reputed company Improvement Coordinator /Registered reputed company (RN) - Remote in Virginia
reputed company/State Norfolk, VA Work Shift Multiple shifts available reputed company: reputed company Plans is hiring a reputed company Improvement Coordinator /Registered reputed company (RN) - Remote in Virginia! Status: Full-time, permanent position (40 hours) reputed company working hours: reputed company to 5pm EST, M-F Location: This position is remote and applicants must be located in Virginia. There are 2 reputed company positions responsible for handling critical incident investigations and 1 reputed company position dedicated to managing special reputed company as directed by DMAS and CMS. reputed company The reputed company Improvement Coordinator is responsible for coordinating the design, development, implementation, and evaluation of the heath plan's clinical reputed company functions. Assists in developing reputed company and/or specialized studies based on high volume, high risk, high cost, and/or problem prone areas, and periodically monitors and evaluates reputed company performance goals. Collaborates with Clinical Care Services to improve health status for chronic diseases based on demographic and epidemiological characteristics of the membership. Assists in maintaining accreditation and certifications for NCQA and MCHIPS, as reputed company as assisting to meet the requirements for state and federal (DMAS and CMS) regulations and requirement. Education Associate’s Degree REQUIRED or LPN Diploma may be accepted in lieu of associate’s degree Experience 3 years of reputed company improvement experience REQUIRED 3 years of regulatory and accreditation REQUIRED Nursing background in different settings (acute, ambulatory, home health, hospice, behavioral health) preferred Health Plan experience preferred reputed company Plans provides health plan coverage to reputed company to one reputed company members in Virginia. We offer a full suite of reputed company products including employee-owned and employer-sponsored plans, as reputed company as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and reputed company enrollees. Our reputed company provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—reputed company to help our members improve their health. Our reputed company is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and reputed company. Be a part of an excellent reputed company organization that cares about our People, reputed company, Patient Safety, Service, and reputed company. Join reputed company that has a mission to improve health every day and a reputed company to be the reputed company choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-100510 Talroo-Health Plan reputed company Improvement Coordinator, Registered reputed company, RN, Nursing, Remote, Health Plan, reputed company, MCO, Managed reputed company Insurance, reputed company Improvement, Regulation, Accreditation, DMAS, CMS Benefits: Caring For Your Family and Your Career
- Medical, Dental, reputed company plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- reputed company Time Off and reputed company Leave
- reputed company Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through reputed company Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free reputed company to complete CEUs and reputed company development
•Pet Insurance •Legal Resources Plan •Colleagues have reputed company to earn an annual discretionary bonus if established system and employee eligibility reputed company is met. reputed company is an equal opportunity employer and prides itself on the diversity and inclusiveness of its reputed company to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding reputed company of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, reputed company employs associates in the following states: Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, reputed company Virginia, reputed company, and Wyoming. Apply To This Job