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Quality Assurance Specialist jobs at Village Care Of New York Inc - 695 jobs

  • Quality Assurance Coordinator

    Village Care 4.2company rating

    Quality assurance specialist job at Village Care Of New York Inc

    Job Description Quality Assurance Coordinator Salary: $68,163.46 - $76,683.89 Hybrid **MUST LIVE IN NJ/NY/CT** Join VillageCare as a Full-Time Quality Assurance Coordinator and be a key player in enhancing our health care services. This position offers the excitement of contributing to organizational excellence while working in a flexible, remote setting that promotes work-life balance. You'll enjoy collaborating with a dynamic team of problem solvers dedicated to customer-centric solutions, making each day a rewarding challenge. With a competitive pay range of $68,163.46 - $76,683.89, this role allows you to impact patient care while maintaining a high-performance culture. Your insights and expertise will drive our commitment to quality and integrity. You can get great benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Seize this opportunity to thrive in a professional environment that values innovation and forward-thinking approaches. Apply today and help us shape the future of health care at VillageCare. VillageCare: What drives us VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. Are you excited about this Quality Assurance Coordinator job? The Quality Assurance Coordinator at VillageCare plays a pivotal role in supporting the Business Operations and Quality Assurance team by ensuring the ongoing monitoring and evaluation of compliance within the Utilization Management Department. This position involves performing detailed compliance audits to validate and facilitate timely submissions of critical data to both internal and external stakeholders. Working under the guidance of the Director for Business Operations and Quality Assurance, the Coordinator will identify risks and gaps in quality and compliance, offering valuable recommendations for process improvements. Additionally, the role encompasses conducting education and training sessions with staff to enhance departmental compliance, thereby fostering a culture of excellence within the organization. This position is essential for driving forward our commitment to quality in health care delivery at VillageCare. What you need to be successful To thrive as a Quality Assurance Coordinator at VillageCare, candidates must possess a robust set of skills and experience. A minimum of 3 years of compliance audit experience within the healthcare sector is essential, with managed care experience being a preferred asset. Strong analytical skills and a detail-oriented mindset are crucial for conducting thorough compliance audits and identifying potential risks. Proficiency with the Microsoft Office suite, including Excel, Word, PowerPoint, and Visio, is required to analyze data effectively and present findings clearly. Additionally, candidates should hold a Bachelor's Degree in Health Administration or a related field, demonstrating a foundational knowledge of the principles and practices necessary for ensuring quality and compliance in health care delivery. This skill set will enable the Coordinator to contribute effectively to process improvements and staff training initiatives within the organization. Knowledge and skills required for the position are: Experience: 3+ years of compliance audit experience in healthcare; managed care experience preferred . Strong analytical skills and detail oriented. High level of proficiency with Microsoft office suite (Excel, Word, PowerPoint, Visio, etc.) Education and certification: Bachelor's Degree in Health Administration or related field Ready to join our team? If you think this role will suit your needs, great! Applying is a piece of cake. Good luck - we're excited to meet you! Job Posted by ApplicantPro
    $68.2k-76.7k yearly 4d ago
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  • QA Radiology Technician

    NYC Health + Hospitals/Correctional Health Services 4.7company rating

    New York, NY jobs

    NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers. NYC Health + Hospitals/Correctional Health Services is one of the nation's leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation's largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City's criminal justice reform efforts. The Quality Assurance (QA) Radiological Technologist position encompasses responsible, administrative and clinical activity of varying degrees of latitude. Clinical level judgement is needed in the daily supervision of radiological functions and patient care, and departmental projects. Responsibilities include: Review exam orders, consult with radiologist, schedule patients and arrange for transportation as indicated. Identify patient and document all information pertinent to final report in the RIS and on images (PACS). Prepare all patients (infants, children, adolescents, adults and geriatric) for radiological procedures requested by the clinician. Arrange for proper protection of patients, public and staff from infectious diseases/materials. Perform all general diagnostic imaging and routine examination in CT and Angiography. Assists in performing daily checks of radiographic imaging equipment, immobilization devices and other necessary accessories. Enters data and maintains documents and logs as required and mandated by the department QA guidelines and various regulatory agencies. Maintains adequate stocks of supplies and materials needed for use in the department. Checks equipment for defects prior for use and assures proper use of such equipment through instruction and review. Report any unexpected patient incidents in accordance with the occurrence report protocol. Maintain and exercise all mandated radiation safety regulations. Maintain basic care of all the imaging equipment. All malfunctions are to be reported to management staff whether mechanical, electrical or suspect and service request documentation completed. Maintain a clean and safe work environment for both patients and staff. Perform other duties as deemed necessary (by supervisory or administrative staff) in the event of emergencies or disasters. Continue professional growth and development of job-related skills on an ongoing basis. Participate in continuing education activities. Ensure all examinations are accessioned, documented and sent to PACS for reading. Monitor PACS and RIS incomplete worklists to ensure all exams are completed. In accordance with HIPAA (the Health Insurance Portability and Accountability Act), staff members will exercise due diligence in ensuring patient privacy and confidentiality. Identifies activities that the network has implemented to promote patient safety and takes all necessary precautions to ensure a safe environment for patients, visitors and staff. In addition to the Radiology Technologist job functions, the QA Technologists is responsible for the following: Organize and file maintenance reports for each building in regards to dentistry and radiology x-ray equipment and ensure dentistry and x-ray equipment follow the Department of Health codes, policies and procedures. Participates in quality assurance activities, including coordination, control and maintenance of technical equipment. Establish a daily/weekly/monthly quality control routine for monitoring, evaluating, and maintenance of X-ray equipment to ensure optimal performance and stability. Documenting and maintaining records for the quality control program in accordance with applicable regulations, legal requirements, accrediting agencies and recommendations from equipment manufacturers. Performs research and participates in special projects involving evaluation of equipment and delivery of service. Work with our radiologists to obtain updated documentation of primary diagnostic monitors. Distribute/collect dosimeter badges from each employee/facility that works with x-ray equipment. Recommends area assignment of personnel to coordinate activities within the department with other activities and services and represents the department in interdepartmental operations and meetings. May be assigned duties and responsibilities of X-ray Director in regards to radiology department workflow. Minimum Qualifications: Assignment Level III 1. For Supervisory Assignments: a valid license and current registration to practice Diagnostic Radiography as a Radiologic Technologist issued by the NYSDOH; and two (2) years of Radiologic Technologist experience performing duties consistent with Assignment Levels I and II, one (1) year of which must have been in a supervisory capacity. 2. For Specialized Imaging Assignments: a valid license and current registration to practice Diagnostic Radiography as a Radiologic Technologist issued by the NYSDOH; and possession of a current advanced- level certification for the performance of these procedures. NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts Loan Forgiveness Programs for eligible employees College tuition discounts and professional development opportunities College Savings Program Union Benefits for eligible titles Multiple employee discounts programs Commuter Benefits Programs
    $36k-57k yearly est. 3d ago
  • Clinical Quality Coordinator

