Remote Quality Improvement Specialist - Behavioral Health
Sentara Health
- Remote job
Sentara Health is seeking a Remote Quality Improvement Specialist to review behavioral health claims before payment, ensuring medical necessity, regulatory compliance, and proper billing practices across remote opportunities in multiple states. The role requires 2 years of Medicaid/Quality Improvement experience and a health administration degree. RN or LMHP credentials are preferred, with Sentara offering competitive pay and a comprehensive benefits package. #J-18808-Ljbffr Sentara Health
- Sentara Health in Norfolk, VA is seeking a Remote Quality Improvement Specialist to review behavioral health claims for medical necessity and regulatory compliance. This position supports accurate reimbursement by evaluating clinical records and guiding payment or denial...Remote job
$73.88k - $122.53k
...Work Shift First (Days) Overview: Sentara Health is looking to hire a Remote Quality Improvement Specialist . This is a remote position: Remote opportunities... ...comprehensive clinical and documentation reviews of behavioral health claims prior to payment to ensure...Remote workFull timeTemporary workWork at officeShift work$16 per hour
...Quality Specialist- Behavioral Health Pay: $16/hour ***Remote work is not available for this position. Must be able to commute to Orlando, FL daily.*** *... ...trending, reporting and facilitation of quality improvement plans of internal and external medical record reviews...Remote workTemporary workWork at officeFlexible hours- Integrated Services for Behavioral Health in Ohio seeks a Quality Specialist to drive improvement initiatives across the organization. You will collaborate with clinical, operational, and administrative teams to monitor performance and ensure regulatory compliance. The...Suggested
- Integrated Services for Behavioral Health (ISBH) is seeking a Quality Specialist to support the development, implementation, and evaluation of quality improvement initiatives. You will monitor, analyze, and report on performance metrics, ensuring adherence to CARF, Medicaid...Suggested
- To enhance clinical quality and support product development, the remote part-time APRN Quality Improvement Specialist will conduct structured chart reviews, provide actionable... ...clinical experience in psychiatry or behavioral health Strong command of psychiatric documentation...Remote workPart timeShift work
$51.9k - $74.2k
...Quality Improvement Specialist Great companies need great teams to propel their operations. Join the... ...Improvement Specialist supports Population Health and Quality Improvement initiatives... ...Ability to work effectively in a remote environment Adaptability and continuous...Remote workWork at office- Vibrant Emotional Health is seeking a Specialist, Quality Improvement to join our remote team. You will assist in developing and coordinating a formal quality improvement plan across our crisis center network, and ensure timely, accurate QI reporting to funders. The role...Remote jobWork at office
- ...Guidehealth is seeking a Remote Clinical Quality Improvement Coordinator to help drive data‑driven quality initiatives in a fully remote setting. You will act as SME for QI measures, collect quality data, and collaborate with patients, providers and payers to close gaps...Remote work
- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere... ...healthcare with minimum 2 years experience in health plan quality improvement, managed care or...Remote work
- ...Guidehealth, a remote-first healthcare company, is hiring a Remote Clinical Quality Improvement Coordinator to drive quality initiatives and patient outreach across payers and providers. You will access EMR data, claims, and outreach to close quality gaps while collaborating...Remote work
- Sentara Health is seeking a Remote Quality Improvement Specialist to review behavioral health claims for medical necessity and regulatory compliance. This is a fully remote role with opportunities across multiple states, including Oklahoma. You will evaluate clinical records...Remote job
$122.11k - $277.83k
...toggle section visibility Onsite or Remote Fully On-Site Work Schedule Monday... ...on a key role within an award-winning health system. Help improve patient experiences as part of a... ...responsible for leading and facilitating quality improvement and safety initiatives as...Remote workWork at officeMonday to Friday- ...& Energy Solutions (MEES) seeks a Tribal Child Care SME in Quality Improvement to provide high‑quality training to Tribal CCDF grantees nationwide... .... The role focuses on CCDF content, subsidy administration, health and safety, and quality improvement initiatives. The ideal...Remote job
$45k
