Claims Quality Audit Director jobs in North Dakota
Claims Quality Audit Director directs and oversees the operations of the claims quality audit department to follow the audit policies, procedures and regulation. Provides professional knowledge and guidance on technical or procedural problems. Being a Claims Quality Audit Director creates claims audit policies and procedures. May recommend changes in claims processing procedures. Additionally, Claims Quality Audit Director typically Requires a bachelor's degree. Typically reports to top management. The Claims Quality Audit Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Quality Audit Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Recently Added Claims Quality Audit Director jobs
Quality and Infection Prevention Director
- Eventide Senior Living Communities
-
Jamestown, ND
FULL_TIME
-
Job Details
Description
Eventide Jamestown is currently seeking a full time Quality and Infection Prevention Director. The position would oversee all quality and infection prevention programs. The position would also oversee all Clinical Education programs, including new hire orientation, required annual education and competencies and on-going training.
Coordinates the Quality Program to ensure consistency within established policies and regulatory direction to improve the quality of care provided to residents in accordance with Eventides Mission and Vision. Cooperates with the Corporate Office to implement current quality program and documents activities related to the Quality Program. Maintains communications with facility leadership, Medical Director, and Corporate Office regarding the quality activities. Responsible for Infection Prevention at the facility, including employee health and the risk management activities.
Essential Functions- Implements quality activities and programs to enhance resident services. Utilize on-going evaluation to measure success and influence quality improvement.
- Collect and analyze data.
- Develop reports and recommendations for process improvement to enhance resident care and services utilizing appropriate methodologies such as Root Cause Analysis, Rapid Cycle, and Lean and understands when each is appropriate to the situation.
- Reviews/changes the facility QAPI Improvement and management plan to meet existing standards, Board approved quality plan and sends to the corporate office for final approval.
- Manages the infection control function for the entire facility.
- Provides formal and informal Infection Prevention education to support the delivery of excellent care to residents and staff.
- Performs infection surveillance and collects data on residents with infections to ensure that infections are monitored for organism, transmission and antibiotic appropriateness.
- Appropriately identifies trends in outbreaks and reports to the state after discussion with the Medical Director and campus Executive Director.
- Coordinates and administers the immunization program for all new and existing employees which is in-line with state and federal regulation, including influenza and Hepatitis B. Performs and enforces TB testing according to regulation and annual TB screening of employees.
- Performs audits on a regular basis to ensure compliance with federal and state regulation regarding infection prevention (ie. Handwashing, isolation, cultures, and antibiotic usage).
- Actively participates and prepares reports for the state as requested by maintaining a current and active infection prevention program utilizing appropriate software
- Monitors employee illness for trends in relationship to resident illness and puts in place action which diminishes the impact and safeguards both groups.
- Plans, implements and evaluates educational needs of all employees.
- Prepares, conducts and coordinates training programs for all employees and management.
- Schedule Mandatory In-services.
- Assist Human Resources with New Orientation and implementation.
- Maintains a positive working relationship with all staff.
- Displays friendly, outgoing, helpful attitude toward all employees.
- Recommends new approaches, policies and procedures to effect continual improvements in efficiency of department and services offered.
- Maintains compliance with company policies and federal and state regulations concerning employment.
- Will rotate weekend and weekly on call responsibilities and provide leadership to direct care staff.
- Successful completion of an approved Registered Nurse education program required.
- Current Certificate in CPR/BLS is required.
- CPR Instructor certification is required, may be obtained after hired
- Experience in Long Term Care is preferred.
- Must have a ND RN License.
- Must currently be in good standing in all states in which you have ever been license as a nurse in the U.S.
- Current CPR (or approved equivalent) certification.
- 9 Days Ago
Quality and Infection Prevention Director
- Eventide
-
Jamestown, ND
FULL_TIME
- Eventide Jamestown is currently seeking a full time Quality and Infection Prevention Director. The position would oversee all quality and infection prevention programs. The position would also oversee...
- 10 Days Ago
Adjuster
- Sedgwick Claims Management Services
-
Michigan, ND
FULL_TIME
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
- 21 Days Ago
RN Med Surg Grand Forks, ND
- Quality Clinicians
-
Grand Forks, ND
FULL_TIME
- We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1709-$2709/week Multiple shift openings Job Description/Responsibilities...
- 2 Days Ago
Ultrasound Tech
- Quality Clinicians
-
Hettinger, ND
FULL_TIME,OTHER,CONTRACTOR
- Travel contract for 13 week assignment with probable extension opportunities. You could work this as 1099 contractor Department: Ultrasound | Sonographer - PREFERRED ECHO *Certification: BLS, ARDMS* T...
- 17 Days Ago
Audit manager
- Prairie Knights Casino
-
Fort Yates, ND
FULL_TIME
- Highest pay in area Best benefits in market Apply now and join our team! Starting Pay $31.98- $47.97 DOE SYNOPSIS OF DUTIES The Audit Manager is responsible for supervising the Gaming and Non-Gaming A...
- 9 Days Ago
Claims Quality Audit Director jobs at Popular Companies
Director of Quality Control
- RF Hiring Solutions
-
- Director of Quality Control Reports To: Chief Executive Officer Summary: Director of Quality Control will ensure that th...
- 6/11/2024 12:00:00 AM
Senior Director of Quality Control
- Ascend Advanced Therapies
-
Alachua, FL
- Title: Senior Director of Quality Control Reporting to: VP Quality Location: Alachua, Florida, USA (On-site role) The Al...
- 6/11/2024 12:00:00 AM
Director of Quality Management
- Select Medical Corporation
-
Gainesville, FL
- Overview UF Health Rehab Hospital * In affiliation with Select Medical & UF Health* Gainesville, FL Director of Quality ...
- 6/11/2024 12:00:00 AM
Director of Quality Control
- Kalon Executive Search for Health and Wellness
-
Los Angeles, CA
- Our client, a health and wellness company are seeking a qualified Director of Quality Control to help build a solid, sta...
- 6/10/2024 12:00:00 AM
Director of Quality Control
- Partnership Employment
-
New York, NY
- Our client, a well-known fast casual chain, is looking to hire a Director of Quality Control in their Bronx office. Oppo...
- 6/10/2024 12:00:00 AM
Director of Quality Control
- Kinetics
-
Durham, NC
- Founded in 1973, Kinetics is a global full-service process and mechanical contractor specializing in the design and inst...
- 6/10/2024 12:00:00 AM
Director of Quality Control
- ADAGE INNOVATIONS INC
-
Alexandria, VA
- Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opport...
- 6/10/2024 12:00:00 AM
Director of Quality Management
- Performance Contracting Group
-
Lenexa, KS
- Company Overview: Performance Contracting Group is a national employee-owned specialty contractor that offers quality se...
- 6/9/2024 12:00:00 AM
About North Dakota
North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city.
Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$150,883 to $215,631
Most Popular Cities in North Dakota for Claims Quality Audit Director Jobs
What does a Claims Quality Audit Director do?
Claims Quality Audit Director in Olympia, WA
Based on our compensation data, the estimated salary potential for Claims Quality Audit Director will increase 16 % over 5 years.
December 23, 2019