Claims Quality Auditor jobs in Harlingen, TX

Job Summary:

Must be able to travel and conduct home visits as needed

Primary function is to oversee and monitor the quality improvement program for the agency

Responsible to conduct an ongoing, comprehensive, integrated agency assessment of the quality and appropriateness of the care provided, including services provided under arrangement.

Aggregate and trend data collected to connect identified problems in collaboration with management.

Monitor all service providers for effective interchange and coordination of care in providing care

Prepare annual Quality Improvement report as part of annual agency evaluation

Demonstrates an in-depth knowledge of, and ensures compliance with, all local, state and federal laws relating to all of the operations of the agency

Assists with direction of programs through delegation of responsibility to administrative and supervisory personnel.

Assists with establishment of a public relations program for interpretation of the agency's services and to foster good working relations with physicians and community agencies

Carries out other duties as assigned by the Administrator and the Board of Directors

Job Type: Full-time

Pay: $16.00 - $17.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift

Application Question(s):

• Must be willing to travel overnight and conduct visits as needed.

Experience:

• home health-PHC: 1 year (Required)

Work Location: In person