See all roles

Clinical QA Manager-Registered Nurse (Remote)

Work from home Full-time role Hiring

Clinical QA Manager-Registered Nurse (Remote) Pay: $105,000.00 - $120,000.00 / year Location: Remote Employment type: Full-Time

Job Description

  • Req#: 89079

Job Introduction Maximus is currently hiring for a Remote Clinical Quality Assurance Manager. This position requires an active Registered Nurse License in the state of New York. The Clinical QA Manager-RN leads an efficient and effective clinical quality assurance program that identifies opportunities for improvement and develops quality improvement initiatives to deliver and ensure ongoing quality assurance throughout the IPP project. This position works collaboratively with program leadership and colleagues to ensure alignment with program objectives and share and adopt best practices across programs. A team of Quality Assurance staff report to this position. The Clinical QA Manager ensures that the team of Quality Assurance staff are equipped with the training and expertise to support the IPP program. Job Summary The Clinical QA Manager leads an efficient and effective clinical quality assurance program that identifies opportunities for improvement and develops quality improvement initiatives to deliver and ensure ongoing quality assurance throughout the IPP project. This position works collaboratively with program leadership and colleagues to ensure alignment with program objectives and share and adopt best practices across programs. A team of Quality Assurance staff report to this position. The Clinical QA Manager ensures that the team of Quality Assurance staff are equipped with the training and expertise to support the IPP program. Essential Duties and Responsibilities:

  • Manages an effective quality assurance program that monitors and proactively identifies and resolves issues.
  • Manages Quality Assurance staff inclusive of hiring, training, evaluating, and developing staff.
  • Collaborates with the Clinical Director to develop an effective quality monitoring program.
  • Develops Quality Assurance policies and procedures for the IPP project.
  • Ensures that program staff are provided with updated knowledge of the IPP project.
  • Reviews weekly and monthly project status reports provided to clients.
  • Provides the Clinical Director with updates on all issues regarding quality, policy, and procedures.
  • Develops/completes reports that track and trend activities/outcomes.
  • Acts as an advisor to staff on all QA and Compliance issues related to the IPP project.
  • Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
  • Performs other duties as may be assigned by Management.

Qualifications:

  • Bachelor’s degree or higher required.
  • Five (5) years of related experience with at least three (3) years of management experience required.
  • Experience in clinical quality management and processes required.
  • May require a Master’s Degree from a Nurse Practitioner or Physician Assistant Program.
  • May require Licensed Nurse Practitioner or Physician Assistant.
  • Previous work experience in Quality and Risk Management in community long-term care settings conducting peer reviews preferred.
  • Strong leadership skills; ability to conduct and manage project reviews and communicate process improvement recommendations; excellent communication skills and ability to communicate successfully with all members inside and outside of the organization; proficient in the use of Microsoft Office products; able to adapt to and integrate new technology; ability to perform comfortably in a fast-paced, deadline-oriented work environment; ability to work as a team member, as well as independently.

Education and Experience Requirements Primary Responsibilities:

  • Manages an effective quality assurance program that monitors and proactively identifies and resolves issues.
  • Manages Quality Assurance staff inclusive of hiring, training, evaluating, and developing staff.
  • Collaborates with the Clinical Director to develop an effective quality monitoring program.
  • Develops Quality Assurance policies and procedures for the IPP project.
  • Ensures that program staff are provided with updated knowledge of the IPP project.
  • Reviews weekly and monthly project status reports provided to clients.
  • Provides the Clinical Director with updates on all issues regarding quality, policy, and procedures.
  • Develops/completes reports that track and trend activities/outcomes.
  • Acts as an advisor to staff on all QA and Compliance issues related to the IPP project.
  • Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
  • Performs other duties as may be assigned by Management.

Minimum Qualifications:

  • Bachelor’s degree or higher required.
  • Five (5) years of related experience with at least three (3) years of management experience required.
  • Experience in clinical quality management and processes required.
  • Active Registered Nurse License in the state of New York.
  • Previous work experience in Quality and Risk Management in community long-term care settings conducting peer reviews preferred.
  • Strong leadership skills.
  • Ability to conduct and manage project reviews and communicate process improvement recommendations.
  • Excellent communication skills and ability to communicate successfully with all members inside and outside of the organization.
  • Proficient in the use of Microsoft Office products.
  • Able to adapt to and integrate new technology.
  • Perform comfortably in a fast-paced, deadline-oriented work environment.
  • Capacity to work as a team member, as well as independently.

Home Office Requirements:

  • Reliable high-speed internet service
  • Minimum 20 Mbps download speeds/50 Mbps for shared internet connectivity.
  • Minimum 5 Mbps upload speeds.

MAXIMUS Introduction Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability, and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore, and the United Kingdom. For more information, visit https://www.maximus.com. EEO Statement EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disabled status. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays, and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Posted Max USD $120,000.00/Yr. Posted Min USD $105,000.00/Yr. About the company Maximus Inc., trademarked as MAXIMUS, is an American outsourcing company that provides business process services to government health and human services agencies in the United States, Australia, Canada, Saudi Arabia, and the United Kingdom. #J-18808-Ljbffr Salary: USD 105000 - 120000 per year Apply tot his job Apply To this Job

You might like

Temp Trainer Hybrid Team Leader - Work At Home

Work from home Full-time role

Representative, Talent Acquisition

Work from home Full-time role

Supplier Delivery Manager, Remote (U.S.)

Work from home Full-time role

Business Growth Director (US Services - East)

Work from home Full-time role

[Remote] Customer Support Advisor with Croatian - popular retail shop

Work from home Full-time role

Global Manager Equity Administration [Remote]

Work from home Full-time role

Lead Software Engineer / Tech Lead, Growth (Remote)

Work from home Full-time role

Clinical Reviewer - (Remote) | Maximus | Handshake

Work from home Full-time role

Senior IT Project Manager - Enterprise Technology PMO

Work from home Full-time role

Senior Vice President – Client Services, Healthcare

Work from home Full-time role

Experienced Data Entry Specialist – Remote Opportunity at arenaflex

Work from home Full-time role

Director of Billing & Revenue Operations

Work from home Full-time role

Benefits Manager

Work from home Full-time role

Remote Waiver Case Manager- Dodge & Goodhue Counties

Work from home Full-time role

Sr IT Network Engineer

Work from home Full-time role

Experienced Part-Time Remote Data Entry Operator – Flexible Hours and Comprehensive Training

Work from home Full-time role

Manhattan Active WMS (MAWM) Consultant Remote Contract

Work from home Full-time role

Part-Time Remote Data Entry Specialist - Work from Home | Flexible Hours | Data Management Professional

Work from home Full-time role

AI Risk & Compliance Analyst

Work from home Full-time role

Graduate Admissions Assistant (Graduate Admissions Office)

Work from home Full-time role