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Clinical Quality Auditor Jobs

Clinical Quality Coordinator (E)
By CharterCARE Health Partners At Providence, RI, United States

Summary: This position reports to the Director of Quality and Performance Improvement and up through the Vice President of Quality, Risk, Performance Improvement and Infection Control. This ...

Quality Auditor Jobs
By Plastipak Careers At , Plant City
Premium pay & benefits, including 18 days of paid time off a year!
Provide required support to Conversion in any aspect of conformance to requirements
Observe all local and Company safety policies and procedures as well as housekeeping requirements
Associates Degree or 3 years prior work experience
Must possess basic mathematical skills
Must possess strong verbal and communication skills
Quality Auditor Jobs
By Tria Federal (Tria) At , Remote
Review the work of others to assess adherence and accuracy with process requirements
Demonstrate knowledge of the healthcare industry as related to handling Health Care related calls and appointments
1+ year auditing experience in the areas of customer service or appointment scheduling (calls/tasks)
3+ years customer service Call Center experience in the healthcare industry
Intermediate experience in Microsoft Word (creating / updating documents) and Microsoft Excel (creating / updating spreadsheets, pivot tables, and formulas)
Excellent verbal and written communication skills
Quality Auditor Jobs
By Sterling Pharma Solutions At , Germantown, 53022 From $90,000 a year
Master's degree in related field with 5+ years related experience, or equivalent educational and work experience.
Performs internal and external (supplier) quality audits against applicable standards and Sterling requirements.
Good written and oral communication skills as well as presentation skills.
Bachelor's degree in chemistry, Biology, or related field with 8+ years GMP experience or
ASQ Auditor certification or other cGMP audit certification preferred
Work Location: Hybrid remote in Germantown, WI 53022
Clinical Quality Review Nurse Trainer/Auditor - Consultant
By Blue Shield of California At , Woodland Hills, 91367 $109,120 - $163,680 a year
Conduct periodic needs assessments to identify knowledge gaps
Requires a bachelors degree or equivalent experience
Requires at least 7 years of prior relevant experience
Requires 3-5 plus years hands-on clinical experience across a variety of specialties and settings
Preferred Nursing Informatics experience and/or degree
Strong verbal/written communication and organizational skills
Clinical Quality Data Registrar
By Yuma Regional Medical Center At Yuma, AZ, United States

Physical Requirements and working conditions for this position will be provided to you upon interview.

Enters abstraction information into the appropriate databases to permit data aggregation and statistical analysis.

