Quality Improvement Coordinator - Behavioral Health
Coordinated Care
Tacoma, WA
19 days ago
$33.03 - $59.47
Job Description
Join Centene as a Quality Improvement Coordinator for Behavioral Health to lead initiatives that enhance clinical quality and ensure compliance. You will be instrumental in reviewing appeals and implementing performance improvement projects while enjoying a flexible work environment.
Key Responsibilities
Analyze, develop and monitor clinical QI activities
Lead Behavioral Health Performance Improvement Projects (PIPS)
Review clinical information for appeals
Prepare cases for appeals
Maintain files and documentation in accordance with NCQA and State standards
Investigate and resolve behavioral health quality of care complaints
Perform other duties as assigned
Required Qualifications
Associate's Degree in Nursing or related field
2+ years in Clinical Nursing or Behavioral Health
1+ years in Quality, Managed Care or Healthcare Administration
Preferred Qualifications
Registered Nurse (RN) certification
Licensed Mental Health Professional (LMHC)
Licensed Professional Counselor (LPC)
Benefits & Perks
Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules (remote, hybrid, field, or office)