Clinical Quality Assurance Review Coordinator
Location: Nashville, Tennessee US
Job Number: 805
The Clinical Quality Assurance Review Coordinator coordinates, prepares, conducts clinical quality review audits, and reports findings of all providers within the Care Group. This position acts as a valued resource in the audit process, working closely with DentaQuest's Care Group practice managers, providers, operations and quality Team. The Clinical Quality Assurance Review Specialist provides assistance to the Director, Clinical Quality Assurance in identifying and recommending process improvements based on audit findings. This position has no direct reports.
PRIMARY JOB RESPONSIBILITIES:
ct audits on all Care Group centers based on Care Group policies and procedures, state, and federal regulations. Focusing on quality of care, over or under utilization of services, proper billing of completed treatment, ensure that preventative services have been complete.
At DentaQuest, we believe that everyone should live life free of dental disease. As a purpose-driven, double bottom line company that is improving oral health for everyone, we are transforming the oral health system - from the way we provide care and pay for it, to how we talk about it and prioritize it in our policies and communities.
Meaningful change requires a revolution in oral health. We are redefining what it means to prevent disease and provide better access to care for everyone. We are going beyond the dental chair to reshape the oral health system, addressing total health and the social and cultural factors that impact it.
To make this revolution a reality, we harness our unique reach and insights to advance policy, financing, care, and the community. That means solving problems in a flexible and efficient way, testing and trialing to create new solutions and deliveringmeasurableoutcomes for the people we serve.
The people of DentaQuest have a common purpose, and we work together with passion, perseverance and focus to achieve a nation where no child suffers from the pain of tooth decay. Where adults keep all their teeth for their entire lives. Where every person has access to quality dental care.
Job Number: 2613
Community / Marketing Title: Clinical Quality Assurance Review Coordinator
Location_formattedLocationLong: Nashville, Tennessee US