Sr. Director of Quality and Care Management
2 weeks ago
IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients – 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients 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 and we want to hear from you
Join our team as we strive for excellence through teamwork. We are committed to delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care.
Full time team members competitive compensation package, include 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
- Offering Hybrid Remote/Telecommute Work Schedule
The Senior Director of Quality and Care Management is responsible for leading and overseeing the organization’s quality assurance, compliance, and care management initiatives. This role ensures adherence to NCQA and CMS accreditation standards, develops and maintains policies and procedures, and implements strategies to enhance patient care outcomes. The Senior Director will manage audit processes, training programs, quality improvement initiatives, and grievance resolution, while also supporting fraud, waste, and abuse investigations. Additionally, they will oversee the Clinical Care Management Committee, ensuring governance structures align with regulatory requirements and organizational goals.
What will you come with:
- Bachelor’s degree in nursing or related field.
- 6-8 years of experience in Healthcare (Health Plan operation, Managed Healthcare)
- Strong understanding of NCQA and CMS accreditation requirements.
- Strong knowledge of home health, home infusion, and DME areas.
- Experience in utilization management, denials, and appeals Management.
- Proven self-starter and takes the initiative to identify and drive change.
- Exceptional written, oral, and interpersonal communication skills with both
- Strong interpersonal, organizational, time management and critical thinking skills.
- Ability to work independently and manage multiple priorities.
- Ability to work effectively on a team and to lead a diverse team to a common goal.
- Analyze, understand, define, and deliver on client requirements.
- Manage multiple projects simultaneously.
- Proficiency in Microsoft office
- A strong work ethic
Join our team as we strive for excellence through teamwork, where our patients are #1
IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
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