    St. John's Riverside Hospital 4.7company rating

    Yonkers, NY jobs

    The Quality Registered Nurse plays a vital role in advancing the hospital ' s journey toward the ANCC Pathway to Excellence designation. This position supports the development of a positive practice environment by leading quality improvement initiatives, promoting nursing excellence, and ensuring alignment with the six Pathway Standards: Shared Decision-Making, Leadership, Safety, Quality, Well-Being, and Professional Development. Lead and coordinate quality improvement projects that align with Pathway standards, focusing on patient safety, clinical outcomes, and nursing practice. Support shared governance structures by facilitating nurse-led councils and promoting frontline nurse involvement in decision-making. Monitor and report on nursing-sensitive indicators, including infection rates, falls, medication errors, and readmissions. Conduct audits and root cause analyses to identify opportunities for improvement and ensure compliance with evidence-based practices. Collaborate with nursing leadership to develop and implement strategies that foster a respectful, safe, and empowering work environment. Educate staff on Pathway standards, quality initiatives, and professional development opportunities. Assist in preparing documentation for the Pathway application, including narratives, outcome data, and survey coordination. Promote nurse well-being by supporting initiatives that address physical and mental health, recognition, and work-life balance. How This Role Supports Pathway to Excellence: The Pathway to Excellence designation requires hospitals to demonstrate excellence across six standards: [********************* Shared Decision-Making - Quality Nurses help facilitate nurse-led councils and shared governance. Leadership - They collaborate with nurse leaders to promote transparency, accountability, and mentorship. Safety - They lead initiatives to reduce harm and foster a respectful workplace. Quality - They monitor outcomes and drive continuous improvement. Well-Being - They support programs that promote nurse wellness and recognition. Professional Development - They help create learning opportunities and career advancement pathways. Requirements Bachelor's degree in Nursing (BSN) required, Master's preferred Minimum of 3-5 years of clinical experience in a hospital setting. Experience in quality improvement, patient safety, or nursing excellence programs preferred. Familiarity with ANCC Pathway to Excellence standards and survey process. Strong analytical, communication, and project management skills. Proficiency in data analysis tools and electronic health records. Registered Nurse (RN) with active New York State licensure.
    $47k-74k yearly est. 4d ago
  • Clearance Specialist

    Soleo Health, Inc. 3.9company rating

    Frisco, TX jobs

    Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program This Position: The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including Reviewing and obtaining clinical documents for submission purposes Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations Generate new patient start of care paperwork Schedule: Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time Weekend On-call once monthly Must have experience with Acute Infusion for Prior authorization/Benefits Verification Requirements High school diploma or equivalent At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met Ability to work in a fast-paced environment Knowledge of HIPAA regulations Basic level skill in Microsoft Excel & Word Knowledge of CPR+ preferred About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring Salary Description $23.00-$27.00 per hour
    $23-27 hourly 1d ago
  • Street Team Specialist

