RBHA Performance Quality Improvement Coordinator
Location: Phoenix
Description: Aetna is at the momment seeking for RBHA Performance Quality Improvement Coordinator right now, this career will be placed in Arizona. Detailed specification about this career opportunity kindly see the descriptions. Req ID: 14671BR
The State of Arizona has chosen Mercy Maricopa Integrated Care, a locally owned and operated non-profit health plan, as the new Regional Behavioral Health Authority (RBHA) for Maricopa County.Mercy Maricopa is sponsored by Mercy Care Plan, an Arizona non-profit with a 28-year history of providing innovative Medicaid managed care administration, and Maricopa Integrated Health System (MIHS), a public health care system caring for the citizens of Maricopa County for 135 years. Both organizations are comm! itted to the community and have experience collaborating with ! Arizona health care providers who offer high-quality, person-centered health care and deliver holistic, individualized care outcomes.
Mercy Care Plan is sponsored by Dignity Health and Carondelet Health Network, both nationally known mission-driven, faith-based health care systems. Mercy Maricopa selected Aetna Medicaid, as plan administrator, providing comprehensive plan management services.Please note the RBHA Performance Quality Improvement Coordinator position does offer future potential for telework after proven performance and productivity in the office.POSITION SUMMARY
As the RBHA Performance Quality Improvement Coordinator, you will be responsible for improving clinical quality performance measures, developing and implementing performance improvement projects, utilizing data to develop intervention strategies to improve outcomes, and reporting the quality improvement/performance outcomes while ensuring that State and Federal laws are adhered to and cont! ractual requirements are met. This will involve overseeing the implementation of different QM initiatives and interventions, as well as a variety of member communications supporting active engagement and compliance. The scope of your work will not only impact internal team performance and quality, but also plan providers and members. In this role, you will report directly to the RBHA Quality Management Administrator.
Education and Certification/Licensing Requirements:
In order to be considered for this position, you must have a Masters Degree in Behavioral Health OR an active and good standing Registered Nurse license. Additionally, those with a Certified Professional in Healthcare Quality (CPHQ) certification are encouraged to apply!
EDUCATION
The highest level of education desired for candidates in this position is a Masters Degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse is desired
TECHNOLOGY EXPERIENCES
Technical - Desktop Tools/Microsoft Outlook/1-3 Years
Technical - Desktop Tools/Microsoft Word/1-3 Years
Technical - Desktop Tools/TE Microsoft Excel/1-3 Years
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years
REQUIRED SKILLS
General Business/Communicating for Impact
General Business/Consulting for Solutions
Benefits Management/Maximizing Healthcare Quality
DESIRED SKILLS
Leadership/Collaborating for Results
General Business/Applying Reasoned Judgment
Leadership/Driving a Culture of Compliance
Please note that benefit eligibility may vary by position. Clickhereto review the benefits associated with this position.
Aetna does not permit the use of tobacc! o related products or drugs in the workplace.
Job Function: Quality Management
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Aetna.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Thu, 28 Nov 2013 17:47:40 GMT
Apply RBHA Performance Quality Improvement Coordinator Here!