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Integrated Home Care Services, Inc. · 2 months ago

Sr. Director of Quality and Care Management

Hollywood, FL

Full-time

Hybrid

Director/Executive

6+ years exp

Integrated Home Care Services, Inc. provides an Integrated Delivery System in the home setting, focusing on high-quality in-home care services. The Senior Director of Quality and Care Management is responsible for leading quality assurance, compliance, and care management initiatives to enhance patient care outcomes and ensure adherence to accreditation standards.

Health CareHospitalityProfessional Services

Responsibilities

Leading and overseeing the organization’s quality assurance, compliance, and care management initiatives

Ensures adherence to NCQA and CMS accreditation standards

Develops and maintains policies and procedures

Implements strategies to enhance patient care outcomes

Manages audit processes, training programs, quality improvement initiatives, and grievance resolution

Oversees the Clinical Care Management Committee, ensuring governance structures align with regulatory requirements and organizational goals

Qualification

NCQA accreditationCMS accreditationHealthcare experienceUtilization managementHome health knowledgeDME knowledgeMicrosoft Office proficiencyInterpersonal skillsOrganizational skillsTime managementCritical thinkingWork ethic

Required

Bachelor's degree in nursing or related field

6-8 years of experience in Healthcare (Health Plan operation, Managed Healthcare)

Strong understanding of NCQA and CMS accreditation requirements

Strong knowledge of home health, home infusion, and DME areas

Experience in utilization management, denials, and appeals Management

Proven self-starter and takes the initiative to identify and drive change

Exceptional written, oral, and interpersonal communication skills with both internal and external customers

Strong interpersonal, organizational, time management and critical thinking skills

Ability to work independently and manage multiple priorities

Ability to work effectively on a team and to lead a diverse team to a common goal

Analyze, understand, define, and deliver on client requirements

Manage multiple projects simultaneously

Proficiency in Microsoft office

A strong work ethic

Benefits

Medical, Vision, Dental, Short- and Long-term insurance

6+ Days of Holidays Pay

15+ days of PTO

Employer paid life insurance

401K with employer contribution

Wellness program with reward incentives

Employee recognition and reward programs

Offering Hybrid Remote/Telecommute Work Schedule

Company

Integrated Home Care Services, Inc.

Integrated Home Care Services (IHCS) delivers value-based home care solutions that help patients, providers, and health plans achieve their care goals in the home.

Founded in 2015

Miami Beach, Florida, USA

501-1000 employees