    Health Federation of Philadelphia 4.1company rating

    Philadelphia, PA jobs

    Equal Opportunity Employer The mission of the Health Federation of Philadelphia is to promote community health by advancing access to high-quality, integrated, comprehensive health and human services. We believe in and are firmly committed to equal employment opportunity for employees and applicants. We do not discriminate on the basis of race, color, national or ethnic origin, ancestry, age, religion, disability, sex or gender, gender identity and/or expression, sexual orientation, military or veteran status. This commitment applies to all aspects of the Health Federation of Philadelphia's employment practices, including recruiting, hiring, training, and promotion JOB SUMMARY The Street Team will be tasked with increasing harm reduction resources and training in neighborhoods that have been most affected by overdose crisis, particularly North and Southwest Philadelphia. The people filling these positions will work in the field five days per week in zip codes 19121, 19132, 19141, 19144, 19140, 19139 and 19133 (subject to changed based on data) to distribute harm reduction resources and educational materials about the overdose crisis in the city. Street Team staff will interact directly with people in active addiction, people who use substances recreationally, people who are unhoused, as well as people who may have a stigmatizing view of substance use. The Street Team Specialist is a core member of the Community Engagement Program within the Division of Substance Use Prevention and Harm Reduction at the Philadelphia Department of Public Health and will be expected to work collaboratively within and across programs. People from the zip codes of focus, as well as people with lived experience and/or returning citizens are highly encouraged to apply. JOB SPECIFICATIONS Responsibilities/Duties Under the supervision of the Community Engagement Program Manager, the Community Engagement Specialist will perform the following essential job functions: Engage in direct outreach efforts to contract community members in designated Philadelphia neighborhoods. Focus outreach activities within the priority zip codes: 19121, 19132, 19141, 19144, 19140, 19139 and 19133. Engage directly with people using substances, people experiencing homelessness and their communities. Follow and maintain safety protocols and procedures for street team to ensure safe and effective community outreach operations. Build trust and rapport within priority communities to increase access to harm reduction resources. Provide and educate individuals on the proper use of Naloxone, fentanyl testing strips and other harm reduction supplies. Maintain accurate records of distributed supplies, interactions and referrals in compliance with program reporting requirements. Collaborate with the Community Engagement Program at tabling events, special events and/or Narcan training request. Support public health emergency response, including outreach and harm reduction activities during cold- and heat-related weather emergencies. A valid driver's license is required. This position requires regular operations of a departmental vehicle to perform job related duties. Other duties as assigned. EDUCATION: Completion of high school or equivalent degree and 3+ years community organizing and/or harm reduction work. SKILLS/EXPERIENCE Knowledge of substance use is highly required. Knowledge of the impact of drug use and overdose on communities of color in Philadelphia. Sensitivity to and experience working with ethnically, culturally, socioeconomically, and sexually diverse individuals, communities, agencies, and organizations. Excellent oral communication skills. Ability to analyze and think critically to apply reasonable judgment and problem-solving skills. Excellent interpersonal skills and ability to build relationships and collaborate effectively with stakeholders from diverse backgrounds. Experience working with health and prevention services agencies. Excellent organizational skills. Ability to work as part of a team, to prioritize and handle multiple tasks, and to work independently in a high-pressure environment. Ability to establish and maintain effective relationships with people contacted in the course of work. Knowledge of neighborhoods in Southwest, West, Northwest or North Philadelphia or adjacent neighborhoods. Work Environment: 90% Field Work, 10% Office Work. This position also requires extensive time in the field interacting with and linking clients to care. Position Type and Work Schedule: Full time position, typical hours are Monday through Friday 8:30 am to 5:00 pm. This position also requires flexibility to work on weekends and schedules will be adjusted accordingly to flex hours. Travel: Local travel to multiple sites several times per week, as needed. Physical Demands: Ability to transport materials; walking for an extensive distance. Salary: $25 per hour Benefits: Our employees are our most valuable resource, so we offer a competitive and comprehensive benefits package, which can include: Medical with vision benefits Dental insurance Flexible spending accounts Life, AD&D and long-term care insurance Short- and long-term disability insurance 403(b) Retirement Plan, with a company contribution Paid time off including vacation, sick, personal and holiday Employee Assistance Program Eligibility and participation are handled consistently with the plan documents and HFP policy. DISCLAIMER The Health Federation reserves the right to modify, interpret, or apply this in any way the Company desires. The above statements are intended to describe the general nature and level of work being performed by an employee assigned to this position. This in no way implies that these are the only duties, including essential duties, responsibilities and/or skills to be performed by the employee occupying this position. This job description is not an employment contract, implied, or otherwise. The employment relationship remains "at will." The aforementioned job requirements are subject to change to reasonably accommodate qualified disabled individuals. The Health Federation of Philadelphia (HFP) is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation or preference, marital status or any classification protected by federal, state or local law.
    $25 hourly 4d ago
  • RCM Specialist

    Aspen Dental 4.0company rating

    East Syracuse, NY jobs

    The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 47 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Lovet Pet Health Care and Chapter Aesthetic Studio. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale. As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as Revenue Cycle Management (RCM) Specialist based in our East Syracuse, NY office. Essential Responsibilities: RCM Specialists care for the people who care for our patients by performing insurance adjudication, customer service, and patient collection job functions that require superior service and attention to detail. Bring better care to the front lines by supporting the execution and achievement of functional areas and company goals. Partners with internal departments to resolve issues related to all tasks and assignments supporting the business. Point of contact for internal and external customer inquiries, which entails contacting insurance companies and/or addressing patient inquiries. Uses software and company systems to source, obtain, process, audit and analyze standard data reporting and presenting. Plans, organizes, and executes tasks and activities with urgency and in accordance with managers' delegated assignments. Responds to and resolves issues related to claim adjudication, patient and billing inquiries, while seeking managers guidance for non-routine inquiries or escalated concerns. May be required to meet position related productivity and quality standards. Other duties as assigned. Requirements/Qualifications: Education Level: High School diploma or equivalent. Job related/Industry experience preferred. Excellent verbal and written communication skills. Excellent organizational and time management skills. Excellent problem solving/analysis collaboration. Self-motivated individual with strong attention to detail. Leadership experience preferred. Additional Details: Base Pay Range: $17.00 - 21.00 per hour (Actual pay may vary based on experience, performance, and qualifications.) This position will be based on-site in our East Syracuse, NY office working a hybrid schedule of 4 days/week and 1 day remote. A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.
    $17-21 hourly 4d ago
  • Quality Assurance Review Specialist I

    Verisma Systems Inc. 3.9company rating

    Remote

    Quality AssuranceReview Specialist I The Quality Assurance (QA) Review Specialist - performs review functions to ensure that disclosures of PHI and PI are accurate and complete and comply with client protocols, state and federal privacy laws and regulations and/or with policies and procedures regarding HIPAA, PHI and PI. This position may be performed remotely. Duties & Responsibilities: * Reviews authorizations and requests for records to ensure that all pertinent information is contained on these forms and the dates are valid and relevant to the release process. * Verifies that the attached medical records correlate to the authorization and request and documentation encompasses that patient only. * Follows all Quality Assurance policies, procedures and job aids. * Proactively communicates with Manager or Supervisor regarding further clarification and when additional work is needed. * Actively participates with QA Team Meeting discussions. * Sends notifications to requestor when applicable * Communicates with company personnel in a professional and friendly manner * Communicates with Release of Information Specialists and Client Site Managers on issues pertaining to quality review. * Attends and completes on time, all required training sessions provided by Verisma * Meets accuracy standards and performance indicators established by the Company * Performs other appropriate duties as assigned to meet the needs of the department and the Company * Consistently live by and promote Verisma Core Values Minimum Qualifications: * Must be detail oriented * HS Diploma or equivalent, additional education in Health Information is preferred * RHIT certification, CHDA certification or the ability to take and pass the course is preferred * Knowledge and ability to use components of Microsoft Office Suite to complete tasks and possess the ability to learn new software applications * 2 years' experience in a professional office environment or healthcare setting, preferred with medical terminology knowledge * Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred * Must be able to communicate clearly and concisely to relay information to other departments * Must be able to work independently
    $59k-86k yearly est. 7d ago
  • Clinical Documentation Specialist

