3 rn quality auditor educator jobs found

Responsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs. Assists clinical management in the development and on-going management of designated staff. Performs care management review activities consistent with Magellan policies, procedures, and standards. Conducts recruitment, interviewing, and selection of properly qualified staff members and ensures appropriate orientation is provided. Regularly monitors the performance of care management staff.  Monitors adherence to the efficiency goals for all staff including case volume, case closure rates, average handle time and other metrics. Supervises care management staff through approved audit processes including performing annual reviews and provides counseling and disciplinary action as necessary. Coordinates quality improvement activities under the...

Responsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs. Assists clinical management in the development and on-going management of designated staff. Performs care management review activities consistent with Magellan policies, procedures, and standards. Conducts recruitment, interviewing, and selection of properly qualified staff members and ensures appropriate orientation is provided. Regularly monitors the performance of care management staff.  Monitors adherence to the efficiency goals for all staff including case volume, case closure rates, average handle time and other metrics. Supervises care management staff through approved audit processes including performing annual reviews and provides counseling and disciplinary action as necessary. Coordinates quality improvement activities under the...

Job Description: At e4health, we Empower Better Health. The e4health Team is on a relentless mission to care for those teams who care for others. We bring our passion, ingenuity, and expertise to every engagement. In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and financial value across healthcare. Our People make the difference. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. e4health solutions streamline clinical, financial, and health information data and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health....