Clinical Quality and Training Manager
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Clinical Quality and Training Manager – Utilization Review
AllMed Healthcare Management’s mission is to improve the quality and integrity of healthcare by providing independent medical review services that help payers and providers deliver better health outcomes. We partner with hundreds of leading health insurance and hospital organizations and have maintained consistent growth, through our commitment to the highest quality, client satisfaction, and technology innovation. Services are delivered through PeerPoint ®, AllMed’s state-of-the-art medical review portal. We have recently undergone a Lean transformation in our Clinical Operations, with the goal of driving continuous improvement in our performance.
We are seeking a Clinical Quality and Training Manager with Lean experience to join our clinical operations leadership team as we continue to build our profile as a national leader in the industry. MedReview is AllMed’s innovative solution for health plans and payer organizations, which allows them to partner with AllMed for specialist reviews of pre-authorization and appeals requests. AllMed has grown steadily over the past several years, as health plans seek to outsource more of their routine physician review processes to companies like AllMed.
In this position, you will have overall responsibility to plan, develop, implement and maintain the Clinical Operations Quality and Training Program; collaborate with the Clinical Operations Production Manager to manage daily clinical case review production; act as a mentor and leader to clinical team in the professional practice of nursing as it applies to utilization management and independent review; ensure operational excellence, process improvement, and customer satisfaction through application of Lean management principles. The Clinical Quality and Training Manager provides leadership to clinical and allied health professional staff to ensure achievement of key performance metric targets and delivery of high-quality, on-time reviews to our clients.
Your responsibilities will include:
AllMed offers competitive compensation based on experience, comprehensive benefits and a generous vacation package.
AllMed provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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AllMed is an independent review organization with a panel of 400 physician peer reviewers who are licensed, board-certified and in active practice, covering more than 80 ABMS specialties and sub-specialties. AllMed offers medical, copy-editing and customer resources that enable clients to improve quality of care and patient safety.