Director Quality Management
Harrisburg, PA · On-site +1
Must be a PA licensed RN, physician, physician's assistant or a licensed or certified MH ... For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ...
Director Quality Management
Harrisburg, PA · On-site +1
Must be a PA licensed RN, physician, physician's assistant or a licensed or certified MH ... For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ...
Dir Quality Management
Harrisburg, PA · On-site +1
Must be a PA licensed RN, physician, physician's assistant or a licensed or certified MH ... For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ...
Dir Quality Management
Harrisburg, PA · On-site +1
Must be a PA licensed RN, physician, physician's assistant or a licensed or certified MH ... For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ...
Remote Rn Mha information
What is the difference between Remote Rn Mha vs Remote Rn Case Manager?
| Aspect | Remote Rn Mha | Remote Rn Case Manager |
|---|---|---|
| Credentials | Registered Nurse (RN), Mental Health Associate (MHA) certification or experience | Registered Nurse (RN), Case Management certification or experience |
| Work Environment | Telehealth, mental health facilities, hospitals | Telehealth, insurance companies, healthcare organizations |
| Employer & Industry | Hospitals, mental health clinics, telehealth providers | Insurance companies, healthcare agencies, managed care organizations |
The Remote Rn Mha focuses on mental health assessments and support, often working in telehealth settings to provide mental health services. In contrast, the Remote Rn Case Manager manages patient care plans, coordinates services, and works with insurance providers. Both roles require RN licensure, but their primary responsibilities and work environments differ, catering to distinct aspects of patient care and case management.
What is a remote RN MHA?
A Remote RN MHA is a Registered Nurse (RN) who holds a Master of Health Administration (MHA) degree and works remotely, often in administrative, case management, or telehealth roles. These professionals combine clinical nursing expertise with advanced knowledge of healthcare management and policy, allowing them to oversee operations, manage teams, or coordinate patient care from a distance. Remote RN MHAs may work for hospitals, insurance companies, telemedicine providers, or healthcare consulting firms. This role typically requires strong communication, leadership, and technical skills to effectively manage healthcare services outside of traditional clinical settings.
What are some common challenges faced by remote RN MHA professionals, and how can they be managed effectively?
Remote RN MHA (Registered Nurses with a Master of Health Administration) professionals often encounter challenges such as maintaining effective communication with multidisciplinary teams, ensuring patient privacy during virtual consultations, and managing time efficiently while handling multiple administrative and clinical tasks remotely. To address these, leveraging secure telehealth platforms, setting clear schedules, and participating in regular team meetings can help maintain workflow and collaboration. Additionally, staying current with telehealth best practices and ongoing professional development can enhance both clinical and administrative effectiveness in a remote setting.
What are the key skills and qualifications needed to thrive as a remote RN MHA, and why are they important?
To thrive as a Remote RN MHA, you need a solid foundation in clinical nursing, healthcare administration, and leadership, typically supported by an active RN license and a Master of Healthcare Administration degree. Familiarity with telehealth platforms, EHR systems, and healthcare compliance tools is essential. Strong communication, critical thinking, and self-motivation help you manage patient care and administrative responsibilities remotely. These skills ensure effective leadership, quality patient outcomes, and organizational success in virtual healthcare environments.
What are popular job titles related to Remote Rn Mha jobs in Lebanon, PA? For Remote Rn Mha jobs in Lebanon, PA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Mha jobs in Lebanon, PA look for? The top searched job categories for Remote Rn Mha jobs in Lebanon, PA are:
What cities near Lebanon, PA are hiring for Remote Rn Mha jobs? Cities near Lebanon, PA with the most Remote Rn Mha job openings:
Full-time
Medical, Retirement, PTO
Re-posted 6 days ago
AmeriHealth Caritas rating
8.3
Based on 73 frontline employees who took The Breakroom Quiz
127th of 304 rated insurance
Job description
Job Summary
The Director of Quality Management is responsible for the Outcomes Management and Quality Improvement Plan, a program of systematic and objective activities designed to continuously monitor, evaluate, and improve the processes of delivering behavioral health and substance use services, services for intellectual/developmental disabilities, and the quality of clinical care and services provided to children, youth, young adults, and their family/caregivers. The Director is responsible for a formal outcomes assessment process that is standardized, reliable, and valid in accordance with industry standards.
Work Arrangement: Hybrid and must reside in Pennsylvania
Responsibilities:
- Oversight of complaints and grievances, credentialing, quality of care, policies and procedures, NCQA, internal and external audits and treatment record reviews.
- Provides quality leadership in the development of new and improved clinical and administrative processes to maximize effective operations and ensures that contract deliverables are met.
- Provides organization-wide monitoring of outcomes, data analysis, and improvement of quality, clinical and non-clinical processes. Utilizes this data to support and collaborate with all departments.
Requires extensive experience developing, interpreting, and presenting reports and analyses to support decision-making and collaboration across departments. - Supervises a team of quality coordinators, manages assignments and provides feedback on job performances and goals
Education:
- Master’s degree in social work, nursing, counseling, or doctorate in psychology required.
- Must be a PA licensed RN, physician, physician’s assistant or a licensed or certified MH Professional or is a Certified Professional in Healthcare Quality (CPHQ) or is Certified in Healthcare Quality and Management (HCQM)
Experience:
- 10 years’ experience in healthcare and in quality assurance and improvement.
- Knowledge and experience of statistics and research to conduct data analysis/evaluation.
- Excellent communication skills: Verbally and in writing with all internal and external customers.
- Strong presentation skills required.
- Ability to handle conflict and difficult situations.
- Strong time management, project management, and organizations skills.
- Ability to use PC’s in a Windows based environment.
- Ability to foster growth and teamwork.
- Strong & demonstrated leadership and management skills resulting in the ability to make decisions independently and manage personnel.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
What AmeriHealth Caritas employees say
Pay
Benefits
Hours and flexibility
Workplace
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About AmeriHealth Caritas
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1983