Claims Quality Audit Director jobs in Columbus, GA

Responsible for providing oversight of the organization’s quality activities, the operations of the qualitydepartment and coordination of the organizations’ participation in state and national quality programs. Work collaboratively with medical staff, hospital leadership and team members to advance performance improvement and quality outcomes in the most effective manner. Responsible for oversight and operations of Case Management; ensure effective, patient-centered care through utilization review, discharge planning and patient throughout.

FLSA: Exempt
Grade:
EEO: X 01 Officials and Managers □ 02 Professionals □ 03 Technicians □ 04 Sales Workers □ 05 Administrative Support Workers □ 06 Craft Workers □ 07 Operatives □ 08 Laborers and Helpers □ 09 Service Workers

Minimum Education
X Bachelor’s degree X Required
X Graduate of a master's Program in Nursing or Healthcare Administration X Preferred

Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must beable to work in a stressful environment and take appropriate action.

Minimum Work Experience
Five (5) years of Director level experience in an acute care hospital and three years of clinical managementexperience.