...autism, intellectual and developmental disabilities, and behavioral health challenges. As a mission-driven nonprofit, we’re here... .... Apply today. Responsibilities Elwyn seeks a Quality Improvement (QI) Specialist to conduct internal evaluations of services to ensure...Work experience placementWork at officeFlexible hours$72.8k - $130k
...with our team will directly improve health outcomes by connecting people... .... Growing together.For you, quality counts. For UnitedHealthcare... ...the opportunity to work remotely.Primary Responsibilities:Complete... ...audit plan for Behavioral Health Providers at all covered...Remote workMinimum wageFull timeWork experience placementLocal area$22 - $25 per hour
...a Meaningful Impact as a Quality Improvement Specialist Do you enjoy making a difference... ..., autism, and/or mental health diagnoses—and a strong... ...analyze treatment data, behavioral trends, and incident reports... ...Type Full-Time Remote No Location : City...Remote workFull timeRelocation packageFlexible hours- ...DataStaff, Inc. is currently seeking a Quality Improvement Process Specialist for a contract opportunity with... ...works closely with beneficiaries, health care professionals, community... ...intellectual/developmental disabilities, and behavioral health, substance use and traumatic...Contract workFor contractorsWork at officeLocal area
- ...Quality Improvement Specialist St. Louis Forensic Treatment Center – South, 5300 Arsenal St. St. Louis, MO. 63139 This position is... ...hospital is accredited with the Joint Commission hospital and behavioral health manuals and A tags with CMS. The adult hospital is...Full time
$27.55 - $34.18 per hour
...Quality Improvement Specialist NEW Health Administration - Chewelah, WA 99109 Salary Range $27.55 - $34.18 Hourly Position Type Full Time Job Shift... ...providing high-quality, integrated medical, dental, behavioral health, and pharmacy services. NEW Health has been...Hourly payFull timeLocal areaFlexible hoursShift work- ...Quality Improvement Specialist Unison Health provides a mission-driven work environment focused on staff support, professional growth, and work-life... ...individuals, families, and communities across Ohio. From behavioral health and substance abuse treatment to primary...
- ...This position acts as a quality improvement liaison with physician offices... ...Assesses members needs by applying Health Plan approved guidelines and... ...our Lifetime Way Values & Behaviors that include compassion... ...Please note: The opportunity for remote work may be possible for all...Remote workFull timeContract workLive in
- The Clinical Quality Specialist serves as the system’s behavioral health subject matter expert for quality, patient safety, accreditation, and regulatory compliance... ...readiness, and using data to drive measurable improvement in patient outcomes, safety, and experience. The...Full timeLocal area
- Integrated Services for Behavioral Health is seeking a Quality Specialist to advance performance, compliance, and patient care quality across Ohio teams.... ...collect and analyze data, support audits, and drive improvement projects using PDSA cycles in collaboration with clinical...
- Integrated Services for Behavioral Health seeks a Quality Specialist to develop and evaluate quality initiatives across the organization. You will monitor... ...CARF/Medicaid/MHIP alignment, and promote continuous improvement in healthcare delivery. The role requires a public...
- Integrated Services for Behavioral Health (ISBH) in Ohio seeks a Quality Specialist to support the development, implementation, and evaluation of quality initiatives... ...accreditation compliance, and foster continuous improvement in healthcare delivery. The role requires a...
- ...evidence-based, results-oriented Applied Behavior Analysis (ABA) therapy in clients’... ...focuses on meaningful outcomes that improve daily functioning and quality of life for individuals and families... ..., with a mix of in-home visits and remote work. Day-to-day responsibilities...Remote workContract workWork from home
- Bayesian Health is seeking a Clinical Quality Consultant to investigate sepsis alert encounters, establish... ...teams. You will learn product behavior, flag logic, and regulatory... ...complaint handling and continuous improvement. The role is remote in the United States, requires 5...Remote job
$3,000 per month
...INTERNAL ONLY Clinical Quality Specialist Location: United... .../ Full-Time Location: Remote with up to 15% travel About Action Behavior Centers: Action Behavior... ...a leading behavioral health organization specializing... ...excellence and continuous improvement. Position Overview: As...Remote workFull timeTemporary workFlexible hours- Integrated Services for Behavioral Health is seeking a Quality Specialist to support data-driven quality improvement across our organization. You will work with clinical, operational, and administrative staff to monitor metrics and ensure regulatory compliance. The role...
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