SK Services, LLC Safety, Quality, Quantity | Certified & Women Owned Business
 

QUALITY CARE DIRECTOR

RUSSELLVILLE, AL 35654

Posted: 10/07/24 Employment Type: Direct-Hire Job Type: CLERICAL Job Number: 708 Pay Rate: $57,011 TO $85,516

Job Description

Description of Work
1. Oversee the development of the Quality Improvement Plan;
2. Work with practices and community providers in the implementation of the Quality Improvement Program;
3. Ensure the PCCM-e completes the required QIP and meets required benchmarks;
4. Review and report data to the Medical Director, and conveys information related to Quality Measures, QIPs, and any Agency directed quality initiatives adopted by the Agency to the PCCM-e;
5. Support the care coordination activities of those in the Region that are at the highest risk and cost along with other areas of focus as chosen by the PCCM-e; and
6. Ensure quality of services are provided in accordance with state and federal regulations.

Job Requirements

The Personnel Qualifications
1. Education requirement is one of the following: a. Bachelor s degree in public health, public administration or healthcare quality and safety, master s degree preferred.
2. Certified Professional in Healthcare Quality (CPHQ) or equivalent experience related to healthcare quality
3. Clinical background preferred
4. Prior experience, at least one year, working with the Medicaid population.
5. Familiarity with Healthcare Effectiveness Data and Information Set (HEDIS), CAPHS, and other standardized quality measures/assessments
6. Proficiency in quantitative data analysis
7. At least 3 years experience related to population health management, including interpretation and presentation of data; identifying opportunities for improvement, and developing strategic plans to address quality deficits.
Population Health Management strategies Oversees the PCCM-e quality Improvement Plan by:
a. Systematic data analysis to target Medicaid recipients and providers for outreach, education, and intervention to improve health outcomes.
b. Monitoring system access to care, services, and treatment including linkage to a Medical Home.
c. Monitoring quality and effectiveness of interventions to the population
d. Facilitating quality improvement activities that educate, support, and monitor Providers regarding evidence-based care for best practice.
e. Implementing clinical management initiatives identified as priorities by the Agency and the PCCM-e.
8. Must live in one of the following counties: Bibb, Colbert, Fayette, Franklin, Greene, Hale, Lamar, Lauderdale, Lawrence, Marion, Pickens, Sumter, Tuscaloosa, Walker or Winston.
9. Has not worked for and/or been employed by the Alabama Medicaid Agency within the past two years

Meet Your Recruiter

David Hess
Recruiter

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About RUSSELLVILLE, AL

Ready to jumpstart your career in Russellville, Alabama? This charming town nestled in Franklin County, offers a perfect blend of small-town charm and big-city opportunities. With its proximity to the Tennessee River and stunning natural landscapes, Russellville provides an ideal setting for outdoor enthusiasts. Explore the area's rich history at the Franklin County Archives and enjoy delicious Southern cuisine at local favorites like Dixie Green. Don't miss the chance to catch a show at the Historic Roxy Theatre or cheer on the Russellville Tigers at their next game. Discover the job opportunities awaiting you in this vibrant community and take your career to new heights in Russellville, AL.