Certified health education specialist Jobs in Lafayette, LA

Responsibilities

As part of the Quality Management team, the Behavioral Health Quality Performance Specialist -Clinical is responsible for the coordination and oversight of the behavioral health quality metrics, quality improvement activities and performance improvement projects. This role will collaborate with internal and external customers relative to behavioral health initiatives to complete impactful and time sensitive projects. The position also supports accreditation.

Principal Accountabilities :

• Prepares meeting packets, schedules meetings, develops agendas, completes minutes, and chairs the Behavioral Health Quarterly Workgroup.
• Develops reports and analysis for quarterly trending reports and presents to applicable Committees for input and direction. Follows up on any recommendations.
• Maintains QM policies including annual reviews, updates, and approvals.
• Assumes the responsibility for reviewing sentinel events and member concerns reported for potential quality of care issues related to behavioral health. Coordinates reviews with physician advisors and clinical quality committees as appropriate.
• Conducts provider and member outreach and education relative to behavioral health initiatives.
• Supports the quality improvement department with annual medical record review activities including HEDIS, and Clinical Practice Guidelines by working collaboratively with the Quality Improvement Department. Assistance will be based upon the organizations needs annually but may include participation in the development of medical record review tools, conducting training and testing of medical record review staff, and auditing medical record reviews upon completion.
• Performs other related duties and special projects as assigned.
• Travels to office, provider visits and community events as needed.

Education / Experience :

Diversity, Equity, and Inclusion

At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Generous paid time off and paid volunteer time off.

Employer-matched 401(k) and additional non-elective contributions, starting on day one.

Medical, dental, and vision plans — with coverage starting on day one.

Employee assistance programs, fitness reimbursements, nutrition counseling, and more.

Employer-paid life insurance, with opportunities to purchase additional coverage.

Employer-paid short-term disability coverage and long-term disability coverage.

Tuition assistance, including reduced tuition at certain schools.

Financial assistance with adoption, including paid time off.

Flexible spending and health savings accounts to pay for qualified expenses.

Discount programs on entertainment, travel, and more.