Quality Manager of Care Coordination
2 weeks ago
Job Summary
Responsible for supervising care coordination and clinic operations related to quality improvement, including direct supervision of clinical staff. Provides leadership in assessing, adherence to quality assessment, and performance improvement objectives. Manages performance improvement initiatives and activities; annual performance improvement needs assessment; collaborates with revision of annual performance improvement plan; leads and/or facilitates performance improvement teams. Assists the Medical/Administrative Director in coordinating clinical quality programs, participates on and serves as performance improvement representative to operational and medical staff committees. Collaborates with Pediatric Care Centers in assessing quality metrics and developing quality improvement plans.
Job Specific Duties
- Responsible and accountable for all operations within areas of oversight.
- Continually seeks, analyzes, and enhances the quality of patient care and services to ensure high quality integrated care. Ensures care delivery processes are at the cutting edge of clinical quality and safety. Supports safety culture initiatives and ensures high level of compliance with regulatory standards, CMS, and public-reporting indicators of clinical practice.
- Supervises the care coordination process to ensure it is initiated effectively for new patients and updating coordination plans throughout the care continuum.
- Maximize benefits by coordination of cost-effective care, avoid fragmented care, and duplication of services. Ensure the appropriate level of care is provided in the most suitable setting.
- Perform random charting review to ensure accurate and thorough documentation to support reimbursement of services rendered.
- Data analysis related to PCMH metrics; develops, implements, and monitors action plans, avoidable days, LOS, and other identified case management metrics.
- Anticipates and proposes opportunities to improve current technology or identify new technology to enhance performance and productivity. Leads initiatives in assigned facilities.
- Assesses learning needs related to care coordination and clinical practice. Implements appropriate educational activities to expand knowledge base.
- Leads and directs process improvement initiatives and other safety programs; ensures applications and concepts are standardized and reliable processes and sustained in the department. Supports process improvement and incorporates science principles into quality/process improvement activities while working with leadership ensuring application of evidenced based practice in the departments.
- Accountable for patient satisfaction and employee engagement scores. Supports patient/family experience, initiatives, and leading practices. Promote and maintain positive relations with patients and their families, as well as, other healthcare organizations. Rounds in departments with medical and business leaders to solicit input from staff, families, and patients; collects data, supports improvements, and tracks results. Ensures updates on opportunities and outcomes are shared with clinical staff during meetings or huddles. Recognizes staff members who are identified by families and helps embed a culture of service excellence with all staff. Guides establishment of standards, provides training, and enforces compliance with departmental customer service and employee engagement programs and initiatives.
- Remains current with state and federal associations, professional trends, and by participating in community activities. Actively involved in a professional organization. Shares best practices with nursing leadership. Develops reviews and revises departmental policies and procedures and assures the department's compliance with DNV, state, and federal regulations, as well as, current evidence-based guidelines.
- Ensures highest integrity for the business operations of the departments. Strategically positions the departments to react effectively to unplanned circumstances, demands, and challenges facing the industry while creating revenue enhancements and cost reduction practices. Ensure sufficient staffing to meet patient care needs while monitoring and ensuring compliance with department budgets.
- Oversees and supports talent development of the team to ensure succession planning, mentorship, and coaching within departments leading to strategic goal accomplishment. Provides ongoing performance feedback, coaching, and mentoring to leaders and staff. Builds a high performance environment by fostering staff empowerment, holding team members accountable, utilizes the department engagement champions to increase staff communication, recognition, and talent retention.
-
Quality Coordinator
4 weeks ago
Miami, United States HCA Florida Kendall Hospital Full timeDescription Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Quality Coordinator today with HCA Florida Kendall Hospital. Benefits HCA Florida Kendall Hospital, offers a total rewards package that supports...
-
Patient Care Coordinator
1 week ago
Miami, Florida, United States University of Miami Full timeUniversity of Miami - Department of Urology The University of Miami's Department of Urology is seeking a dedicated full-time Nurse Navigator. This role is essential as the initial point of contact for patients entering our healthcare system. Key responsibilities include managing appointment schedules, coordinating patient care, and offering support...
-
HEDIS Quality Specialist
5 days ago
Miami, United States Borinquen Health Care Center Full timeAbout the RoleBorinquen Health Care Center is seeking a highly skilled HEDIS Quality Specialist to join our team. As a key member of our clinical operations team, you will play a critical role in ensuring the quality and accuracy of our patient data.Key ResponsibilitiesQuality Data Management: Coordinate and complete HEDIS quality-specific projects, ensuring...
-
Care Management Coordinator
2 weeks ago
Miami, United States Cano Health Full timeOverview:Being part of a dedicated team that strives to make a significant difference in healthcare is truly fulfilling. We are focused on creating an exceptional primary care experience for our patients and are looking for passionate individuals to join our mission.Position Summary:The role involves managing care for patients with intricate and ongoing...
-
Quality Assurance Manager
2 months ago
Miami, United States Community Medical Group Full timeJob DescriptionJob DescriptionSummaryThe Quality Assurance Manager is responsible for implementing the company’s Continuous Quality Improvement Program at the corporate level including, but not limited to, planning, organizing, developing, coordinating, and directing quality assessments. They will ensure activities and programs in facilities are accordance...
