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Clinical Quality Program Manager at WellSky - ApplyBlast

Clinical Quality Program Manager

WellSky

1 day ago

3.3 on Glassdoor

Remote

Full Time

Manager

0 applicants

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About this role

The Clinical Quality Program Manager ensures compliance with WellSky's Utilization Management and Quality Improvement Program by serving as a clinical expert on state and federal regulations. The role involves analyzing and presenting data to establish best practices across post-acute health care settings, including LTACHs, IRFs, SNFs, and Home Health facilities. This position requires facilitating performance measurement, conducting audits, and supporting quality improvement initiatives to meet CMS and NCQA standards.

Responsibilities

Ensure compliance with state and federal regulations for Utilization Management and Quality Improvement
Analyze and present data to establish best practices across post-acute health care settings
Conduct regular audits of UM decisions and prepare detailed quality reports for leadership

Skills

Qualifications

RNPTOTSLP

About WellSky

wellsky.com

Headquarters

Overland Park, Kansas, United States

Company Size

1001-5000 employees

Founded

1980

View Profile

WellSky is a healthcare technology company that develops AI-powered software solutions, analytics, and services to create a more effective, inclusive, and sustainable healthcare system. The company serves providers, payers, patients, and life sciences organizations with solutions spanning home and post-acute care, care management, connected care networks, and predictive analytics. WellSky's platform enables coordination across healthcare and community-based organizations to support whole person care.