Quality Management Coordinator

Found in: Resume Library US A2 - 1 week ago


Bakersfield California, United States CommonSpirit Health Full time
Overview:
This position is remote within California.

 

 

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

 

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities:
This position is remote within California.

 

 

Position Summary:

The Quality Management (QM) Coordinator will be a part of the Quality Management department. The Risk Management and Quality Improvement department works to measure and improve clinical quality functions across the enterprise. Under the direction of the Manager of Quality Administration, the Quality Management Coordinator will assist in the promotion of QM activities related to monitoring, assessing, and improving performance in health care delivery and services to plan members. Duties will include data collection, data entry, record maintenance, chart audits, member mailings, committee facilitation, collaboration with other departments, and interaction with contracted health plans. This position will also assist in the coordination, processing, and resolution of incoming member appeals and grievances. This position will work closely with Account Management Unit Claims and Utilization Management.  The Quality Management Coordinator actively participates in Quality Management activities and teams to improve documentation retrieval, outcomes, and compliance with database measures.

Qualifications:
Minimum Qualifications:

- Two (2) or more years experience in an administrative position. Experience in creating and manipulating data with spreadsheets and/or databases using Excel Access or other similar programs and/or applications.
- Knowledge of current CPT ICD-10 and HCPCS coding procedures and practices.
- Extensive knowledge of Microsoft Office applications; Excel Word Outlook PowerPoint.

 

Preferred Qualifications:

- Experience in medical billing/coding medical documentation improvement pay-for-performance or similar programs preferred.
- Associates degree or a clinical Certification such as medical assistant (MA) preferred.
- Experience working with physicians offices in regards to coding documentation or quality measures preferred.
- Statistical analysis and database skills a plus.
- Awareness of clinical HEDIS measures.
- Ability to learn and use other software such as QNXT NextGen and other electronic medical records. Ability to navigate through patient information in an Electronic Medical Record (EMR) or a paper medical record.



  • Bakersfield, United States CommonSpirit Health Full time

    Overview:***This position is remote within California .The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider...


  • Bakersfield, United States CommonSpirit Health Full time

    Overview: ***This position is remote within California . The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider...


  • Bakersfield, United States Surgery Partners Full time

    ** RN Quality Program Coordinator - Bakersfield Heart Hospital** **Job Category****:** Nursing **Requisition Number****:** RNQUA008453 Showing 1 location **Job Details** **Description** **Location: Bakersfield Heart Hospital** **Position Summary** Reporting to the Director of Quality responsible for the coordination of the disease specific care programs....


  • Bakersfield, United States CareerBuilder Full time

    ** RN Quality Program Coordinator - Bakersfield Heart Hospital** **Job Category****:** Nursing **Requisition Number****:** RNQUA008453 Showing 1 location **Job Details** **Description** **Location: Bakersfield Heart Hospital** **Position Summary** Reporting to the Director of Quality responsible for the coordination of the disease specific care programs....

  • Attendance Coordinator

    Found in: Resume Library US A2 - 1 week ago


    Bakersfield, California, United States Embark Behavioral Health Full time

    Overview:   Attendance Coordinator Pay: $19 - $20 per hour   The Attendance Coordinator is a member of the Revenue Cycle Management team and reports to Shellie See, Utilization Review Director.  The mission of Embarks’ Attendance Coordinator is to first seek to understand the core purpose, values, culture, norms, and processes of Embark.   To...


  • Bakersfield, United States Dignity Health Full time

    **Overview** Founded by the Sisters of Mercy, Mercy Hospitals have a history of caring for our community that goes back more than 100 years. We provide a broad range of medical and surgical services including minimally invasive and outpatient options. Our family of services includes the areas only inpatient oncology unit the Orthopedic Spine and Hand Center...

  • Patient Care Coordinator

    Found in: Resume Library US A2 - 1 week ago


    Bakersfield, California, United States Pair & Marotta Physical Therapy Full time

    Overview: Starting Hourly: $16.00 - $17.00 per hour depending on experience    Pair & Marotta Physical Therapy, a member of Therapy Partners Group, has been the premier provider for outpatient orthopedics serving Bakersfield and surrounding communities for over 30 years. We are known for providing the highest quality individualized care for our...


  • California, United States Hire10 Full time

    We are seeking a Quality Control Manager for our office located in Yosemite National Park, California. Our client is a full service construction firm that knows how to get the job done, even under the most complex circumstances. They deliver diversified Design-Build, Design-Bid-Build, and Contingency/Disaster Relief construction services to our federal...

