The posting
Responsibilities Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. SUMMARY: Maintain original signed policies and procedures, and maintains Table of Contents to ensure most current, up to date P&Ps. Track progress of revised/new P&P’s through the approval process, obtain required signatures on approved P&P’s, and tracks P&P’s through the approval process. Acts as the liaison between malpractice lawsuits and providers, as well as Corporate Risk. Stays up to date on current litigations and incidents/occurrences within RMC. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. HOURS: Monday - Friday 8:30am-5:30pm ONSITE Qualifications EDUCATION and/or EXPERIENCE: Associates Degree or higher. Computer skills required: Experience with Microsoft Office (Word, Access, Excel) Medical training background desirable Risk Management experience desirable CERTIFICATES, LICENSES, AND REGISTRATIONS: LVN preferred. ESSENTIAL FUNCTIONS: Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Note: (other duties may be assigned, deleted or changed at any time, at the discretion of management, formally, or informally, either verbally or in writing). 1. Procure charts for Medical Record Audits and prep for monthly peer review. 2.Accept summons/subpoenas/letters of intent, on behalf of RMC and Physicians. Forward notice to malpractice carrier and Medical Directors. Sequester medical records upon receipt of notice and forward copies to insurance carriers. Prepare duplicate chart for circulation. Maintain original and duplicate chart to assure both are current. 3.Send out meeting notifications and assists with meeting packet preparation. Procures charts for special or focused QRM studies. Return medical records to the proper chart home base, upon completion of audits. Maintain QRM correspondence and files in a secure, organized and current state. 4.Mail quarterly reports to health plans in a timely manner. 5.Resolve customer complaints or forward to QM Specialist for resolution. Collect and enter statistical data in established database. 6.Complete data entry in an accurate and timely manner. 7.Maintain the privacy of both internal and external clients. Monitors/documents HIPAA compliance/violations. 8.Monitors provider open and encounters and prepares memos for fine collection. 9.Any other duties requested by Manager, Quality and/or Regional Director, Quality This opportunity offers the following: Challenging and rewarding work environment Growth and Development Opportunities within UHS and its Subsidiaries Competitive Compensation About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
