Performs data collection for QI studies and activities.

6.Participates in accreditation activities including data collection, assessment, and report writing.

7.Participates in the development of QI monitors, studies, and tracking mechanisms.

8.Maintains confidentiality of all member-specific and provider-specific data related to the Quality Management Program.

9.Works in a manner that is not disruptive to peers, supervisors and subordinates.
10.Performs other duties, assignments and responsibilities as assigned or required.



Secondary Functions:

ØWorks in a manner that is not disruptive to peers, supervisors and/or subordinates.
ØMust maintain regular and acceptable attendance at such level as is determined in the employer’s sole discretion.
ØMust be available and willing to work such days and hours as the employer determines are necessary or desirable to meet its business needs.
ØMust be available and willing to travel to such locations and with such frequency as the employer determines is necessary or desirable to meet its business needs. (If travel required.)
REQUIREMENTS
Knowledge and Skills:
ØIntermediate to advanced math skills working with percents, ratios, working knowledge of statistics
ØIntermediate to advanced math skills working with percents, ratios, working knowledge of statistics
ØExcellent analytical skills

Education and Work Experience:
ØR.N. license/BSN or related field
ØMinimum of three years experience in a clinical setting, with at least one year within quality management.
ØKnowledge of applicable laws, rules and regulations pertaining to quality management, utilization management or risk management.
ØManaged care experience


Schaller Anderson team members are provided with countless opportunities to make a real difference and the following compensation/benefits:

* Competitive compensation DOE
* Medical, Dental and Vision insurance
* Employee Assistance Program
* Flexible spending accounts
* On-site fitness center (Phoenix headquarters only)
* Life insurance and accidental death and dismemberment insurance
* Short-term and long-term disability
* Paid holidays, paid time off/paid time off reserve
* 401(k)
* Tuition reimbursement
Visit www.schalleranderson.com for more information or submit a resume to [Click here for email]. EOE