    Bronxcare Health System 4.5company rating

    New York, NY jobs

    Extensive clinical knowledge and understanding of pathology/physiology; best demonstrated by clinical experience in hospital setting. Knowledge of age-specific patient needs and the elements of disease processes and related procedures. Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers. Responsibilities Provides concurrent and retrospective review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses. Key responsibility will be to review the chart for information not currently in the chart but that is indicated by clinical indicators in the record. Queries the medical staff when necessary by written and/or verbal communication to obtain accurate and complete physician documentation that supports the patient condition(s) and treatment plan. Performs a thorough chart review to determine the appropriate principal diagnosis of the patient. Demonstrates an understanding of the importance of, and makes an effort to capture, all appropriate secondary diagnoses for quality rating purposes. Qualifications MD; MBBS or any equivalent degree, policy requirement. Bachelor's degree require.Current MD/MBBS CDI/Coding experience preferred, but not required
    $68k-115k yearly est. Auto-Apply 5d ago
  • Lead Clinical Documentation Specialist

    Bronxcare Health System 4.5company rating

    New York, NY jobs

    The Clinical Documentation Specialist will work with Senior Director in physician education regarding documentation that meets severity of illness/intensity of service guidelines. The CDS will work with hospital top DRG's to insure that documentation is optimal and meets coding clinic guidelines in order insure optimal hospital reimbursement. Prepares and presents reports pertinent to improvements and educational outcomes. Responsibilities - Assisting with the scheduling of staff to assure appropiate coverage.- - Running and reviewing regular reports through several sourcees and utilizing information to: Analyze data and key metrics to find issues and develop a fix. -Identify opportunities for CDS staff and physicians. - Track technology issues with process tools and make requests to IT to improve upon them. - Track query escalation process, CDS/Coder collaboration, etc. Coordinate with CDI Director. - Identifies trends and opportunities for improvement in clinical documentation. -Assist running weekly huddles or monthly meetings for CDI team and providing feedback to the CDI Director on operational concerns. -Providing feedback to CDI Director on physician response issues. -Work with the CDI Director to develop and oversee new hire training and orientation programs. -Conduct audits of CDI queries and perform second level reviews. - Identify DRG mismatches and manage and collaborate with Coding team on reconciling DRG mismatches. -Develop montly educational topics for CDSs based on opportunities identified from second level reviews and query audits. -Develop content and provide physician in-services as needed based on review if disagreed queries, ongoing opportunities, and physician process and outcome data. Qualifications -Registered nurse or other health care profession required. -Three (3) years' experience in a related position in Clinical or Health Information Management Department. -Experience in ICD-9 and ICD-10, CPt-4 coding.
    $68k-115k yearly est. Auto-Apply 60d+ ago
  • Clinical Documentation Specialist

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    Make It Happen at Hopkins | Join our TEAM! The Clinical Documentation Specialist (CDS) facilitates the improvement in the overall quality and completeness of concurrent medical record documentation to help achieve accurate inpatient coding, APR-DRG assignment and severity and risk of mortality levels. This role obtains appropriate documentation through interactions with physicians and staff. In this role, the CDS is responsible for medical record review, collaboration with professional inpatient coding professionals, reconciliations of assigned cases and the accurate reporting of CDI program metrics. Additional responsibilities as assigned. This role reports to the Manager Position Details * Shift: Full-Time, Day Shift (40 hours/week) - Monday - Friday * Location: Fully Remote Education: Requires successful completion of: * Baccalaureate degree, or associates degree, or diploma in nursing from an accredited school of Nursing OR * Successful completion of an AMA approved Physician Assistant program, OR * Successful completion of the academic requirements of Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) Require Licensure Certification, etc.: * RN/APRN: Must possess a current RN compact (multi-state) license in the state in which you reside. If your state or the Johns Hopkins Health System location in which you are assigned does not participate in the Nurse Licensure compact, an RN license for that state in which you are assigned will be required. * PA: Must possess current licensure to practice as a Physician Assistant (PA) in the state in which you reside and be board-certified by the National Commission on Certification of Physician Assistants (NCCPA). If your state of the Johns Hopkins Health System location in which you are assigned does not participate in the PA Licensure Compact, a license for the state in which you are assigned will be required. * RHIT.RHIA: Requires successful completion of the academic requirements for the Registered Health Information Technician (RHIT) certification or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) and be a Certified Coding Specialist (CCS). Work Experience * Registered Nurse (RN): RN: Requires a minimum of 3 years Registered Nurse clinical experience in similarly complex acute care setting. In lieu of complex acute care experience, a minimum of 3 years of CDI experience, and /or other relevant clinical experience may be considered * Physician Assistant (PA): Requires a minimum of 3 years Physician Assistant experience in a similarly complex acute care setting. In lieu of complex acute care experience, a minimum of 3 years of CDI experience, and /or other relevant clinical experience may be considered. * RHIT/RHIA: RHIT/RHIA: Requires minimum of 3 years with acute inpatient coding experience. In lieu of acute inpatient coding experience, a minimum of 3 years of CDI experience, and /or relevant clinical experience may be considered. What awaits you! * Medical, Dental, Vision Insurance * 403B Savings Plan w/employer contribution * Paid Time off & Paid holidays * Employee and Dependent Tuition assistance benefits * Free Parking * Refer a friend to Johns Hopkins, opportunity to earn $$$ * Health & Wellness programs and more! For additional inquiries regarding this position, email: ************* Salary Range: Minimum $34.11/visit - Maximum $56.34/visit. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $30k-39k yearly est. 5d ago
  • Quality Assurance Coordinator