-
Care Coordinator
2 weeks ago
Miami, United States Grand Lake Mental Health Center Full timeJob DetailsJob LocationOttawa - Miami - Miami, OKPosition TypeFull TimeEducation LevelBachelor's DegreeDescriptionIf assigned Adult caseload, the following applies:Provide varying types of case management and/or rehabilitative services in various setting to individual, families and groups.Provide crisis intervention services, as assigned. If assigned...
-
Care Management Coordinator
2 weeks ago
Miami, United States Cano Health Full timeOverview:Being part of a dedicated team focused on making a significant difference in healthcare is truly fulfilling. We are committed to fostering an exceptional primary care setting for our patients and are looking for passionate healthcare professionals to join our mission.Position Summary:This role involves managing care for patients with intricate and...
-
Care Management Coordinator
1 week ago
Miami, United States Cano Health Full timeOverview:Being part of a dedicated team that is passionate about making a positive impact in healthcare is truly fulfilling. At Cano Health, we are focused on creating the optimal primary care setting for our patients and are looking for individuals who share our enthusiasm for healthcare.Position Summary:The role involves managing care for patients with...
-
Care Coordinator
2 weeks ago
Miami, United States Grand Lake Mental Health Center Full timeJob DetailsJob Location Ottawa - Miami - Miami, OK Position Type Full Time Education Level Bachelor's Degree DescriptionIf assigned Adult caseload, the following applies: Provide varying types of case management and/or rehabilitative services in various setting to individual, families and groups. Provide crisis intervention services, as assigned. If...
-
Waiver Support Coordinator/Social Work Case Manager
3 months ago
Miami, United States Quality Connections Inc Full timeJob DescriptionJob DescriptionResponsibilitiesThe Waiver Support Coordinator provides case management services for people with developmental disabilities, coordinating and monitoring services for adults and children. The Waiver Support Coordinator provides support to clients and their families, conducts monthly face-to-face visits, develops annual Support...
-
Quality Data Management Analyst
2 weeks ago
Miami, United States University of Miami Full timeCurrent Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.Responsible for managing clinical quality database to support...
-
Care Coordinator Specialist
22 hours ago
Miami, Oklahoma, United States Grand Lake Mental Health Center Full timeAbout the RoleAt Grand Lake Mental Health Center, we are seeking a highly skilled and compassionate Care Coordinator to join our team. As a Care Coordinator, you will play a vital role in providing support services to individuals and families, helping them navigate the mental health system and access the resources they need to thrive.Key...
-
Care Coordinator
3 days ago
Miami, United States Centene Corporation Full timeAbout the RoleWe are seeking a highly skilled and compassionate Care Navigator to join our team at Centene Corporation. As a Care Navigator, you will play a critical role in developing and implementing personalized care plans for our members, ensuring they receive high-quality, cost-effective healthcare outcomes.Key ResponsibilitiesEvaluate Member Needs:...
-
Donor Management Coordinator 2
4 weeks ago
Miami, United States University of Miami Full timeCurrent Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this . $7,500 Sign On Bonus The Life Alliance Organ Recovery Agency at...
-
Patient Care Coordinator
2 weeks ago
Miami, United States West Gables Rehabilitation Hospital Full timePosition OverviewWest Gables Rehabilitation Hospital is seeking a dedicated Patient Care Coordinator (RN or MSW) for a Per Diem/PRN/As Needed role.Advantages of joining our team:Manageable caseloadsSignificant impact on patient recovery and overall quality of lifeHigh success rate for patient discharges to homeCompetitive compensation packagesCollaborative...
-
RN Clinical Care Manager
1 week ago
Miami, United States Angels of Care Pediatric Home Health Full time $35 - $40Join our team as a Clinical Care Manager with Registered Nurse (RN) license for a growing company that has a huge HEART! Work with passionate, talented professionals that are dedicated to serving our clients and feel rewarded knowing that your job MATTERS!Scroll down to find the complete details of the job offer, including experience required and associated...
-
RN Clinical Care Manager
7 days ago
Miami, United States Angels of Care Pediatric Home Health Full timeJoin our team as a Clinical Care Manager with Registered Nurse (RN) license for a growing company that has a huge HEART! Work with passionate, talented professionals that are dedicated to serving our clients and feel rewarded knowing that your job MATTERS!Angels of Care Pediatric Home Health is a family, clinically owned company that has been caring for the...
-
Waiver Support Coordinator
3 months ago
Miami, United States Quality Connections Inc Full timeJob DescriptionJob DescriptionResponsibilitiesThe Waiver Support Coordinator provides case management services for people with developmental disabilities, coordinating and monitoring services for adults and children. The Waiver Support Coordinator provides support to clients and their families, conducts monthly face-to-face visits, develops annual Support...
-
Quality Coordinator
4 weeks ago
Miami, United States Motion Recruitment Full timeOur client, multinational food and drink processing corporation, is actively looking for a Quality Control Coordinator to join their team onsite out of Boca Raton, FL!***This is a W2, 12-month contract with the opportunity to convert or extend paying $18.50 per hour!***ResponsibilitiesProviding status updates to other departments regarding the submission of...
-
Quality Coordinator
1 month ago
Miami, United States Motion Recruitment Full timeOur client, multinational food and drink processing corporation, is actively looking for a Quality Control Coordinator to join their team onsite out of Boca Raton, FL!***This is a W2, 12-month contract with the opportunity to convert or extend paying $18.50 per hour!***ResponsibilitiesProviding status updates to other departments regarding the submission of...