Quality Review Supervisor Jobs in United States , Employment

By MJHS At , New York $92,276 - $115,345 a year

Minimum of two (2) years care management experience required.

Possess strong critical thinking skills and knowledge of Medicare and Medicaid regulations.

Strong interpersonal and organizational skills.

Excellent written and verbal communication skill.

Excellent analytic skills, interpretation of data.

Working knowledge of audit techniques and methodologies.

By Lahey Hospital and Medical Center At , Burlington, 01805

Experience: Minimum of three years of clinical experience, two years in case, quality or utilization management.

9) Organizes and presents educational sessions related to projects and processes being managed.

10) Project manages disease management initiatives.

Participates in and successfully completes Mandatory Education.

Education: Graduate of a state approved and/or accredited School of Nursing

Licensure, Certification, Registration: Current license to practice professional nursing from the Massachusetts Board of Registration

By Georgia Department of Community Health At , Atlanta, 30303 $57,331 - $81,000 a year

Experience working with Medicaid or a Care Management Organization (CMO)

Maintain thorough knowledge of applicable federal and state programmatic and statutory requirements as they apply to regulatory reviews

Experience reviewing or auditing healthcare related records or reports.

Experience coordinating, implementing, and evaluating healthcare reporting processes.

Strong knowledge of healthcare terminology

Strong written and oral communication/presentation skills

By Baptist Health Arkansas At , Little Rock

Review Standard Operating Procedures annually

This job will be authorized 80.00 hours bi-weekly.

By MJHS At , New York $101,503 - $126,879 a year

Master’s degree in nursing, education or related field preferred.

Sign-on Bonuses OR Student Loan Assistance for clinical staff

FREE Online RN to BSN and MSN degree programs!

Tuition Reimbursement for all full and part-time staff

Dependent Tuition Reimbursement for clinical staff!

Affordable medical, dental and vision coverage for employee and family members

By MJHS At , New York, Ny $101,503 - $126,879 a year