    Ur Medicine Thompson Health 3.1company rating

    Canandaigua, NY jobs

    Schedule: Full time, days, M-F The Quality Assurance Coordinator plays a vital role in ensuring patient care meets the highest standards of quality and compliance. The coordinator will collaborate with associates, leadership, executives, medical staff and the Quality and Safety Committee to achieved desired outcomes of the system quality improvement program. REQUIRED JOB SPECIFIC COMPETENCIES Proficient with Quality processes and tools Ability to educate and mentor staff regarding quality processes, tools, regulations Data Analysis- ability to analyze data and trends to drive improvement Ability to collaborate with cross-functional teams to drive and sustain excellent metrics that reflect exceptional quality and service Ability to use various software systems and programs from EHR, Microsoft products, regulatory sites, incident reporting Demonstrates understanding and ensures compliance with regulatory standards - DOH, TJC, CMS, FDA Ability to review events, categorize harm and initiate QA follow up as appropriate Assists with investigation and follow up of complaints and grievances as needed QUALIFICATIONS Bachelor's degree in nursing, allied health, health management or related field Preferred certification in healthcare quality/safety - CPHQ, CPPS etc. Preferred Team STEPPS certified or Team STEPPS certified trainer EDUCATION Bachelor's degree in nursing, allied health, health management or related field Master's Degree in Science or a field providing knowledge and background for required duties preferred EXPERIENCE Minimum 3-5 years of experience in healthcare and quality improvement required High level of proficiency with Microsoft products like excel, outlook, Power Point, Teams Preferred previous medical chart reviews and interpretation of care standards Preferred project management experience Position Pay Range: $79,000-100,000/year Starting Pay Range: based on experience Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply.
    $79k-100k yearly 60d+ ago
  • Quality Assurance Specialist (Clinical Laboratory)

    Sonic Healthcare USA 4.4company rating

    Austin, TX jobs

    We're not just a workplace - we're a Great Place to Work certified employer! Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members! You put the pro in medical laboratory professional. You've got problem-solving instincts, a passion for patient care, and the technical training to deliver quality results. You're also looking for great benefits, the support of an all-star team, and an opportunity to grow your career. Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions. Quality is in our DNA -- is it in yours? Location: Austin, TX (100% onsite) Days: Monday - Friday Hours: 8:30am - 5pm Full-time: Benefit Eligible In this role, you will: * Perform a vital part of maintaining and monitoring the qualify system for the laboratory. * Actively contribute and participate in Quality Management programs for the main laboratory and regional laboratories. * Recognize when corrective action is needed and implement effective solutions * Champion safety, compliance, and quality control All you need is: * Bachelor of Science degree in Medical Technology; or Bachelor of Science in Chemical, Biological, or Physical Science with 1 year of Medical Technology training * 1 year of laboratory training or experience performing high complexity testing * Strong reading, writing, and analytical skills * Ability to operate general laboratory equipment, including but not limited to: telephones, computers, automated analyzers, centrifuges, microscopes, manual and automated pipettes, and audible alarms. Bonus points if you've got: * 1 year of quality assurance experience in a clinical laboratory * Certification by the American Society of Clinical Pathologists or equivalent We'll give you: * Appreciation for your work * A feeling of satisfaction that you've helped people * Opportunity to grow in your profession * Free lab services for you and your dependents * Work-life balance, including Paid Time Off and Paid Holidays * Competitive benefits including medical, dental, and vision insurance * Help saving for retirement, with a 401(k) plus a company match * A sense of belonging - we're a community! We also want you to know: This role will have routine access to Protected Health Information (PHI). Employees will be trained on reasonable safeguards and are expected to maintain strict confidentiality, as well as abide by all applicable privacy and security standards. Employees are expected only to access PHI when it is required to fulfill job duties. Scheduled Weekly Hours: 40 Work Shift: Job Category: Laboratory Operations Company: Clinical Pathology Laboratories, Inc. Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
    $47k-81k yearly est. Auto-Apply 18d ago
  • Professional Coding Quality Assurance Specialist II

    Texas Children's Medical Center 4.5company rating

    Houston, TX jobs

    We're searching for a Coding Quality Assurance Specialist II - someone who works well in a fast-paced setting. In this position, you will assign and audit the accuracy of the ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians' E/M and procedure coding to their documentation, completes the auditing reporting tool, and provides feedback to the education team and/or provider. Think you've got what it takes? Job Duties & Responsibilities • Assigns ICD-10-CM, ICD-10-PCS, and CPT codes. • Reviews and interprets documentation for appropriate diagnosis and procedures. • Communicates with and provides feedback to the education team and/or provider. • Identifies principle and secondary diagnoses and procedure codes from the electronic medical and/or paper record. • Utilizes the encoder or coding books to correctly assign all ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures. • Sequences diagnosis and procedures to generate appropriate ICD-10-CM, CPT, PCS, and DRG codes for billing. • Queries physicians to obtain clarification or missing elements in the record preventing correct coding. • Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, Logician, and coding reference materials). • Assists other coders in resolving coding problems/questions. • Provides ICD-10 and CPT, for physician research projects, and reporting purposes. • Completes abstracts for records when appropriate. • Identifies problem accounts. • Corrects problem accounts. • Participates in education and maintains certification. • Assists in auditing records. • Maintains concurrent coding for inpatient records. Skills & Requirements • Required High School Diploma or GED • Required Licenses/Certifications o CCA - Certified Coding Associate by the American Health Information Management Association (AHIMA) o CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA) o CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA) o CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC) o COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC) o CPC - Cert-Cert Professional Coder by the American Academy of Professional Coders (AAPC) o CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) o RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) o RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA) • Required 2 years' experience in coding **Outpatient, Professional coding experience in the following specialties HIGHLY DESIRED: General Surgery, Plastics, Oto and Ortho
    $54k-73k yearly est. Auto-Apply 60d+ ago
  • Quality Assurance Specialist - SDS

