Investigate home care allegations, respond to MLTC & DOH grievances, manage complaint database and monthly quality reports, provide staff training and recommendations for interventions, and ensure compliance with agency and regulatory standards.
Job Description:
The responsibilities of the QM Coordinator are as follows:
- Investigate home care related allegations (review electronic medical record, conduct staff & patient interviews) and provide recommendations for interventions within 48-72 hours.
- Respond to MLTC & DOH grievances within allotted timeframe.
- Manage complaint database and monthly reporting to Upper Management in good faith of Quality Improvement Program.
- Maintains privacy and confidentiality of clients/patients, visitors, and staff.
- Serves as a resource to staff for educational needs, providing individual and group training as needed & ensures compliance with agency, regulatory, and reimbursement standards...and performs other related duties as required.
Requirements:
- Baccalaureate degree preferred
- Critical thinker, highly motivated self-starter, strong organizational skills, ethical standards and professionalism required.
- Ability to communicate both in writing and verbally required.
- Healthcare/home care experience in data and system analysis with proven outcome enhancement required.
- Experience with HHA eXchange required.
- Proficiency in Word and Excel required.
Benefits:
- Comprehensive benefits including, medical, dental, and vision
- 401K plan with company match
- Robust time off including sick, vacation, personal days, cultural heritage day and your birthday off
- Opportunity for advancement
- Employee discount program on events, movie tickets, mobile phone plan discounts and more.
Americare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee based on race, color, sex, gender, pregnancy, religion, age, creed, marital and partnership status, national origin, ancestry, alienage, past or present physical or mental disability, genetic information, sexual orientation, gender identity, affectional preference, veteran or military status or citizenship status, or any other legally recognized protected basis under federal, state, or local law.
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