  • Manager Clinical Analytics

    Found in: Resume Library US A2 - 1 week ago


    Bakersfield, California, United States CommonSpirit Health Full time

    Overview: This position is remote.     The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and...

  • Manager Nursing Surgery

    Found in: Resume Library US A2 - 1 week ago


    Bakersfield, California, United States CommonSpirit Health Full time

    Overview: Founded by the Sisters of Mercy, Mercy Hospitals have a history of caring for our community that goes back more than 100 years. We provide a broad range of medical and surgical services including minimally invasive and outpatient options. Our family of services includes the areas only inpatient oncology unit the Orthopedic Spine and Hand Center...

  • Production Purchasing Coordinator

    Found in: Resume Library US A2 - 2 weeks ago


    Bakersfield, California, United States P.E.A.C.H. Teams Full time

    Production Purchasing Coordinator Monarch Home Services is seeking a self-driven candidate with excellent customer service skills, team player, communication skills and able to multi-task. Must be willing to work in a a fast-paced, dynamic environment, highly organized, and accustomed to working diligent. Requirements Qualifications High School...

  • Quality Manager

    Found in: Resume Library US A2 - 1 week ago


    Fresno, California, United States Stardom Employment Consultants Full time

    Job Description:As a Quality Manager, you will be responsible for overseeing and enhancing our quality management systems to deliver exceptional products and services. Your primary responsibilities will include: Quality Management System (QMS) Oversight: Develop, implement, and maintain a robust QMS to ensure compliance with industry standards and...

  • Account Manager II

    Found in: Resume Library US A2 - 1 week ago


    Bakersfield, California, United States Pilot Company (SSC) Full time

    Job Description The purpose of this job is to manage relationships with fuel buyers and service a portfolio of accounts in the Southern California area under broad supervision. Promote and sell a portfolio of products, services and solutions, and problem solve while maintaining customer service by building relationships with current fuel buyers Coordinate...

  • Construction Quality Control Manager

    Found in: Resume Library US A2 - 1 week ago


    California, Maryland, United States Synergy Professionals Inc Full time

    Highly respected general contractor with a regional focus is searching for a dedicated Quality Control Manager for vertical construction projects on military/federal installations. * A minimum of ten years of construction management experience as either a superintendent, project engineer or quality control manager and at least two of those years must be in...

  • Operations Coordinator

    16 hours ago


    Bakersfield, United States Clinica Sierra Vista Full time

    **Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation!** We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several...

  • Director of Quality

    1 week ago


    Bakersfield, United States CareerBuilder Full time

    Central Valley Search Partners is working on behalf of our client, a well-established Farming Operation who is seeking a Director of Health & Safety for their Kern County Farming & Processing Operations. The Director of Quality & Food Safety will support the organization in driving the development and implementation of quality and food safety programs that...

  • Associate Director Quality Assurance

    Found in: Jooble US O C2 - 2 weeks ago


    California, United States BioPhase Full time

    Remote or Hybrid (if local to San Diego) The qualified candidate will have direct oversight of the three pillars of our quality assurance program: quality systems and risk management, product line quality, and stewardship and compliance. This role has strong leadership, organization, and communication skills and the ability to informally influence across...

  • Manager of Quality Control

    Found in: Resume Library US A2 - 2 days ago


    Brea, California, United States Safran Passenger Innovations Full time

    The Quality Control Manager manages the inspection areas such as Incoming Inspection, In-process Inspection, and Final Inspection. Supervises the inspection staff and oversees all operations related to the inspection areas. The role is the focal point for internal customers to ensure the incoming material and final products meet On-Time Delivery and Product...

  • Case Manager PRN

    Found in: Resume Library US A2 - 7 days ago


    Bakersfield, California, United States Ernest Health Full time

    Overview: At Bakersfield Rehabilitation Hospital, we provide specialized inpatient and outpatient rehabilitative services to our patients who are often recovering from disabilities caused by injuries, illnesses, or chronic medical conditions. At our 50-bed hospital, we provide specialized treatment in the Kern County and surrounding areas.     We are...

  • Procurement Manager

    Found in: Appcast US C2 - 1 week ago


    Bakersfield, United States Ellaway Blues Consulting Full time

    We are currently looking to hire a Procurement Manager for one of our clients to based in Bakersfield, CA or Paramount, CA. Our client is a leading industrial contractor specializing in petrochemical, power generation, heavy industrial, manufacturing, and processing facilities with a focus on sustainability.The Procurement Manager is responsible for the...