    The Center for Family Support 4.3company rating

    New York, NY jobs

    The Quality Assurance Specialist for Self-Directed Supports is responsible to ensure compliance, oversight, and adherence to all program regulations set forth by OPWDD Self Directed Services and agency guidelines. The Center for Family Support (CFS) mission is to provide support and assistance to individuals with developmental and related disabilities. We are the first agency in New York to achieve the Council on Quality and Leadership Certification (CQL). By achieving this certification, it shows our commitment and dedication to creating services that enhance and improve the quality of life for individuals with disabilities. Our industry-leading benefits include: 401(k) Dental Insurance Flexible schedule Health insurance Life insurance Paid time off Referral program Tuition reimbursement Vision insurance Responsibilities Audit/review department, program and agency business practices, both planned and unannounced. These include corporate compliance audits and record reviews for CFS-SDS. Review results of internal audits/reviews with administrative staff, provide technical assistance for correction and document all Conduct follow-up program reviews. Support other agency departments in understanding and following regulations and best Occasionally conduct investigations of allegations, incidents and corporate compliance issues according to OPWDD and/or OMIG Conduct interviews, examine documents, collect evidence, and write reports concerning allegations of abuse and/or other incidents requiring investigation. Complete any needed follow up tasks relating to inves Provide, implement, and monitor recommendations as a result of investigations and audits to ensure follow-through, as assigned. Participate on agency committees as Carry out tasks as delegated by supervisor(s). Position requires flexible hours; off hours on call responsibilities; and travel to all agency sites as needed. Qualifications Bachelor's degree in health-related field preferred, familiarity with current regulations and 2+ years of experience with supporting individuals in the OPWDD system. 1+ year of experience with Self-Directed Services/Supports preferred. Ability to maintain a high level of confidentiality Commitment to company values and adherences to policies is excpected Familiar with OPWDD/SDS, and OMIG regulatory standards Knowledge of OPWDD procedures and regulations for programs and service documentation & follow-up Ability to communicate effectively with others and individuals served is essential Exceptional organizational skills and diligence required Ability to work under stringent timeframes and meet deadlines Must be proficient in Microsoft Word and Preferred experience with EVERO Communication, Relationship Management, Analytical and critical thinking The Center for Family Support provides equal employment opportunities to all. We celebrate the wonderful qualities that make each of us unique and greatly value how they enrich the work we do. If you want to work with a caring group of people making a difference in the lives of the people we serve, apply today! Pay Range USD $25.00 - USD $26.44 /Hr.
    $25-26.4 hourly Auto-Apply 60d+ ago
  • Credentialing and Documentation Specialist

    Wilson County Memorial Hospital District 3.5company rating

    Floresville, TX jobs

    Summary Under the general supervision of the Chief Executive Officer, maintains all certifications and licensing records related to the Med Staff/Nursing Credentials and Payor Credentialing for all Physicians. Essential Duties and Responsibilities include the following. Other duties may be assigned. Documents process and procedures of database. Record and fill all correspondences of the agencies used. Stays abreast of and applies knowledge of applicable federal and state laws and regulations and accreditation standards of credentialing. Assembles past history records of the hospital contracts, licensing, certifications and other key data. Record and file all correspondences of past/present agencies used. Records and maintains due dates and contact information of each agency on spreadsheets. Serves as a resource for staff questions as they arise. Other transition training duties as necessary. Certificates, Licenses, Registrations Associates degree in healthcare related field preferred. Or equivalent experience. Other Skills and Abilities Excellent verbal and written communication skills required. Demonstrates flexibility via an ability to adapt to changing priorities and regulations. Basic computer skills required. Qualifications Certificates, Licenses, Registrations Associates degree in healthcare related field preferred. Or equivalent experience. Other Skills and Abilities Excellent verbal and written communication skills required. Demonstrates flexibility via an ability to adapt to changing priorities and regulations. Basic computer skills required.
    $44k-55k yearly est. 16d ago
  • PB CDI Clinical Documentation Specialist - Professional Ambulatory

    Texas Children's Medical Center 4.5company rating

    Houston, TX jobs

    We're hunting for a Professional Ambulatory Clinical Documentation Specialist, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will be responsible for the reviewing, education, development, and training of our Physicians and staff as it relates to reimbursement and CPT and ICD coding compliance. Think you've got what it takes? Job Duties & Responsibilities • Develops and implements a method by which each TCPA & TCPSO physician has a representative sample of his/her medical records reviewed on a routine and frequent basis. • Provides feedback to physician and Director on the educational opportunities found from the reviews. Recommends improvement opportunities to documentation practices and coding changes to physician based on information. • Provides feedback to the Director on any Medicaid compliance issue found from the reviews. • Develops and implements training programs for Physicians, Front Office, and CBO staff to reinforce and/or change the documentation and coding behaviors found from the review. • Educates and reinforces the most appropriate documentation used to optimize quality and reimbursement that TCPA & TCPSO physicians utilize. Where appropriate, this should include education on coding guidelines were quality documentation is already present but not coded to the appropriate level • Focused on root cause identification and process improvement specific to documentation accuracy and completeness. • Engages in process and quality improvement initiatives. • Reviews and interprets the Federal Registry and other relevant publications on a current and regular basis to be aware of coding changes that may affect TCPA & TCPSO as well as the industry. • Responds directly to all telephone and written requests for documentation and coding information accurately and timely. • Acts as a risk adjustment documentation and coding resource, including education and physician engagement. Skills & Requirements • Required associate degree with a preferred bachelor's degree • Four years of healthcare experience will substitute for the required associate degree • Required Licenses and Certifications o CPC - Cert-Cert Professional Coder American Academy of Professional Coders (AAPC) o CCDS DOC - Cert-Cert Clinical Doc. SPCLST Association of Clinical Documentation Improvement Specialist (ACDIS) o CDIP - Cert-Clinical Doc. Impr. PROF American Health Information Management Association (AHIMA) o CCS-P - Cert-CCS-P Physician Based American Health Information Management Association (AHIMA) o CIPC - Certified Inpatient Coder American Academy of Professional Coders (AAPC) o COC - Certified Outpatient Coder American Academy of Professional Coders (AAPC) o CDEO Certified Documentation Expert Outpatient American Academy of Professional Coders (AAPC) o CCDS-O Certified Clinical Documentation Specialist Outpatient Association of Clinical Documentation Improvement Specialist (ACDIS) • Preferred Pediatric Experience
    $43k-58k yearly est. Auto-Apply 60d+ ago
  • Bilingual Bilingual Quality Assurance Support Aide

