Claims Quality Audit Director jobs in Lawton, OK

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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Director Quality
  • Southwestern Medical Center
  • Lawton, OK OTHER

  • Description

    Position Summary                

     The Chief Quality Officer coordinates the organization-wide performance improvement program, the risk management program and ensures compliance with regulatory requirements. In addition, this role may, but is not all inclusive of the following: infection control.

     

    Essential Job Functions:

    1.     Oversees the development, coordination and evaluation of effective hospital wide quality management programs, including mandatory required reporting measures (core measures, HCAPHS).

    2.     Directs broad operations to ensure facility wide compliance with all regulatory and accreditation agencies and hospital requirements.

    3.     Ensures collaborative departmental approach to long-range strategic operational planning, care and service

    design and development of organizational policies that reflect the mission of the organization.

    4.     Continuously assesses, measures, and improves departmental performance.

    5.     Demonstrates responsible management of all Quality Management Departmental resources.

    6.     Demonstrates managerial competency. Ensures professional development needs of management and staff are met.


    Qualifications

    Position Requirements:

     

    A.   Licensure/Certification/Registration:

          Current License-State of Oklahoma

                     

    B.   Education:      

          Graduate of Accredited School of Nursing, BSN or related field. Masters degree preferred

     

    C.   Experience:     

           Minimum of 5-8 years in nursing or other healthcare management. Extensive knowledge of various regulatory

           agencies and required standards, such as  Joint Commission, State, and CMS, etc.   

     

    D.     Special qualifications:

            Effective communication and interpersonal skills to interact with patients, visitors, physicians, and

            department/hospital staff members. Self-motivated, independent, professional, creative, and dependable.  Able to

            merge clinical and financial processes.  Must have the ability to analyze, assemble, and prepare statistical reports.

            Basic office and computer skills.

     

        III.    Degree of Supervision Required:

     

    Involves general guidance and direction by Administration.  The Chief Quality Officer is expected to perform most                     

    job duties independently and in accordance with established departmental and hospital policies/procedures.

  • 1 Month Ago

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Director Quality
  • Southwestern Medical Center
  • Lawton, OK OTHER
  • DescriptionPosition Summary The Chief Quality Officer coordinates the organization-wide performance improvement program, the risk management program and ensures compliance with regulatory requirements...
  • 2 Months Ago

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Audit Readiness Specialist-REMOTE
  • IntrepidLLC
  • Lawton, OK FULL_TIME
  • Intrepid sets the standard for delivering excellence in the federal marketplace and is known for treating employees like family. We provide our employees with a challenging and supportive work environ...
  • 15 Days Ago

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Casino Audit Clerk, NB
  • the Chickasaw Nation
  • Ardmore, OK FULL_TIME
  • Casino Audit Clerk, NB - 4820 Ardmore, OK | Accounting | Full Time Posted today ApplySave Description We are currently looking for a Full Time Casino Audit Clerk, NB to join our team located at the La...
  • 7 Days Ago

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LVN/LPN Home Health Lawton, OK
  • Quality Clinicians Staffing
  • Lawton, OK FULL_TIME
  • Please only apply if you have LVN/LPN experience. We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package Weekly Pay Range: $1115.09/week Multiple s...
  • 22 Days Ago

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Front Desk/Night Audit Clerk
  • Sleep Inn & Suites
  • Lawton, OK FULL_TIME
  • About usSleep Inn & Suites is a small business in Lawton, OK. We are professional, agile and customer-centric.Our work environment includes: Modern office setting On-the-job training Safe work environ...
  • 24 Days Ago

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0 Claims Quality Audit Director jobs found in Lawton, OK area

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Director of Rehabilitation Services
  • Lifepoint Health®
  • Lawton, OK
  • We are seeking a Director of Rehabilitation to oversee the total operations of the inpatient rehab unit at Southwestern ...
  • 4/19/2024 12:00:00 AM

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Registered Nurse (RN)
  • Healogics
  • Lawton, OK
  • The rewards at Healogics are immense, starting with the important work we do to change patients' lives. We also understa...
  • 4/19/2024 12:00:00 AM

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Field Construction Manager
  • Ledcor Group
  • Lawton, OK
  • Job Summary: The Field Construction Manager is responsible for the smooth functioning of day-to-day field operations to ...
  • 4/19/2024 12:00:00 AM

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Medical Equipment Branch Manager
  • Rotech
  • Lawton, OK
  • About Rotech Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound ...
  • 4/18/2024 12:00:00 AM

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LPN
  • Healogics Llc.
  • Lawton, OK
  • The rewards at Healogics are immense, starting with the important work we do to change patients lives. We also understan...
  • 4/18/2024 12:00:00 AM

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Registered Nurse (RN)
  • Healogics Llc.
  • Lawton, OK
  • The rewards at Healogics are immense, starting with the important work we do to change patients lives. We also understan...
  • 4/16/2024 12:00:00 AM

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Cook
  • Montevista Rehabilitation and Skilled Care
  • Lawton, OK
  • Cook Montevista Rehabilitation and Skilled Care Lawton, OK Montevista Rehabilitation and Skilled Care in Lawton, OK has ...
  • 4/16/2024 12:00:00 AM

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Cook
  • Southwestern Medical Center LLC
  • Lawton, OK
  • Title Cook Description **Position Summary:** Prepares, cooks, and serves high volume of foods from menus prepared by the...
  • 4/15/2024 12:00:00 AM

Lawton is the fifth largest city in Oklahoma, located at 34°36′16″N 98°23′45″W / 34.60444°N 98.39583°W / 34.60444; -98.39583 (34.604444 N, 98.395833 W). The city has a total area of 75.1 sq mi (195 km2), all land. Lawton is located approximately 84 mi (135 km) southwest of Oklahoma City. Other surrounding cities include Wichita Falls about 47 mi (76 km) to the south, Duncan about 33 mi (53 km) to the east, and Altus about 56 mi (90 km) to the west. Lawton lies in an area typical of the Great Plains, with prairie, few trees, and flat topography with gently rolling hills. The region north of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$129,017 to $184,382
Lawton, Oklahoma area prices
were up 1.2% 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