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Quality Management Specialist (Remote NC)
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Job Description
- Req#: 3192
Employer Industry: Behavioral Health Services
Why consider this job opportunity:
- Salary based on qualifications and experience
- Opportunity for career advancement and growth within the organization
- Flexible work environment with the ability to work remotely
- Supportive and collaborative work culture
- Chance to make a significant impact on member and provider experiences
- Engage in meaningful work that contributes to the health and safety of individuals in the community
What to Expect (Job Responsibilities):
- Manage and resolve member and provider grievances and complaints in a timely and thorough manner
- Conduct reviews of incident reports and provide technical assistance to ensure compliance with reporting requirements
- Perform health and safety site reviews and monitor compliance within the provider network
- Assist with investigations related to grievances and health/safety concerns
- Provide backup support for HCBS Provider Self-Assessment and NC TOPPS activities
What is Required (Qualifications):
- High school diploma or GED required; Bachelor's degree in a Human Services field preferred
- Minimum of two years of experience in quality management, data collection, and analysis, preferably within a behavioral health organization
- Alternatively, a minimum of two years of experience in customer service or care within an acute care or hospital setting
- Knowledge of North Carolina's public behavioral health and I/DD system preferred
- Ability to work independently and manage multiple priorities effectively
How to Stand Out (Preferred Qualifications):
- Meeting the requirements of being a Qualified Professional per 10A NCAC 27G .0104 preferred
- National Certified Investigator & Inspector Training and Certification is preferred
- Familiarity with Navex software products (PolicyTech, EthicsPoint) is a plus
#BehavioralHealth #QualityManagement #RemoteWork #CareerGrowth #CustomerService
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