Manager, Quality
Saint Francis Health System · New Haven, Connecticut, US
Current Saint Francis Employees - Please click HERE to login and apply.
Job description
Current Saint Francis Employees - Please click HERE to login and apply. Full Time: Days: Schedule: Monday - Friday | 8:00am - 5:00pm Job Summary: Develops and implements the hospital-wide Performance Improvement Program, Utilization Management Program, Medical Staff Services/Credentialing Program, and Regulatory Compliance functions consistent with Administrative, Medical Staff and Board approved plans and regulatory agency standards. Minimum Education: Bachelor's degree in a health related field or equivalent in experience. Licensure, Registration and/or Certification: Certified Professional in Healthcare Quality (CPHQ) or Registered Health Information Administrator (RHIA) preferred. Work Experience: 5 years related experience. Must have training in performance improvement techniques and methods. Knowledge, Skills and Abilities: Healthcare quality management experience. In-depth knowledge of state, federal and regulatory guidelines. Detailed understanding of statistical methodologies. Extensive knowledge of third-party payer criteria and utilization review. Knowledge of reimbursement methods, ICD-10 and CPT. Strong leadership and motivational skills. Excellent interpersonal oral a...