Claims Quality Audit Director jobs in Akron, OH

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)

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Activities Director
  • Progressive Quality Care
  • Aurora, OH FULL_TIME
  • Our 5-star CMS awarded facility is looking for dedicated people to join our team. The Avenue is a Post-Hospital Rehabilitation and Skilled Nursing Care Facility that offers a distinctive environment not commonly found in skilled nursing facilities. From our hotel-like environment to our all private suites, the Avenue is committed to providing an excellent level of physical, medical, emotional and spiritual support in an environment of comfort and respect. Our facility provides some of the area’s highest level of rehabilitation, nursing and medical support to individuals needing post-hospital care and services. We are looking for a committed individual with a reputation for being cheerful and friendly.

    If you are a highly motivated Activity Director with excellent customer service skills and a kind heart this is the place for you! If you join our amazing team, you can expect to find an all-hands-on deck atmosphere with a family-like crew. In addition to our competitive wages, we offer medical, dental, vision, life insurance, and 401k.

    Plan, organize and direct the implementation and evaluation of activity programming for the residents. Assure that an individual activity plan is developed for each resident.

    MINIMUM KNOWLEDGE, TRAINING AND SKILLS DESIRED

    • Must have a high school diploma or equivalent
    • Completion and certificate of a state approved Activity Therapy Training Program
    • Prior experience in activities services in a nursing home
    • Knowledge of current state and federal nursing home regulations including resident rights
    • Effective interpersonal, communication and leadership skills
    • Knowledge of the normal aging process
    • LICENSURE/CERTIFICATION REQUIREMENTS
    • Must hold a valid driver's License
    • Preferably have a certificate or diploma as evidence of Activity Therapy Course

    ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

    This list is subject to individual facility policies, practices, which may require additional duties and responsibilities.

    ACTIVITY SERVICES

    • Plan, execute, and evaluate a diversified activity program which meets the varied needs and interests of individual residents based upon activity assessment of resident interests.
    • Participate in the multidisciplinary resident care conference. Assure that each resident's activity program is consistent with the defined Plan of care established by the resident, family, and multidisciplinary team.
    • Maintain accurate and timely documentation of resident participation and other issues relating to activity services. Conduct a charting review periodically to determine compliance of records of staff members.
    • Identify and utilize community resources to provide programs that are consistent with the interests and needs of the residents.
    • Recruit community volunteers or organizations and school children involvement in activities; coordinate the scheduling and supervise their activities.
    • Accomplish all responsibilities of Activity Services in compliance with licensure and federal certification rules and regulations.
    • Coordinate and assign tasks to staff members relating to the activity program; delegate and provide direction and feedback as appropriate.
    • Perform other duties as assigned.

    ADMINISTRATIVE/GENERAL

    • Interview, hire, train, supervise and evaluate the performance of activities staff members. Maintain appropriate staffing levels and arrange for staff attendance at conferences/seminars as appropriate.
    • Enforce all personnel policies included in the Employee Handbook and maintain full knowledge and understanding of the same.
    • Prepare and maintain department records and statistics as required.
    • Participate in performance improvement program monitoring activities that relate to the activities programming function.
    • Develop, maintain, review, and revise appropriate policies and procedures within the Activities Department.
    • Manage the personnel, fiscal, and supplies resources of the Activities Department within the approved budgetary guidelines. Develop yearly operating budget for the department; participate in decisions for capital expenditures to be requested. Monitor and report the actual operation expenses and prepare a monthly spend down report to be submitted to the Administrator.
    • Respect and maintain resident's dignity, individuality, privacy and confidentiality.
    • Attend seminars or workshops to maintain up to date knowledge of activities services
    • Attend administrative staff meetings. Work closely and cooperatively with all other department directors and administrative staff to promote and maintain effective team management and resident care. Serve as a member of facility committees and corporate councils as appointed.
    • Participate in professional relationship and/or membership in local, regional social services organizations.
    • Perform other duties as assigned.

    OTHER JOB DUTIES AND RESPONSIBILITIES MAY INCLUDE

    • Assist with planning, setting up employee/family functions such as picnics, holiday parties.
    • Submit articles for inclusion in the monthly newsletter for residents
    • Perform shopping for personal items for residents per request when family is unable.

