Clinical Quality Manager
4 days ago
Insight Global seeks a highly skilled Clinical Quality Manager to support the Clinical Quality & Operational Risk Management team.
The ideal candidate will possess strong communication skills, organizational abilities, and experience in clinical quality management.
The responsibilities of this role include:
- Maintaining active and unencumbered PHP or NCLEX Registered Nurse license
- Supporting the management of expiring credentials, including process flow, daily notifications, and timely follow-up to ensure compliance with client requirements
- Reporting 'at risk' consultants and/or escalations to the CQRM Clinical Manager as per defined process flow
- Providing guidance on internal clinical requests from coordinators, including decisions around health screenings, clinical competency assessments, licensures, and certifications
- Assisting with Joint Commission monthly reporting (data entry) as directed and in accordance with defined instructions from the CQRM Manager
- Assisting with data clean-up from items such as expiring credentials, file audits, system transfers, etc., to ensure ongoing accuracy of expiration tracking reporting for active consultants or in response to audit requests
- Meeting regularly with the CQRM Clinical Manager to provide updates on workload, feedback, and any concerns that may arise
- Possessing great communication skills and organizational skills
- Assisting with unique projects such as flu season tracking and management and bulk business support
- Conducting comprehensive audits and detailed chart/file reviews to ensure compliance with regulatory standards and internal policies, leveraging experience in audit processes and documentation analysis
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