    Lutheran Social Services of New York 3.9company rating

    New York, NY jobs

    LUTHERAN SOCIAL SERVICES OF NEW YORK Bilingual QA Support Aide - Unaccompanied Minors Program REPORTS TO: Quality Improvement Specialist Supervisor/PSA Compliance Manager CLASSIFICATION: Full Time EXEMPT/NON-EXEMPT: Non-Exempt (Hourly) GENERAL DESCRIPTION: The Lutheran Safe Haven Shelter and Transitional Foster Care Program is a 24-hour program that serves unaccompanied children (UCs) in immigration custody who are awaiting release to their sponsors. The Case Aide will provide administrative support to the Case Managers. MAJOR DUTIES AND RESPONSIBILITIES INCLUDE: • Review, scan, and file records containing Personally Identifiable Information (PII) in accordance with privacy and compliance protocols. • Provide administrative support to the QA/Compliance team and maintain clear communication with related departments. • Maintaining and organizing charts accordingly. • Complete chart audits, portal checks, and staff compliance checks to ensure all documentation is audit ready. • Ensure all weekly and monthly reports and spreadsheets are completed on time. • Ensure compliance with local, state, and federal rules and regulations, including but not limited to HIPAA. • Provides support to other departments as requested. • Other duties as assigned. Qualifications EDUCATION/EXPERIENCE: • High School diploma (required) • Associate's degree (preferred) • 1 Yr. experience in the following: Data entry, Auditing, Record Management, Administrative or clerical (preferred) • 1Yr. experience with child welfare (preferred) SKILLS & ABILITIES: • Bilingual in English and Spanish (required) • Good communication and writing skills • Ability to work collaboratively with others • Superior organizational skills, resourceful, and able to manage time effectively • Attention to detail • Experience and facility with Microsoft Applications
    $26k-34k yearly est. 16d ago
  • Clinical Document Specialist

    JPS Health Network 4.4company rating

    Fort Worth, TX jobs

    Who We Are JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people. Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time. Why JPS? We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road: 1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence. 2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity. 3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS. When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you! For more information, visit ********************* To view all job vacancies, visit ********************* ***************************** or ******************** Job Title: Clinical Document Specialist Requisition Number: 43310 Employment Type: Full Time Division: HEALTH INFORMATION MANAGEMENT Compensation Type: Salaried Job Category: Nursing / LVN Hours Worked: 8:00AM - 5:00PM Location: John Peter Smith Hospital Shift Worked: Day Job Description: Description: The Clinical Documentation Specialist (CDS) is responsible for concurrently reviewing the medical records of hospitalized patients to facilitate the accurate and complete representation of severity of patient illness through provider documentation. This involves extensive record review, interaction with physicians, mid - levels, residents, nursing, ancillary staff, and coders. Typical Duties: * Identify new patient admissions and initiate review of documentation in the medical record utilizing clinical documentation software. Review documentation daily or at an interval appropriate to that patient's clinical picture. * Establish working Diagnosis - Related Group (DRG) based on assignment of International Classification of Disease (ICD) diagnosis and procedure codes. * Identify opportunities to impact case mix through documentation of complicating and comorbid, or major complicating and comorbid conditions and formulate a provider query based on query guidelines with timely provider follow-up. * Complete provider clarification queries per guidelines for instances in which documentation in the medical record is ambiguous, incomplete or conflicting and provide timely provider follow-up, as needed. * Attend medical staff department meetings and present current clinical documentation trends, findings and provide education on the impacts of clinical documentation. * Initiate Task Force meetings with the coding staff to discuss DRG assignment discrepancies and create participatory educational sessions regarding clinical conditions, documentation and coding. * Performs other related job duties as assigned. Qualifications: Required Education and Experience: * Associate's Degree in Nursing, Health Information Technology or a related field of study from an accredited college or university * 2 plus years of relevant work experience in a hospital setting * OR * High School Diploma * 2 plus years of relevant work experience in a hospital setting * Minimum 2 years of experience in CDI or a related field Preferred Education and Experience: * Bachelor's Degree in Nursing, Health Information Technology or a related field of study from an accredited college or university * 3 years of acute care clinical experience in a critical care or telemetry unit. Required Licensure/Certification/Specialized Training: * If applicable team members in this job that hold a professional licensure or credentialed must keep licensure and credentials current. Preferred Licensure/Certification/Specialized Training: * Current Clinical Documentation Specialist certification through the Association of Clinical Documentation Improvement Specialists (ACDIS) and /or Clinical documentation Improvement Practitioner through the American Health Information Management Association (AHIMA). * Current Medical Coding through AAPC, American Health Information Management Association (AHIMA) and/ or through an organization accredited by the National Commission for Certifying Agencies (NCAA) for Medical Coding. Location Address: 1500 S. Main Street Fort Worth, Texas, 76104 United States
    $33k-49k yearly est. 7d ago
  • Associate QA Chemist

