Thank you for your interest in employment opportunities with Qualidigm. Our staffing needs change frequently. We invite you to check this site often for the most current information about our job openings.
Qualidigm is a growing, nationally recognized, non-profit health care consulting organization with over two decades of experience in creating innovative and practical solutions to the challenges of our health care system. It is the designated Quality Improvement Organization (QIO) for Connecticut, and a certified Patient Safety Organization (PSO).
Immediate opening for someone who will lead our utilization review team. You will be responsible for directing and monitoring all activities related to case/utilization review, ensuring compliance and providing management and direction to review operations. You will monitor outcomes and provide guidance to assigned staff using quality improvement and inter-rater reliability methods and tools, while maintaining timeliness and accuracy of the review and other processes, including the medical records area. In addition, you will provide consultative advice to the senior leadership team on existing and new contracts, and function as a liaison between providers and CMS/DSS/DHS and other Case Review Department customers and suppliers. You will be responsible for the management of operating budgets for the department.
You will need a current Connecticut RN license, a Bachelor’s degree in a relevant field (Masters preferred), at least one year of medical/surgical clinical experience and three years of utilization and/or care management supervisory experience. In addition, experience dealing with state and federal agencies strongly preferred.
We offer an extensive benefit package and competitive salary.
We are an EOE/Affirmative Action employer. M/F/H/V
Qualidigm is a nationally recognized consulting and research company dedicated to improving the quality and safety of health care. We deliver innovative, scientifically based, practical solutions for our private and public sector clients. Qualidigm is the Medicare Quality Improvement Organization (QIO) for Connecticut and also a Patient Safety Organization (PSO) as designated by the State of Connecticut.
Our headquarters are located in Rocky Hill, CT and our rural location provides a pleasant work setting. Our staff includes health care professionals, scientists, health educators, marketing and communications professionals, project managers and coordinators and related staff functions. We offer competitive benefits and flexible work schedules including a four-day workweek option for most positions. We are an Equal Opportunity/Affirmative Action Employer.