Clinical Quality and Accreditation Manager
Healthways - Honolulu, HI

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We are looking for a Clinical Quality and Accreditation Manager who would like to work in an environment where casual work attire is welcomed and a great attitude is a must! This position is based out of our Kaimuki office.
Job Duties Include:
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Works with Healthways' Solutions, Accreditation, Training and Compliance departments to ensure clinical integrity for all interventions and capabilities delivered out of Healthways Hawaii
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Ensures service delivery is evidence based and is clinically sound
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Ensures collaborative case reviews are conducted with the appropriate Healthways Medical Directors
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Performs and oversees analysis of the quality of member care received, including development of plans, programs, strategies, policies and procedures
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Develops and implements comprehensive tools and measurement methodologies, procedures and work instructions for monitoring member interactions and ensuring call operations quality
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Manage risk and ensure continued accreditation/certification/recognition of programs to meet governing body compliance.
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Develop or lead committee in developing performance, educational and experiential standards to achieve and maintain accreditation and certification
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Ensures that all appropriate local, state and federal regulations are followed for the BU
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Meets all clinical training needs for Healthways Hawaii
Minimum Qualifications:
  • Nursing degree strongly preferred
  • Three years of experience in the health care industry
  • Proficiency in Microsoft Word, Excel, Powerpoint, Visio and the Internet
  • Strong oral and written communication skills
Only candidates who meet the minimum requirements for the position will be contacted for additional screening.

Healthways - 13 months ago - save job
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For health insurers, healthy plan members are cheap plan members; that's where Healthways comes in. The health services company...