Lead Quality Risk Management - Grievance/Appeals

Lead Quality Risk Management - Grievance/Appeals

Riverside Medical Clinic

• About the role: Lead the quality risk management program, including grievance and appeals processes. Ensure compliance with regulatory standards and foster a culture of patient safety.
• Responsibilities:
  • Oversee the implementation and maintenance of quality risk management policies and procedures.
  • Manage the grievance and appeals process, ensuring timely and fair resolution of patient complaints.
  • Conduct regular audits and assessments to identify areas for improvement in patient safety and quality of care.
  • Collaborate with clinical staff to develop and implement strategies to prevent adverse events and improve patient outcomes.
  • Provide guidance and training to staff on quality risk management principles and practices.
• Requirements:
  • Bachelor's degree in healthcare administration, public health, or related field.
  • At least 5 years of experience in healthcare quality management or related field.
  • Experience managing grievance and appeals processes.
  • Strong knowledge of healthcare regulations and standards.
  • Excellent communication and interpersonal skills.
• Qualifications:
  • Knowledge of HIPAA and other relevant privacy laws.
  • Experience with quality improvement methodologies.
  • Ability to work independently and manage multiple tasks simultaneously.
• Skills:
  • Strong analytical and problem-solving skills.
  • Effective written and verbal communication skills.
  • Proficiency in Microsoft Office Suite.
• Benefits:
  • Comprehensive medical benefits package.
  • Flexible work schedule.
  • Professional development opportunities.
• Pay:
  • $80,000 - $90,000 annually.
• Schedule:
  • Full-time position.