Job details
Job type full-time
Full job description
Sentara is currently hiring an
Quality improvement coordinator
For virginia premier!
This is a full time position with day shift hours and great benefits!
Position can work remotely in va.
Job requirements:
Rn-bachelor`s level degree
Required: clinical - 3 years, quality improvement - 3 years
Required: registered nurse
Knowledge and understanding of regulatory and accreditation processes required
Sentara health plans is the health insurance division of sentara healthcare doing business as optima health and virginia premier.
Sentara health plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving medicare and medicaid enrollees.
With more than 30 years’ experience in the insurance business and 20 years’ experience serving medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.
The quality improvement coordinator is responsible for coordinating the design, development, implementation, and evaluation of the heath plan`s clinical quality functionsAssists in developing focused and/or specialized studies based on high volume, high risk, high cost, and/or problem prone areas, and periodically monitors and evaluates related performance goalsCollaborates with clinical care services to improve health status for chronic diseases based on demographic and epidemiological characteristics of the membership.assists in maintaining accreditation and certifications for ncqa and mchips, as well as assisting to meet the requirements for state and federal (dmas and cms) regulations and requirement.
Education level
Rn-bachelor`s level degree
Experience
Required: clinical - 3 years, quality improvement - 3 years
Preferred: none, unless noted in the `other` section below
License
Required: registered nurse
Preferred: none, unless noted in the `other` section below
Skills
Required:
Preferred: none, unless noted in the `other` section below
Other
Knowledge and understanding of regulatory and accreditation processes required
