Quality Improvement Coordinator I

Position Title:Quality Improvement Coordinator IWork Location:AZ (Remote)Assignment Duration:3 months (Possibility to extend or convert)Work Schedule:Training 8-5 Mon-Fri (4 weeks, camera on, no time off). Post-training 8-5 Mon-FriJob Description-Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related to clinical initiatives such as health fairs and communication with agencies and providers. Collaborative culture. Key project to complete AHCCCS Medicaid QOC investigations.Systems - Word, teams, outlook, power point, excel, one drive, one note & specialized report systemResposibilities:Receive 1-2 QOC investigations daily that are due 60 days from the assignment date. Reviewing medical records, provider policies/manuals and statutes to ensure providers are rendering appropriate care to our members per the guidelines. Writing an investigative report of findings and submitting reports.Expectation to complete 1 investigative report per day. The role is unique as it requires clinical knowledge to be able to identify quality concerns and develop quality improvement plan to address the concerns with the provider.Candidate RequirementsEducation/Certification Required: Preferred: Bachelor's degree in nursing or license (COMPACT IS OK) counselor/ SW preferred.Licensure Required: Preferred: LPN, LVN, RN, PA, LPC, LAC or LCSW license.CPHQ (Certified Professional in Healthcare Quality) preferred.Years of experience required: 3+ years of clinical, quality improvement or healthcare experience. MUST have BH or physical health setting experience.2+ years of experience in quality function in a healthcare setting.Disqualifiers: No clinical BH or physical health experienceAdditional qualities to look for: Self driven, fast learner, critical thinkerTop 3 must-have hard skills stack-ranked by importance1 Clinical knowledge2 Critical thinker, independent work, tech savvy3 Self driven