Clinical Quality Assurance Specialist

1 week ago


Honolulu, Hawaii, United States Magellan Health Full time
Job Summary

We are seeking a highly skilled Clinical Quality Reviewer to join our team at Magellan Health. As a key member of our quality improvement team, you will play a critical role in ensuring the highest standards of clinical care are met.

Key Responsibilities
  • Conduct thorough reviews of clinical interactions and documentation to identify areas for improvement
  • Analyze data to inform quality improvement initiatives and ensure compliance with regulatory requirements
  • Collaborate with stakeholders to implement changes and monitor progress
  • Develop and maintain accurate and comprehensive clinical records
  • Prepare and present findings to internal and external stakeholders
Requirements
  • Bachelor's degree in a clinical field (RN, LCSW, LPC, LMHC, MFT) or equivalent experience
  • At least 3 years of clinical experience, with a focus on quality improvement or behavioral healthcare
  • Strong analytical and problem-solving skills, with the ability to work independently
  • Excellent communication and project management skills
What We Offer

As a Clinical Quality Reviewer at Magellan Health, you will have the opportunity to make a meaningful impact on the quality of care we provide to our members. We offer a competitive salary range of $64,285 - $102,855, as well as a comprehensive benefits package and opportunities for professional growth and development.



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