Healthcare Quality Management Specialist II (Clinician - LCSW, LMFT, LPC, RN) in Mount Laurel, NJ at Beacon Health Options

Job Description

ABOUT THE POSITION

We are currently seeking a team of dynamic Quality Management Specialists II to join our team in Mt. Laurel, NJ.  The QM Specialists II will be responsible for coordinating the planning, development, implementation, monitoring and analysis of quality management processes and activities.

Position Responsibilities:

• Coordinates and manages key aspects of both URAC and NCQA regulatory requirements including but not limited to:
  • knowledge of the standards
  • working with the team to meet and/or exceed the standards
  • maintenance of necessary and relevant documentation history
  • completion of NCQA and URAC documentation requirements
• Conduct audits/internal assessments to ensure compliance with corporate policies, quality management activities and accreditation standards.
• Prepares written assessment reports, internal document tracking and executive summaries that describe programs, methods, barriers, results, operational strengths, interventions, opportunities for improvement and recommendations.  Ensures a comprehensive and analytic document.
• Provides support for accreditation survey preparation
• Assist in the oversight of organization-wide or service center-wide quality improvement activities.

Position Requirements:

Education: Master’s Degree in one of the following related fields: QM, Psychology, Behavioral Health, Statistics or RN with relevant QM or Managed Care experience

Licensure:  Nursing (RN) or Social Work (LCSW) with 3 years of UM or QM experience or non-licensed with 5 years of UM or QM experience; CPHQ preferred.

Relevant Work Experience:   3 years of UM or QM experience required.

Knowledge, Skills & Abilities:

• Analysis and problem solving
• Interpersonal communication
• Verbal and written communication

TO APPLY

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Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled