Quality Improvement Specialist

Muntinlupa, National Capital Region

Posted more than 30 days ago


Company:: Human Utilization Management Solution
Company Description:: We are a healthcare solutions company dedicated to providing review services across hospitals. We are looking for PH registered nurses who are willing to work in a hybrid set up. Get the opportunity to receive above-average compensation. Our office is located in Madrigal Business Park, Alabang, Muntinlupa City. Send us your resume and be part of our growing team.
Contract Type:: Contract
Experience Required:: 1 year
Education Level:: Bachelor’s Degree
Gender:: Any
Number of vacancies:: 2

Job Description

This role is an open-end contract position with a hybrid work setup. Please apply only if you are amenable to these terms.

The Quality Improvement Specialist is responsible for ensuring the quality and compliance of utilization management processes within the organizations. They will also ensure quality and effectiveness as well as compliance with all the relevant regulations.

Qualifications:
Bachelor's degree in nursing or any medical-related course.
At least 1 year work experience in utilization review and quality assurance.
Had clinical experience, preferably in a hospital setting.
Knowledgeable in healthcare accreditation standards and quality improvement methodology.
Knowledgeable in electronic health record systems and healthcare information technology.
Knowledgeable in healthcare compliance and privacy regulations, such as HIPAA; and
Certification in Utilization Review (UR) and Quality Assurance (QA) is a plus.

Utilization Review: 1 year (Preferred)
Quality Assurance: 1 year (Preferred)
Clinical Experience: 1 year (Preferred)