Demo

Remote Quality Improvement Coordinator | WFH

Get It - Hospitality
Harrisburg, PA Remote Full Time
POSTED ON 2/5/2025
AVAILABLE BEFORE 3/7/2025
Job Title: Quality Improvement Coordinator - Remote | Work From Home

Job Overview

Join our esteemed organization as a Quality Improvement Coordinator and be part of a dedicated team committed to enhancing quality and ensuring participant safety. This role offers the opportunity to work remotely or in a hybrid environment, leveraging your expertise to make a meaningful impact.

Key Responsibilities

  • Conduct comprehensive case and record evaluations to provide crucial consultation and technical support to Managed Care Organizations (MCOs), Service Coordination Entities (SCEs), providers, and other agencies, emphasizing risk mitigation for participants.
  • Serve as a pivotal liaison between state protective service agencies, MCOs, SCEs, and the internal Critical Incident Management team, coordinating case evaluations and implementing effective corrective measures for identified deficiencies.
  • Oversee protective services documentation for program participants and providers enrolled with the Office of Long-Term Living (OLTL).
  • Facilitate the exchange of information, deliver technical assistance, and ensure the effective resolution of prominent and sentinel events.
  • Assist clinical staff and registered nurses in conducting mortality reviews, collecting case-specific data, reviewing documentation, and tracking follow-up actions.
  • Perform trend analyses and prepare mortality reviews, juxtaposing findings with national health statistics and Department of Health data to recommend preventative training initiatives.
  • Collaborate with law enforcement entities, including the Office of the Attorney General, to clarify program policies and report incidents of abuse and neglect.
  • Execute data integrity activities and manage record corrections for MCOs, SCEs, and providers.
  • Participate in IT design discussions and user acceptance testing for IT applications.
  • Analyze incident report data and generate comprehensive reports on an ongoing basis.
  • Utilize program office applications (EIM, HCSIS, WellSky, CIS/eCIS) along with the Microsoft Office Suite (Excel, Word, PowerPoint) to effectively monitor activities.
  • Communicate with Fee-for-Service (FFS) or Community HealthChoices (CHC) Waiver representatives to ensure participant health and welfare.
  • Develop and maintain a tracking system to identify patterns in adverse participant health and welfare outcomes.

Required Skills

  • Bachelor's degree in human services, business, or a related field, or a minimum of 3 years of relevant experience.
  • At least 1 year of experience in Incident Management, Risk Management, quantitative analysis, and reporting.
  • Sound knowledge of participant risk management, statistics, epidemiology, and data visualization techniques.
  • Proficiency in Microsoft Office, statistical software, and advanced Excel capabilities.
  • Strong critical thinking, problem-solving, and communication skills, both written and verbal.
  • Capacity to work independently as well as collaboratively in a team-oriented environment.
  • Exceptional organizational skills with the ability to prioritize tasks and manage multiple projects effectively.

Career Growth Opportunities

This position presents valuable opportunities for professional development through collaboration with key stakeholders, participation in IT design sessions, and ongoing involvement in quality improvement initiatives within the healthcare sector. Employees are encouraged to broaden their expertise in risk management and data analysis.

Company Culture And Values

We take pride in fostering a collaborative and supportive workplace culture that champions quality improvement and effective communication. Our mission is to make a significant impact on the lives of participants through innovation and teamwork.

Compensation And Benefits

  • Pay Range: \(21.00 - \)24.00 per hour, commensurate with experience.

If you are a passionate professional seeking to contribute to meaningful change through the Quality Improvement Coordinator role, we invite you to connect with us. We look forward to engaging with you!

Employment Type: Full-Time

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