     

     

  • 14 Days Ago

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Director of Nursing
  • Progressive Quality Care
  • Wooster, OH FULL_TIME
  • The Avenue at Wooster is a Post-Hospital Rehabilitation and Skilled Nursing Care Facility that offers a distinctive environment not commonly found in skilled nursing facilities. From our hotel-like en...
  • 23 Days Ago

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Director of Nursing
  • Progressive Quality Care
  • Medina, OH FULL_TIME
  • The Avenue at Medina is a Post-Hospital Rehabilitation and Skilled Nursing Care Facility that offers a distinctive environment not commonly found in skilled nursing facilities. From our hotel-like env...
  • 1 Month Ago

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Director of Nursing
  • Progressive Quality Care
  • Stow, OH FULL_TIME
  • Attentive Home Health in Stow Ohio is a growing home care agency in need of a Director of Nursing. Attentive's mission is to provide professional, dignified, and high quality care to individuals in th...
  • 2 Months Ago

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LCDC Director of Clinical
  • Quality Care LTC
  • Akron, OH FULL_TIME
  • Recovery Center near the Akron area is seeking a strong, driven and passionate leader to direct clinical programming at our recovery center. We are now hiring: Director of Clinical – LCDC III Full Tim...
  • 1 Day Ago

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Director of Social Services
  • Progressive Quality Care
  • Aurora, OH FULL_TIME
  • Our 5-star CMS awarded facility is looking for dedicated people to join our team. The Avenue is a Post-Hospital Rehabilitation and Skilled Nursing Care Facility that offers a distinctive environment n...
  • 2 Days Ago

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0 Claims Quality Audit Director jobs found in Akron, OH area

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QUALITY INSPECTOR
  • East End Welding
  • Kent, OH
  • Job Description Job Description QUALITY SYSTEM DOCUMENT Job Description – Quality Inspector Revision Level: 1 Rev. Date:...
  • 4/19/2024 12:00:00 AM

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Senior Quality Assurance Manager
  • WorldBridge Partners - Leaders in Recruiting and Executive Search
  • Akron, OH
  • SENIOR MANAGER, QUALITY ASSURANCE WorldBridge Partners, an Executive Recruitment Firm, is working with an Ohio Steel Ind...
  • 4/18/2024 12:00:00 AM

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Aircraft Maintenance Technician
  • Aitheras Aviation Group
  • Cleveland, OH
  • Maintenance Technician (Aircraft) Since 2005 Aitheras has worked with premier medical facilities in the US and abroad to...
  • 4/18/2024 12:00:00 AM

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Custodian Part Time
  • The Cubbison Company
  • Austintown, OH
  • Job Description Job Description Custodian Job Description Job title: Custodian Salary Grade/Level/Family/Range: Hourly R...
  • 4/18/2024 12:00:00 AM

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Automotive Manufacturing Plant Manager
  • Röchling Automotive
  • Akron, OH
  • Job description Where we need you Direct single-site manufacturing operations through a team of functional managers and ...
  • 4/17/2024 12:00:00 AM

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Director of Quality
  • Hiring Now!
  • Cleveland, OH
  • Description:As Quality Assurance Director, you will be responsible for overseeing all aspects of Quality Assurance and S...
  • 4/17/2024 12:00:00 AM

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Quality Control Manager
  • Professional Placement Services
  • Barberton, OH
  • QUALITY CONTROL MANAGER! $80,000-$90,000 Planning, coordinating, and directing 2-3 quality inspectors ensuring quality o...
  • 4/16/2024 12:00:00 AM

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Production Team Leader
  • Plastipak Holdings
  • Medina, OH
  • The Team Leader provides supervision, training, and guidance to team members on an assigned shift, including technicians...
  • 4/15/2024 12:00:00 AM

Akron (/ˈækrən/) is the fifth-largest city in the U.S. state of Ohio and is the county seat of Summit County. It is located on the western edge of the Glaciated Allegheny Plateau, about 30 miles (48 km) south of Cleveland. As of the 2017 Census estimate, the city proper had a total population of 197,846, making it the 119th-largest city in the United States. The Greater Akron area, covering Summit and Portage counties, had an estimated population of 703,505. The city was founded in 1825 by Simon Perkins and Paul Williams, along the Little Cuyahoga River at the summit of the developing Ohio and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$146,300 to $209,082
Akron, Ohio area prices
were up 1.6% from a year ago

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