Quality Services Auditor / Emr Auditor
By RHA Health Services At , Atlanta, 30309 $28 - $32 an hour
Preferred background in Social/Human Services, Special Education, or Information Technology working with individuals with disabilities.
Executes local strategies for successful ongoing management of EMR software.
Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
We offer the following benefits to employees:
Experience with Therap or other electronic health systems preferred.
Good written and verbal communication skills with excellent self-discipline and patience.
Quality Improvement Auditor (Clinical)
By Buckeye Community Health Plan At , Columbus, 43219
Lead case reviews to assess the clinical performance provided in the provider network, including written clinical summaries and recommendations
Coordinate with internal teams to assure audit requests are fully understood, accurately compiled and delivered timely
Perform other performance and process improvement activities
Clinical Quality Director Jobs
By Brightline At United States
Minimum of 3 years of experience in healthcare quality management or a related role.
Strong project management skills required. Ability to organize and execute on on-going projects.
Partner closely with Care Leadership in setting the strategic direction for quality management
Oversee the Quality Management Framework per NCQA standards as it applies with member safety, quality assurance, member complaints, and incident management.
Ability to think strategically about quality management and operationalize that strategy with partners
Strong knowledge and understanding of NCQA requirements
Clinical Nurse Auditor-Rn, Senior
By Blue Shield of California At , Long Beach, Ca $85,360 - $128,040 a year
Prior Quality Improvement experience, preferably in a managed care plan or IPA setting
Requires a bachelor’s degree or equivalent experience
Requires at least 5 years of prior relevant experience
Health Plan and/or regulatory knowledge highly desired
Act as a liaison and provides support and resources to providers to assist in completing required corrective actions
Report any instances of noncompliance, such as access issues or quality concerns, to the appropriate department along with recommended corrective actions
Quality Auditor Jobs
By KBR At , Dayton, Oh
Desired Knowledge, Skills, and Abilities
Support AS9100 / ISO 9001 certification requirements
Manage internal quality audit program
Perform remote and on-site internal quality audits
Undergraduate Degree with 2+ year’s industry/quality experience or 6 years’ experience in lieu of degree
Experience performing internal audits and completing associated paperwork
Quality Auditor Jobs
By Molina Healthcare At , Long Beach, 90802, Ca $54,922 - $107,098 a year
Prepare well organized, easily understood reports, analysis, and summary of findings for use by management
Demonstrates problem solving and analytical skills.
Flexibility to learn and adapt to changes in procedures, techniques, and position requirements.
Develops and maintains knowledge of business policies and procedures, and assesses their impact to applications.
Works effectively in a team environment and supports the activities and success of others on the team.
Learns, comprehends, and applies information, both business and technical in a consistently satisfactory manner.
Quality Auditor Jobs
By Acemco At , Spring Lake, 49456, Mi
Additional functions not specifically outlined in this position description as directed by the supervisor/manager.
Six months’ experience in quality (preferred).
One year manufacturing experience (preferred).
Randomly reviews each step of the inspection process with operators to assure that correct procedures are understood and followed.
Support the company’s quality process when internal and external quality failures result in product being contained.
Observes workers using equipment to verify that equipment is being operated and maintained according to quality assurance standards.
Quality Auditor Jobs
By Dana Incorporated At , Humboldt, 38343, Tn
Maintains files containing control plans, flow charts, ISIR, shippers, and certifications. Files all process drawings.
Performs a non-repetitive function of auditing incoming raw materials and auditing products at different operations within the plant.
Follows verbal and written instructions and blueprints to determine dimensions.
Enters amounts and types of rejects, daily production, and gauge calibrations into PC.
Writes scrap, green "On Hold" tags, and deviations.
Conducts in process audits, capability studies, gauge R&R, and dock audits.
Quality Auditor Jobs
By Owens & Minor At , Louisville, Ky
Owens & Minor teammate benefits include:
Medical, dental, and vision insurance, available on first working day
401(k), eligibility after 30 days of employment
Development opportunities to grow your career with a global company
Our mission is to empower our customers to advance healthcare, and our success starts with our teammates.
Quality Returns Auditor Jobs
By RADIANS INC At ,
Education and/or Experience and Other Skills and Abilities:
Maintain daily communication with the Quality Manager in regard to trends and potential issues.
Assist the Quality Manager in supporting control of Quality System documentation and quality records.
1-3 years' experience; preferably in a prior quality position
Previous experience performing quality inspections.
Experience in a regulated industry is preferred.
Quality Auditor Jobs
By Molina Healthcare At United States
Prepare well organized, easily understood reports, analysis, and summary of findings for use by management
Demonstrates problem solving and analytical skills.
Flexibility to learn and adapt to changes in procedures, techniques, and position requirements.
Develops and maintains knowledge of business policies and procedures, and assesses their impact to applications.
Works effectively in a team environment and supports the activities and success of others on the team.
Learns, comprehends, and applies information, both business and technical in a consistently satisfactory manner.
Quality Services Auditor / Emr Auditor
By RHA Health Services, LLC At Greensboro, NC, United States
Preferred background in Social/Human Services, Special Education, or Information Technology working with individuals with disabilities.
Executes local strategies for successful ongoing management of EMR software.
Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
We offer the following benefits to employees:
Experience with Therap or other electronic health systems preferred.
Good written and verbal communication skills with excellent self-discipline and patience.
Clinical & Quality Assistant Jobs
By Grand View Health At Sellersville, PA, United States
Possesses and demonstrates working knowledge of equipment in order to ensure a safe environment
Assists other members of the healthcare team to deliver safe, appropriate, and quality patient care
Responds to emergency situations within the scope of their training and performs under the direction of the nurse
Performs vital signs, including use of automatic blood pressure machine as directed by nursing staff
Under the direction of the nurse, provides basic skin care to prevent skin break breakdown and maintain or improve skin integrity
Answers call bells and responds to patient requests within their scope or communicates patient needs to the nurse
Bilingual Quality Auditor Jobs
By Humana At , Lancaster, 29720, Sc
1 or more years of Grievance & Appeals and/or Auditing experience in the Healthcare Industry
Experience in a production goal-oriented environment within healthcare
Experience working with Microsoft Word, Excel & PowerPoint
Work Location: Remote (Eastern Time Zone)
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Analyze Grievance/Appeals case information to ensure compliance of all CMS regulations and contractual guidelines.

Are you looking for an exciting opportunity to make a difference in the quality of healthcare? We are seeking a Clinical Quality Auditor to join our team and help ensure that our healthcare services meet the highest standards of quality. As a Clinical Quality Auditor, you will be responsible for conducting audits of clinical services, analyzing data, and providing feedback to ensure compliance with applicable regulations and standards. If you are passionate about quality assurance and have a strong attention to detail, this could be the perfect job for you!

Overview A Clinical Quality Auditor is responsible for ensuring that clinical practices and procedures meet the standards of quality and safety set by the organization. They are responsible for conducting audits of clinical practices, reviewing patient records, and providing feedback to staff on any areas of improvement. Detailed Job Description A Clinical Quality Auditor is responsible for conducting audits of clinical practices and procedures to ensure that they meet the standards of quality and safety set by the organization. They review patient records to identify any areas of improvement and provide feedback to staff on any areas that need to be addressed. They also develop and implement quality assurance plans and procedures, and monitor compliance with applicable laws and regulations. Job Skills Required
• Knowledge of clinical practices and procedures
• Ability to analyze and interpret data
• Excellent communication and interpersonal skills
• Attention to detail and accuracy
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office applications
Job Qualifications
• Bachelor’s degree in healthcare administration, nursing, or a related field
• Previous experience in a healthcare setting
• Certification in quality assurance or auditing
Job Knowledge
• Knowledge of clinical practices and procedures
• Knowledge of applicable laws and regulations
• Knowledge of quality assurance principles and practices
Job Experience
• Previous experience in a healthcare setting
• Previous experience in quality assurance or auditing
Job Responsibilities
• Conduct audits of clinical practices and procedures
• Review patient records to identify areas of improvement
• Provide feedback to staff on any areas that need to be addressed
• Develop and implement quality assurance plans and procedures
• Monitor compliance with applicable laws and regulations