Quality of Care Coordinator
Company: Carolina Complete Health
Location: Rock Hill
Posted on: April 9, 2021
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Job Description:
Job DescriptionPosition Purpose: * Review medical records for
quality of care incidents by determining if the specified standards
of care were met, and assigning an initial severity level of lack
of compliance/care * Compile timeline and summary of incident,
including the details of the potential QOC for presentation to the
medical director for a final review; may also be involved in peer
review committee actions or next steps * Maintains organizational
and program policies and procedures; ensures adherence to
prescribed policies and procedures and clinical protocols where
appropriateReview medical records for potential Quality of Care
(QOC) incidents, applying clinical criteria to determine if a lack
of care was present. Utilize clinical knowledge to provide summary
of findings and severity level to physicians. Education/Experience:
Associate's degree in Nursing required; Bachelor's degree in
Nursing preferred. 3+ years of experience in nursing or related
healthcare experience. License/Certification: RN/LCSW required;
CPHQ preferred Centene is an equal opportunity employer that is
committed to diversity, and values the ways in which we are
different. All qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, sexual
orientation, gender identity, national origin, disability, veteran
status, or other characteristic protected by applicable law.
Keywords: Carolina Complete Health, Rock Hill , Quality of Care Coordinator, Other , Rock Hill, South Carolina
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