Recent Searches

You haven't searched anything yet.

10 Clinical Quality Assurance Coordinator - Manager Jobs in Rockville, MD

SET JOB ALERT
Details...
Children's National Hospital
Rockville, MD | Full Time
$77k-105k (estimate)
1 Week Ago
Maryland Oncology
Rockville, MD | Full Time
$44k-55k (estimate)
6 Days Ago
Actalent
Rockville, MD | Full Time
$117k-144k (estimate)
6 Days Ago
MCMC Services, LLC
Rockville, MD | Full Time
$109k-137k (estimate)
7 Days Ago
X Energy
Rockville, MD | Full Time
$118k-144k (estimate)
1 Week Ago
Standard Solar
Rockville, MD | Full Time
$100k-129k (estimate)
1 Month Ago
Standard Solar
Rockville, MD | Full Time
$100k-129k (estimate)
1 Month Ago
LeidosBioMed
Rockville, MD | Full Time
$51k-61k (estimate)
11 Months Ago
EveryMind
Rockville, MD | Full Time
$74k-99k (estimate)
2 Months Ago
Behavioral Framework
Rockville, MD | Full Time
$65k-83k (estimate)
7 Days Ago
Clinical Quality Assurance Coordinator - Manager
MCMC Services, LLC Rockville, MD
$109k-137k (estimate)
Full Time 7 Days Ago
Save

sadSorry! This job is no longer available. Please explore similar jobs listed on the left.

MCMC Services, LLC is Hiring a Clinical Quality Assurance Coordinator - Manager Near Rockville, MD

MCMC is seeking a Clinical Quality Assurance Coordinator Manager.The Clinical Quality Assurance Coordinator Manager is responsible for providing direction, training, continuing education and overall support to the Quality Assurance Department and ensures quality products are delivered and maximum efficiency is achieved. This position is responsible to conduct ongoing research, develop and implement departmental procedures and enhancements and strive to reach all departmental performance and financial goals.
This position is 100% remote and the schedule will be either Monday - Friday 8am-430pm EST (flexible)
ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING
  • Directly oversees department to ensure staff is managed effectively and consistent with all regulatory provisions, company policy and HIPAA standards.
  • Ensures daily workflow is managed efficiently and when necessary, makes adjustments to achieve daily, weekly and monthly goals.
  • Maintains control of operation costs in order to ensure profitability is achieved.
  • Creates and provides support, training, tools, and techniques to assist staff in achieving department excellence and maintaining company standards.
  • Review and analyze quality assurance data and create and implement improvement strategies to ensure the highest quality product is achieved while promoting increased productivity.
  • Organizes and attends staff meetings as required and ensures communication pertaining to all lines of business working effectively together is achieved.
  • Communicates change effectively and assists in preparing and supporting those affected by change. Monitors transition and evaluates results to ensure successful results are achieved.
  • Gives and welcomes feedback and contributes to building a positive team environment through communication and team building exercises.
  • Oversees and assists in planning, assigning and directing employee’s work performance and recognition.
  • When necessary, communicates with IT Helpdesk and/or the Human Resources Department regarding any systems issues, new user requests, etc. and coordinates with staff any changes affecting productivity.
  • Oversee and assist as needed with the resolution of provider appeals.
  • Responds promptly to customer service needs and resolves difficult customer service situations.
  • Ensure clear communication is provided to staff regarding all special instructions, client specific needs, issues or complaints, etc.
  • Ensures that all organization activities and operations are carried out in compliance with local, state, and federal regulations and laws governing business operations.
  • Performs miscellaneous duties as assigned by upper management of the company.
Supervisory ResponsibilitiesDirectly supervise and carry out supervisory responsibilities in accordance with ExamWorks’ policies and applicable laws. Responsibilities include, but are not limited to
  • Carries out all managerial responsibilities in accordance with the company’s standards, policies, and all applicable employment laws.
  • Provides support, training, tools, and techniques to assist staff in achieving department goals and standards.
  • Assists supervisor with new hire orientation, training and continued employee development.
  • Oversees the completion and approval of employee timecards and coordinates overtime needs with management team and staff as needed.
  • Encourages positive morale, maintains harmony among staff and resolves grievances when necessary.
  • Oversees and actively participates in the departments hiring and employee separation needs.
  • Communicates change effectively and prepares and supports those affected by change accordingly.
  • Actively participates in observing employee performance and documents performance issues as needed.
  • Supervise insubordinate staff when warranted and initiate corrective or disciplinary actions as required.
  • Ensure periodic performance feedback is communicated with all staff and report any performance concerns, recommendations for job placement and/or growth opportunities to upper management and the Human Resources Department.
  • Actively participates in successfully conducting and completing annual performance evaluations.
  • Ensure all staffing needs are met and the best working environment is achieved.
Bachelor degree in nursing, business management or related field required. Minimum of six years related experience; or equivalent combination of education and experience. Knowledge of the insurance industry, preferably claims management, relative to workers' compensation, no-fault, liability, and disability is desired.
Qualifications
  • Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
  • Ability to follow instructions and respond to upper managements’ directions accurately.
  • Must be able to operate a general computer, fax, copier, scanner, and telephone.
  • Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
  • Must possess excellent skills in English usage, grammar, punctuation and style.
  • Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met
  • Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
  • Must be able to execute independent actions and take calculated risks when needed. Uses good judgment and includes the appropriate people in the decision-making process.
  • Must be able to work independently, prioritize work activities and use time efficiently.
  • Must possess a working knowledge of medical and/or legal aspects of medical records and health information principles and/or liability.
  • Analyzes problems involving multiple interrelated causes. Where necessary, gathers information and applies complex concepts or methods to generate an effective solution.
  • Must be able to maintain confidentiality.
  • Must be able to demonstrate and promote a positive team -oriented environment.
  • Must be able to stay focused and concentrate under normal or heavy distractions
  • Must be able to work well under pressure and or stressful conditions
  • Must possess the ability to manage and direct change, delays, or unexpected events appropriately
  • Demonstrates reliability and abides by the company attendance policy.
  • Must maintain a professional and clean appearance at all times consistent with company standards
ABOUT USMCMC completes over 100,000 reviews each year for more than 400 clients, including almost all of the nation’s largest Health Plans, PBMs, Disability Carriers, TPAs, UR companies, Self-Insured Employers, Taft-Hartley Plans and Government Organizations.
MCMC is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.
Equal Opportunity Employer - Minorities/Females/Disabled/VeteransMCMC offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

Job Summary

JOB TYPE

Full Time

SALARY

$109k-137k (estimate)

POST DATE

06/21/2024

EXPIRATION DATE

06/27/2024

Show more

MCMC Services, LLC
Full Time
$46k-59k (estimate)
7 Days Ago
MCMC Services, LLC
Remote | Full Time
$60k-74k (estimate)
1 Month Ago