CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Acentra seeks a Quality Manager – RN (Remote, preferred within Illinois) to join our growing team.
Job Summary:
Acentra Health is seeking a Quality Manager to join our team. As the Quality Manager, you will be responsible for developing, implementing, and monitoring our organization’s quality and performance improvement activities and clinical outcomes. You will play a key role in supporting both medical and behavioral health departments in delivering high-quality care.
** This role preferred as Remote within the State of Illinois. **
** This role is contingent upon being awarded a contract. Start dates and final offers are contingent upon the contract award and final contract start dates. **
Job Responsibilities:
Lead and facilitate all Quality and Performance Improvement (QPI) activities across the organization. Provide coaching and support to managers and staff regarding QPI. Ensure the implementation of key performance indicators and maintain systems for tracking, reporting, and improving performance. Assist in developing benchmarks for quality measures and outcomes. Facilitate access to relevant policies, procedures, and resources for staff. Promote awareness of customer requirements throughout the organization. Participate in existing Continuous Quality Improvement (CQI) activities, quality/outcome studies, and program development. Lead local quality improvement committee and participate in a clinical practice oversight committee. Support quality of care reviews and assist in resolving member grievances or complaints. Monitor and ensure staff have appropriate credentials and training. Conduct audits of utilization and case management cases. Monitor and report on quality indicators to identify opportunities for improvement. Develop and maintain Quality Improvement Processes (QIPs) in alignment with regulatory requirements. Evaluate program effectiveness and document quality metrics. Review member satisfaction surveys and compare them to performance indicators. Report critical incidents to corporate compliance and assist with action plans. Execute CQI plans to meet business requirements. Participate in preparing quarterly and annual quality reports for clients. Identify patterns and trends in clinical case and utilization management performance. Maintain the Department's Quality Management Plan and Program Description. Coordinate with Subject Matter Experts (SMEs) in developing clinical solutions. Support commercial implementations and Request for Proposal (RFP)/proposal processes for clients.