Registered Nurse - AVP Care Management Outcomes - UAS / Quality New

Compass Healthcare Consulting & Placement is conducting a search for an experienced RN, AVP of Care Management Outcomes, for a Healthcare organization with an office located in Midtown Manhattan, NY. This is an opportunity to support quality care, working with a team of clinical staff and healthcare leaders to achieve optimal patient outcomes. Registered Nurse, RN with Managed Care Plan, MLTC and UAS Assessment, experience required. Qualified candidates will be an experienced Clinician, RN, with a Managed Care Plan and/or Home Care background, with an emphasis on UAS Assessment and Quality Improvement, Director level experience.

AVP of Care Management Outcomes

The AVP of Care Management Outcomes is responsible for assuring that the quality of member services and care management outcomes meet or exceed the company’s and contracted Plans’/State’s standards, that the program is cost-effective, and meets state and federal compliance requirements for licensure and employment.

This role requires the oversight of various clinical and non-clinical staff. AVP will assume direct oversight of the UAS (Uniform Assessment System) Assessors.

Essential Job Responsibilities:

• Responsible for the management, leadership, support and development of staff.
• Overall responsibility for implementing, monitoring and promoting care management systems, models, services, processes and tools to assure delivery of quality care to members.
• Develops the Quality Improvement program and monitors metrics, tracks trends, evaluates outcomes and implements corrective action plans to assure that the Article 49 program meets all key performance indicators and compliance standards.
• Assures completion of quarterly QI Summaries per company policy and procedure.
• Participates in the development of annual budgets and in planning for company growth.
• Follows all agency policies and procedures
• Maintains HIPAA compliance.
• All other duties as assigned

Qualifications:

• Education: RN, BSN preferred. Current, valid and unencumbered license, certificate, or registration or credentialing as required.
• Travel: Limited.
• Work Experience: 10 years of RN clinical experience required with a minimum of 1 year in home health and quality improvement experience.

Skills: MS Office proficiency, excellent verbal and written communication, and the ability to work well under pressure required. Ability to provide clinical leadership to maximize quality of care and positive patient outcomes, while maintaining an efficient, cost effective operation.

Competitive Salary $145,000-$160,000 plus excellent benefits!

Qualified Candidates Please Apply Now for Immediate Consideration!