Case Management Quality Auditor and Educator

2 weeks ago


Smithfield, Ohio, United States Neighborhood Health Plan of Rhode Island Full time

Position Overview: The Case Management Program Auditor and Trainer collaborates closely with the Care Management Manager to ensure the delivery of high-quality, cost-effective, and member-focused care.

Key Responsibilities:

  • Oversee the performance metrics of Case Managers and Community Care Coordinators to ensure compliance with contractual obligations.
  • Administer comprehensive training programs and update educational materials as necessary.
  • Conduct regular audits to assess performance and identify opportunities for enhancement.
  • Stay abreast of industry developments and integrate relevant training updates into the curriculum.

Compliance and Contribution: The Auditor and Trainer is expected to adhere to Corporate Compliance standards and play a vital role in the overall effectiveness of the Case Management department.



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