    Signature Science, LLC 4.4company rating

    Austin, TX jobs

    We are seeking an analytical chemist with general laboratory experience including creation of standards/spiking mixes, sample preparation, and sample analysis as well as familiarity with GC/MS, FTIR, percent moisture determination, LC-MS/MS, HPLC-UV, and/or Raman analytical platforms. The focus of this role will be on providing technical support to Signature Science's quality assurance (QA) contracts for defense and homeland security programs as well as commercial proficiency testing (PT) programs, including HazMat PT, hemp/cannabis PT, and custom PT programs. The successful candidate will also support internal Signature Science quality programs through maintenance of the quality management system and QA laboratory support. Essential Duties and Responsibilities: Assist with planning and implementation of chemical analysis proficiency tests for methods such as gas chromatograph mass spectrometry (GC/MS), Fourier transform infrared spectroscopy (FTIR), percent moisture determination, liquid chromatography with tandem mass spectrometry (LC-MS/MS), high performance liquid chromatography - ultraviolet (HPLC-UV), and Raman. Activities include developing proficiency test plans, performing laboratory pilot testing, preparing and verifying proficiency test samples, and packaging samples for shipment. Perform laboratory activities related to the preparation and verification of proficiency test samples, as detailed below: o Creation of standards/spiking mixes, o Sample creation, o Sample extraction/dilution, and sample analysis, using techniques such as GC/MS, FTIR, percent moisture determination, LC-MS/MS, HPLC-UV, and Raman. Maintain laboratory equipment and laboratory records. Perform laboratory inventories, purchase laboratory supplies, and maintain appropriate purchasing records. Evaluate special study and proficiency test data, identify data trends and other issues, and help prepare reports. Lead or assist with the validation and/or verification of new methods Contribute to the development and revision of internal and external quality documents based on ISO/IEC 17025, ISO/IEC 17043, ISO 17034, and Clinical Laboratory Improvement Program (CLIP) standards, as applicable. Perform internal audits of Signature Science systems and procedures against relevant internal or external standards such as ISO/IEC 17025, ISO/IEC 17043, and ISO 17034. Regularly communicate with internal laboratory staff to help resolve laboratory or other quality-related issues. Other activities may include: o Assisting client laboratories in preparing for external ISO/IEC 17025 accreditation audits and attend assessments as an advocate for the client laboratory o Communicating with external laboratory staff to help resolve QA, PT, or other quality-related issues o Providing feedback and help prepare auditee corrective actions packets for submission to the accreditation body or certification body o Providing ISO/IEC 17025 training or training on other quality topics to clients o May serve as a task leader on one or more projects Required Knowledge, Skills & Abilities: General chemistry laboratory experience (e.g., creation of standards/spiking mixes, sample extraction/dilution, and sample analysis). Knowledge of and/or experience with GC/MS, FTIR, percent moisture determination, LC-MS/MS, HPLC-UV, and/or Raman analytical platforms. General quality management experience, preferably in an analytical laboratory setting. Proficiency in MS Word, MS Excel, and MS PowerPoint. Strong written and verbal communication skills. Proactive, self-starter Preferred knowledge, skills, and abilities include: Laboratory experience with GC/MS, FTIR, percent moisture determination, LC-MS/MS, HPLC-UV, and/or Raman analytical platforms. Experience assessing data for trends. Analytical laboratory auditing experience. Knowledge and experience with relevant quality standards, including ISO/IEC 17025, ISO/IEC 17043, ISO 17034, and/or CLIP. Ability to lead small teams and ensure accurate and timely submission of project deliverables. Education/Experience: Bachelor degree (or higher) in chemistry, biochemistry, or related field. At least 3 years experience performing analytical chemistry laboratory work Certificates and Licenses: None upon hire Clearance: Candidate must be able to obtain a Secret level security clearance. Supervisory Responsibilities: May serve as a task leader on one or more projects Working Conditions/ Equipment: Ability to work in varying conditions to include: traditional office environments with sedentary extended periods required for voluminous data analysis via office automation; Climate controlled laboratory environments requiring extended periods of standing when performing laboratory analyses, or during audits and SOP observation; Mobile laboratories, subject to wide ranges of temperature and humidity requiring extended periods of standing, stooping or kneeling in confined spaces; conference, classrooms or theaters that involve extended periods of standing for training delivery or command briefings; and outdoors in various weather and lighting conditions including heat, humidity, cold, snow, bright sun, and dark night. Exposure to various chemical and biological materials associated with an analytical lab or facility. Ability to wear required personal protective equipment (PPE) including gloves, coats or gowns, shoe cover, tyvek coveralls, safety glasses, respirators, and/or PAPRs. Subject to medical monitoring based on lab functions. The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. Powered by ExactHire:190938
    $52k-79k yearly est. 17d ago
  • Quality Assurance Coordinator

    Village Care 4.2company rating

    Quality assurance specialist job at Village Care Of New York Inc

    Salary: $68,163.46 - $76,683.89 Hybrid **MUST LIVE IN NJ/NY/CT** Join VillageCare as a Full-Time Quality Assurance Coordinator and be a key player in enhancing our health care services. This position offers the excitement of contributing to organizational excellence while working in a flexible, remote setting that promotes work-life balance. You'll enjoy collaborating with a dynamic team of problem solvers dedicated to customer-centric solutions, making each day a rewarding challenge. With a competitive pay range of $68,163.46 - $76,683.89, this role allows you to impact patient care while maintaining a high-performance culture. Your insights and expertise will drive our commitment to quality and integrity. You can get great benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Seize this opportunity to thrive in a professional environment that values innovation and forward-thinking approaches. Apply today and help us shape the future of health care at VillageCare. VillageCare: What drives us VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. Are you excited about this Quality Assurance Coordinator job? The Quality Assurance Coordinator at VillageCare plays a pivotal role in supporting the Business Operations and Quality Assurance team by ensuring the ongoing monitoring and evaluation of compliance within the Utilization Management Department. This position involves performing detailed compliance audits to validate and facilitate timely submissions of critical data to both internal and external stakeholders. Working under the guidance of the Director for Business Operations and Quality Assurance, the Coordinator will identify risks and gaps in quality and compliance, offering valuable recommendations for process improvements. Additionally, the role encompasses conducting education and training sessions with staff to enhance departmental compliance, thereby fostering a culture of excellence within the organization. This position is essential for driving forward our commitment to quality in health care delivery at VillageCare. What you need to be successful To thrive as a Quality Assurance Coordinator at VillageCare, candidates must possess a robust set of skills and experience. A minimum of 3 years of compliance audit experience within the healthcare sector is essential, with managed care experience being a preferred asset. Strong analytical skills and a detail-oriented mindset are crucial for conducting thorough compliance audits and identifying potential risks. Proficiency with the Microsoft Office suite, including Excel, Word, PowerPoint, and Visio, is required to analyze data effectively and present findings clearly. Additionally, candidates should hold a Bachelor's Degree in Health Administration or a related field, demonstrating a foundational knowledge of the principles and practices necessary for ensuring quality and compliance in health care delivery. This skill set will enable the Coordinator to contribute effectively to process improvements and staff training initiatives within the organization. Knowledge and skills required for the position are: Experience: 3+ years of compliance audit experience in healthcare; managed care experience preferred . Strong analytical skills and detail oriented. High level of proficiency with Microsoft office suite (Excel, Word, PowerPoint, Visio, etc.) Education and certification: Bachelor's Degree in Health Administration or related field Ready to join our team? If you think this role will suit your needs, great! Applying is a piece of cake. Good luck - we're excited to meet you!
    $68.2k-76.7k yearly 4d ago

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