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Process Improvement Specialist (Clinical)
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Job Description
- Req#: 1616578
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $123,700.00 per year
- Comprehensive benefits package including health insurance, 401K, and stock purchase plans
- Tuition reimbursement and paid time off including holidays
- Flexible work schedules with options for remote, hybrid, field, or office work
- Opportunity to make a significant impact on clinical outcomes for members
- Commitment to diversity and equal opportunity employment
What to Expect (Job Responsibilities):
- Plan, develop, and track process improvement and operational projects related to clinical outcomes
- Serve as the primary subject matter expert for clinical health outcomes
- Review all clinical member materials and ensure quality and accuracy
- Collaborate with the analytics team on process improvement reporting and scheduling
- Evaluate quality measures and provide recommendations for operational improvements
What is Required (Qualifications):
- Bachelor's degree in Healthcare or a related field, or equivalent experience
- Minimum of 5 years of process improvement experience, preferably in a managed care environment
- Current state licensure as an RN or LCSW
- Experience in project coordination preferred
- Driver's license preferred
How to Stand Out (Preferred Qualifications):
- Licensure as a Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or Licensed Addiction Counselor (LAC)
- Certification as an Advanced Practice Registered Nurse in relevant specialties
- Experience with case and disease management initiatives
- Familiarity with HEDIS outcome measures
- Proven ability to analyze member survey results for process improvements
#HealthcareServices #ClinicalOutcomes #ProcessImprovement #CareerOpportunity #DiversityAndInclusion
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