Job Description

Opportunity Description

The Clinical Quality Coordinator role at a world-renowned long-term care organization located in the Bronx supports quality assurance and performance improvement activities including, but not limited to, analyzing clinical data to identify trends and opportunities, recommending improvements, and serving as a subject matter expert for the MLTC.

Company Information

A world-renowned long-term care organization located in the Bronx, NY.

Job Duties

The Clinical Quality Coordinator position is responsible for investigating clinical grievances and quality of care concerns for product lines. S/he will coordinate with staff to ensure the completion and submission of documents related to the grievance, appeal, incident, and quality improvement activities within regulatory guidelines. Collaborates with Quality and IT staff in the analysis of clinical data.

Education

The ideal candidate must have a Bachelor’s Degree in a Nursing. Current valid New York State license as Registered Professional Nurse.

Experience & Skills Required

Minimum of two years of experience in a managed care setting. Care Management, Quality, Utilization Management and/or Grievance and Appeals experience. Demonstrated knowledge of Medicare and Medicaid regulations. Strong analytical skills. Effective oral and written communication skills. Strong organizational skills. Thorough knowledge of personal computer, especially proficiency with Microsoft Word, PowerPoint, and Excel. Ability to work and manage problems independently.

Certifications

RN or BSN

Benefits

HEALTH & INSURANCE BENEFITS*

Medical and Prescription Drug

Company-Paid Dental

Company-Paid Vision

Company-Paid Life Insurance and Accidental Death & Dismemberment

Company-Paid Short-Term Disability

Company-Paid Long-Term Disability

Health Care Flexible Spending Account

Dependent Care Flexible Spending Account

Employee Assistance Plan

Additional Life Insurance options for the employee and family members

Additional Disability options

403(b) Plan, with a generous employer contribution

TIME OFF BENEFITS*

Holidays

Personal Days

Sick Days

Vacation

ADDITIONAL BENEFITS*

Bereavement Days

Cell Phone Discount Plan

Commuter Plan

Jury Duty Days

Marriage Days

Pet Insurance Discount Plan

Tuition Assistance

Wellness Programs

Years of Service Awards

Other Information

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