Sr. Director of Quality and Care Management

1 week ago


Town of Florida, United States Integrated Home Care Services, Inc. Full time

Sr. Director of Quality and Care Management IHCS provides an integrated delivery system in the home setting, including DME, Respiratory, Home Health, and Home Infusion services. We have a select network of Medicare and Medicaid certified providers available 24/7 to deliver high‑quality in‑home care that enhances daily living for our patients, who are #1. With over 30 years of experience, we are the trusted market leader in Home Health, Durable Medical Equipment, and Home Infusion Services. If you are passionate about inspiring, motivating, and leading teams, this opportunity could be for you. Compensation and BenefitsFull‑time team members receive a competitive compensation package, including but not limited to: Medical, Vision, Dental, Short‑ and Long‑term insurance 6+ days of Holidays Pay 15+ days of PTO Employer‑paid life insurance 401K with employer contribution Wellness program with reward incentives Employee recognition and reward programs Hybrid Remote/Telecommute work schedule Responsibilities Lead and oversee the organization’s quality assurance, compliance, and care management initiatives. Ensure adherence to NCQA and CMS accreditation standards and develop policies and procedures. Manage audit processes, training programs, quality improvement initiatives, and grievance resolution. Support fraud, waste, and abuse investigations. Oversee the Clinical Care Management Committee and align governance with regulatory requirements and organizational goals. Qualifications Bachelor’s degree in nursing or a related field. 6‑8 years of experience in healthcare operations, managed health care, or home health services. Strong understanding of NCQA and CMS accreditation requirements. Experience in utilization management, denials, and appeals management. Proven self‑starter who identifies and drives change. Exceptional written, oral, and interpersonal communication skills with internal and external customers. Strong interpersonal, organizational, time‑management, and critical‑thinking skills. Ability to work independently, manage multiple priorities, and lead a diverse team. Proficiency in Microsoft Office and a strong work ethic. IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. #J-18808-Ljbffr



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