Quality Assurance Director Career Research and Resources
Preferred Care, Inc.
- Created and directed a NCQA Task Force comprised of inter-departmental staff to manage the preparation of documents and other compliance activities for accreditation; - Consultant role in state and CMS audits; - Reviewed and identified resources and activities related to compliance with quality of care regulations promulgated by state and federal regulatory agencies; - Established a Confidentiality Committee to ensure ...
Avg. Salary: $80,000 · Company Rank: Not Available
Saint Francis Hospital
Managed day to day operations and budget of Risk Management Department; led team of two risk managers and administrative assistant. Provided oversight of NYPORTS and CMS required reporting as well as investigations and notification of potential liability to insurance carrier; facilitate RCA teams and participate in FMEA team. Member of hospital-wide performance improvement committee, environment of care committee, medicat...
Avg. Salary: $112,500 · Company Rank: Not Available
Jewish Home Lifecare
Educated senior leadership on enterprise risk management (ERM)and a culture of patient safety; identified executive enterprise risk management champions to facilitate implementation of ERM. Analyzed claims trends and presented to senior management; participated in claims settlement negotiations. Conducted focused risk assessments/mock state surveys and provided recommendations to leadership. Presented risk issues at perf...
Avg. Salary: $112,500 · Company Rank: Not Available
CNA HealthPro
Provided on-site enterprise risk management consultations for diverse health care organizations including hospitals, health systems, long term care organizations, allied health care facilities and advanced medical technology companies. Evaluated clients' performance improvement, risk management, patient safety, medical staff management and environment of care programs; presented recommendations for improvement. Developed ...
Avg. Salary: $112,500 · Company Rank: Not Available
Saint Francis Hospital
Project Manager for hospital-wide denials management managed workflow and projects to decrease denials. Prepared agenda and co-chaired cross-functional Denials Team meetings. Produced monthly reports of trends & financial activity for senior management and board of directors. Monitored compliance with managed care contracts and collaborated with Finance and Managed Care Directors to improve revenue cycles/reimbursement. ...
Avg. Salary: $112,500 · Company Rank: Not Available
Frontier Insurance Company (FIC)
Developed and implemented strategic plan for providing risk management services to health and human services insureds. Created on-site risk assessment tools and provided on-site risk management consultations. Expanded FIC's "Details in Liability" newsletter to include focused editions by product line.
Avg. Salary: $112,500 · Company Rank: Not Available
Physician's Reciprocal Insurers
Planned and conducted consultations of insureds' offices with an emphasis on quality improvement and decreasing exposure to potential risk losses. Educated, counseled insureds, staff to implement improvements in documentation,systems and processes. Prepared reports of risk management consultations of insureds' offices. Identified and presented insureds with high potential for risk losses to senior management. Identified...
Avg. Salary: $112,500 · Company Rank: Not Available
The Mount Sinai Hospital
Managed appeals process for utilization review denials and quality inquiries for all clinical services. Conducted ongoing financial analysis of third party payer denial activity for senior management. Identified trends of denial activity and executed multidisciplinary process improvement projects.
Avg. Salary: $112,500 · Company Rank: Not Available
Brigham and Women's Hospital
Delegated patient assignments as charge nurse, supervised staff and facilitated smooth operation of 30 bed patient care unit. Planned, researched and presented Nursing Grand Rounds. Functioned as mentor to newly-hired nurses.
Avg. Salary: $112,500 · Company Rank: Not Available
HMA Dallas Regional Medical Center
Investigations, Regulatory Status and regulatory correspondence, Data Review, Data Analysis, Rounds, designing programs
Avg. Salary: $112,000 · Company Rank: Not Available
