The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. Up and Down arrows will open main level menus and toggle through sub tier links. Enter and space open menus and escape closes them as well. Tab will move on to the next part of the site rather than go through menu items.
This position is responsible for the day-to-day operations and oversight of the quality improvement department staff to ensure all regulatory and quality related activities are performed with efficiency and accuracy. This position requires exceptional interpersonal communication, customer service, and organizational skills required. The quality improvement supervisor is required to meet all managed care delegation requirement for this position to ensure compliance with meeting all turnaround times for preservice appeals, grievances, health plan audits and denial letters.
Manages day to day oversight of staff activities to ensure consistent processes are identified and implemented to achieve compliance in accordance with health plan delegation agreements and with appeals and grievances, potential quality of care concerns, Prepares and maintains QI Appeals and Grievances reporting, Access Audits.
Identify any training opportunities and develop and maintain training templates, forms, reports, and other tools that will assist the staff in meeting the needs of the department and organization. Facilitates training/cross training of staff in processes to maximize effectiveness and to utilize staff to their fullest potential
In collaboration with the department manager; reviews, revises, and develops policies and procedures for the department, annual QI work plan, department structure and annual goals