Claims Quality Audit Director jobs in Biloxi, MS

At Oceans Behavioral Hospital Biloxi, healing is our focus. We are passionate about helping children, adults, and seniors manage the challenges associated with anxiety, depression, and other mental health issues. Utilizing proven, innovative, and progressive therapies, our qualified professionals strive to promote long-term wellness through a range of inpatient and outpatient psychiatric counseling and treatment options.

The Quality Director plans, develops, implements and manages comprehensive and effective systems to monitor and evaluate the quality and appropriateness of patient services and programs in support of the organizational mission and goals. This position will work closely under the supervision of the Hospital Administrator, functions as a support person in the coordination and organization of administrative processes in a high quality efficient and cost-effective manner. All duties to be done in accordance with Joint Commission, Federal and State regulations, Oceans’ Mission, policies and procedures and quality standards.

Essential Functions:

Requirements

Associate degree or RN diploma required. Healthcare experience related to clinical leadership and/or quality assessment and performance improvement. Behavioral health experience preferred.

Demonstrates proficient computer skills with MS office products and electronic QAPI software solutions. Ability to create and provide training programs on related quality performance topics. Ability to work with minimal supervision and simultaneously manage multiple projects. Knowledge of state and federal regulatory requirements, Joint Commission Accreditation. CPHQ certification preferred. Must successfully complete CPR certification and an Oceans approved behavioral health de-escalation program.

Subject to many interruptions. Occasional pressure due to multiple calls and inquiries. This position can be high paced and stressful; must be able to cope mentally and physically to atmosphere. Work requires spending approximately 90% or more of the time inside a building that offers protection from weather conditions but not necessarily from temperature changes.