Manager, Quality of Care

Company: Oklahoma Complete Health
Location: Oklahoma City
Posted on: September 11, 2023

Job Description:

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans.
At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level.
Position Purpose: Manage and support the development and maintenance of clinical quality of care, related projects, investigations and reporting.- Manage all quality of care requirements to ensure the program meets the standards defined by the State, URAC and the annual Quality Management Plan
- Train, supervise, and monitor Quality of Care (QOC) Specialists - to ensure accurate and timely processing of QOC data and subsequent reporting requirements
- Ensure clinical investigations and reporting processes are followed in accordance with the State requirements
- Analyze, track and trend results and develop accurate, timely quality indicator reports for - management
- Recommend, develop, and implement quality improvement plans with management
- Train providers and staff in methodologies and tools of continuous quality improvement
- Prepare for, and participate in, meetings with various committees, State agencies, providers, and stakeholders.
- Provide clinical support to medical record audit and quality improvement processes
- Ability to travelEducation/Experience: Bachelor's degree in related field. Master's degree preferred. 4+ years of behavioral health or quality improvement experience, including 1+ years physical health experience. 2+ years of clinical supervisory experience preferred.
License/Certificates: Registered Nurse (RN). Certified Professional in Health Care Quality preferred. Current state driver's license.Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.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: Oklahoma Complete Health, Oklahoma City , Manager, Quality of Care, Executive , Oklahoma City, Oklahoma