Clinical Quality and Accreditation Manager
Healthways - Honolulu, HI

This job posting is no longer available on Healthways. Find similar jobs: Clinical Quality Accreditation Manager jobs - Healthways jobs

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:
Works with Healthways' Solutions, Accreditation, Training and Compliance departments to ensure clinical integrity for all interventions and capabilities delivered out of Healthways Hawaii
Ensures service delivery is evidence based and is clinically sound
Ensures collaborative case reviews are conducted with the appropriate Healthways Medical Directors
Performs and oversees analysis of the quality of member care received, including development of plans, programs, strategies, policies and procedures
Develops and implements comprehensive tools and measurement methodologies, procedures and work instructions for monitoring member interactions and ensuring call operations quality
Manage risk and ensure continued accreditation/certification/recognition of programs to meet governing body compliance.
Develop or lead committee in developing performance, educational and experiential standards to achieve and maintain accreditation and certification
Ensures that all appropriate local, state and federal regulations are followed for the BU
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
About this company
91 reviews
For health insurers, healthy plan members are cheap plan members; that's where Healthways comes in. The health services company...