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Our multidisciplinary teams offer culturally-sensitive, end-of-life and palliative care services to ... Quality Management Coordinator is responsible for performing chart auditing and focus studies ...

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Clinical Quality Manager Location: Grand Valley Medical Specialists (GVMS), Grand Rapids, MI ... healthcare starts with strong relationships, preventive care, effective chronic disease management ...

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Commission Healthcare Quality Management information

What is the difference between Commission Healthcare Quality Management vs Healthcare Quality Coordinator?

AspectCommission Healthcare Quality ManagementHealthcare Quality Coordinator
CertificationsOften requires certifications like CHCQ or CPHQTypically requires CPHQ or similar certifications
Work EnvironmentHealthcare organizations, regulatory agenciesHospitals, clinics, healthcare facilities
Primary FocusOverseeing compliance, quality improvement programs, policy developmentImplementing quality initiatives, data collection, reporting

Commission Healthcare Quality Management professionals focus on strategic oversight, compliance, and policy development within healthcare organizations, often working with regulatory bodies. Healthcare Quality Coordinators handle day-to-day quality improvement activities, data management, and reporting. Both roles require similar certifications and work in healthcare settings, but differ in scope and responsibilities.

What cities are hiring for Commission Healthcare Quality Management jobs?

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What are the most commonly searched types of Healthcare Quality Management jobs?

The most popular types of Healthcare Quality Management jobs are:

Nurse Quality Management

University Health Careers

Pleasanton, TX • On-site

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

POSITION SUMMARY/RESPONSIBILITIES
Coordinates and collaborates with Community First Health Plans, Inc. (Community First), various departments to ensure that contractual, regulatory, and accreditation requirements, including National Committee for Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set (HEDIS) are met as it pertains to the Quality Management Department.  Monitors Community First performance on various quality metrics and benchmarks them against state and federal standards.  Provides ongoing management of data collection systems and the development of procedures for monitoring, validating, and reconciling data for accuracy.  May serve as a leader/facilitator of process improvement efforts. Provides oversight of and performs functions of review, investigation, and analysis of member-level clinical care data and provider performance as it compares to standards of care.

EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing is required. Bachelor's degree in nursing, clinical informatics, or other health care, or other health care related field is preferred.  Five or more years of relevant healthcare experience is required.  Experience in data analysis and preparation of quality improvement or related reports is preferred. Experience with Microsoft Office (Outlook, Word, Excel). Excellent communication and interpersonal skills are required.  Quality Management certification such as CPHQ or CHCQM is preferred.  Working knowledge of continuous process improvement principles and standard coding products is preferred.  

LICENSURE
Current licensure as a Registered Nurse in the State of Texas is required.