Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Quality Improvement Coordinator - Case Management - Full Time - Days

Expired Job

Promedica Columbus , OH 43216

Posted 2 months ago

At Paramount, we offer insurance to both large and small groups and also cater to Medicare (Paramount Elite) subscribers in northwest Ohio and southeast Michigan. Our Medicaid product (Paramount Advantage) services those living in the state of Ohio.

We maintain an accreditation by the NCQA the National Committee for Quality Assurance for our Ohio HMO, Elite and Advantage products. We're also part of ProMedica, which is ranked the second most integrated health system in the U.S. and No. 1 in the Midwest.

Our mission is to improve your health and well-being. So we're committed to your wellness with various initiatives, such as preventive services, online knowledge, health risk assessments, our Steps2Health disease management programs, health fairs, and more.

The Case Management Quality Improvement Coordinator is responsible for assessing, implementing, and auditing of the ongoing training needs of case management coordinators. The CM QI Coordinator works closely with case management leadership to meet the evolving training needs of case management while ensuring integration of all state, federal and accreditation requirements.

The CM QI Coordinator report to the Regional Case Management Director and works closely with case management team leaders. No positions report directly to this position.

Job Requirements

REQUIRED QUALIFICATIONS

Education: Nursing Degree

Skills:
Excellent communication (oral and written) and organizational skills required. Demonstrated ability to plan, coordinate and organize multiple priorities and meet deadlines.

Years of Experience: Minimum 3 years' experience in Case Management or Utilization Management.

License: Current Ohio Registered Nurse license required.

Certification:

PREFERRED QUALIFICATIONS

Education: Bachelors degree

Skills:
Prior experience with conducting staff trainings, developing work flows, leading quality improvement projects, preparing for regulatory audits,

Years of Experience:

License:

Certification: Case management certification

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity or gender expression, age, disability, military or veteran status, height, weight, familial or marital status, or genetics.

Equal Opportunity Employer/Drug-Free Workplace

Employee Exemption Type

Exempt

Job Type

Full-time

Budgeted Hours / Pay Period
80

Shift Type

Days

Shift Hours

Weekends

On-call Requirements

Additional Schedule Details

Paramount has 4 offices that this position can be filled in: Columbus, OhioCincinnati, Ohio Warrensville Heights, OhioMaumee, Ohio.This role can be work from home/remote and the candidate can reside in any of our Paramount offices in Ohio, i.e. Cincinnati, Cleveland, Columbus or Toledo areas.



See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Clinical Outreach Coordinator Case Management Full Time Days

Promedica

Posted 3 weeks ago

VIEW JOBS 10/25/2018 12:00:00 AM 2019-01-23T00:00 The Paramount Case Management is currently recruiting for an Outreach Coordinator for the Columbus Office. The main function of the Case Management Outreach Coordinator is to provide support to case managers with medical cases (Accountable Point of Contact). They also work within their scope of practice as an integral part of the interdisciplinary team under the direction of the case manager to interact with members providing education, community resource planning, and support. Duties include, but are not limited to: * Contribute to the assessment process by gathering information from members, family members, and providers. * Report visit information back to the case manager to assist with the development, implementation, and modification of the care plan. * Participate as a team member to collaborate in the care planning process. * Provide home and community visits to high risk members and their families in an effort to provide education, support, and guidance to improve outcomes in a cost effective manner. * Assist members on understanding plan benefits, accessing needed services, importance of participating and adhering to the treatment plan. * Contribute to coordination of care, facilitation of services, and providing education to members. * Perform documentation in the electronic medical record. * Perform other duties as directed. At Paramount, we offer insurance to both large and small groups and also cater to Medicare (Paramount Elite) subscribers in northwest Ohio and southeast Michigan. Our Medicaid product (Paramount Advantage) services those living in the state of Ohio. We maintain an accreditation by the NCQA – the National Committee for Quality Assurance – for our Ohio HMO, Elite and Advantage products. We're also part of ProMedica, which is ranked the second most integrated health system in the U.S. and No. 1 in the Midwest. Our mission is to improve your health and well-being. So we're committed to your wellness with various initiatives, such as preventive services, online knowledge, health risk assessments, our Steps2Health disease management programs, health fairs, and more. Job Requirements * Current Ohio Licensed Practical Nurse license required. * Valid driver's license with proof of auto insurance. * Must have the ability to travel and make face-to-face visits with members. Visits may take place in a variety of settings; including but not limited to member home/provider office. * Minimum 3 years' experience in a behavioral health care setting such as Community Mental Health Center, psychiatric unit, or social or human service agencies. Managed Care experience preferred. * Excellent communication (oral and written) and organizational skills required. * Demonstrated ability to plan, coordinate and organize multiple priorities. * Demonstrated PC skills, including word processing/spreadsheet and applications strongly preferred. Experience with electronic health record documentation. * Ability to move between company work stations and departments; ability to communicate on telephones and operate general office equipment, including computers. ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio. It serves communities in 30 states. The organization offers acute and ambulatory care, an insurance company with a dental plan, and post-acute and academic business lines. The organization has more than 70,000 employees, 13 hospitals, 2,700 physicians and advanced practice providers with privileges, 900+ healthcare providers employed by ProMedica Physicians, a health plan, and 450 assisted living facilities, skilled nursing and rehabilitation centers, memory care communities, outpatient rehabilitation clinics, and hospice and home health care agencies. Driven by its Mission to improve your health and well-being, ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity or gender expression, age, disability, military or veteran status, height, weight, familial or marital status, or genetics. Equal Opportunity Employer/Drug-Free Workplace Employee Exemption Type Exempt Job Type Full-time Budgeted Hours / Pay Period 80 Shift Type Days Shift Hours Weekends On-call Requirements Additional Schedule Details Promedica Columbus OH

Quality Improvement Coordinator - Case Management - Full Time - Days

Expired Job

Promedica