MLTC-Quality Manager

Job Locations US-NY-Bronx
ID
2019-3043
Category
Quality Management
Position Type
Regular Full-Time

Overview

ElderServe Health, Inc., also known as RiverSpring Health Plans, is part of a group of long term care affiliates under the brand name of RiverSpring Health. RiverSpring Health provides a full range of care solutions including nursing home care, managed long term care, assisted living programs, senior housing, rehabilitation services and specialized services such as elder abuse prevention and memory care.  Collectively, RiverSpring Health empowers over 18,000 patients, residents and members to live forward every day. ElderServe Health, Inc. is looking for a full time Quality Manager to join our dynamic team in our Bronx office.

Responsibilities

Quality Manager will provide consultative services and manages quality improvement activities and initiatives for RiverSpring Health Plans.  Analyzes performance and recommends improvement initiatives and/or corrective actions strategies.  Ideal candidate will serve as a resource to quality improvement committees and work groups; integrates compliance and regulatory requirements into quality improvement processes. 

Qualifications

Must have a current NYS RN license and registration. Minimum of four years of clinical experience in a health care setting, including at least two years with a focus on quality improvement and measurement, required.  Knowledge of health care delivery systems, patient care, care coordination, and clinical processes required.  Ability to perform statistical/quantitative analysis required.  Experience processing Medicare and Medicaid appeals required.  Excellent oral, written and interpersonal communication skills required. Knowledge of basic Performance Improvement tools and methodologies preferred.

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