8 Medical Audits Jobs

TPA or Medical claim. Investigation industry. State Health Authority, Medico, medical audits, fraud control, Mukhya Mantri Jan Arogya Yojana (AB-MMJAY), Claim rejection cause, PM-JAY patients, patient safety and quality.

As a Medical Operations professional in Bangalore with 5-10 years of experience, your role will involve managing and ensuring coordination within medical services to uphold service quality standards. Your key responsibilities will include: - Monitoring clinical and established indicators to ensure ongoing quality assurance - Implementing and adhering to SOPs in all Clinical Specialties - Conducting regular Medical Audits to maintain high standards - Setting up and overseeing the functioning of clinical/nonclinical committees - Supporting Continuous Quality Improvement initiatives - Collaborating closely with the Nursing Superintendent to ensure excellent patient care - Ensuring proper Standa...

Key Responsibilities: Manage and ensure coordination within medical services to deliver on service quality standards. Monitors clinical and other established indicators to ensure ongoing quality assurance. Responsible for implementation and adherence to SOPs in all Clinical Specialties, conducting regular Medical Audits on an ongoing basis. Strictly adheres to organizations regulations and policies especially those related to infection control, patient safety and JCI/NABH. Ensure that proper Standard Operative Procedures are in place for the efficient care of patients (Admission, care & Discharge). Set up & ensure the regular functioning of clinical/ Nonclinical committees, in consultation w...

As the Medical Director at our hospital, you will play a crucial role in overseeing the clinical operations, ensuring high-quality patient care, and driving the hospital's strategic growth. Your responsibilities will include: - Clinical Oversight and Quality Assurance: - Implementing standard treatment protocols and ensuring consistency across departments - Monitoring the quality of patient care and clinical outcomes - Leading medical audits, morbidity-mortality meetings, and internal quality checks - Ensuring hospital compliance with legal, accreditation, and ethical standards - Administrative Leadership: - Supervising day-to-day operations in clinical departments - Coordinating with depart...

As the Unit Clinical Care Services Manager, your role will involve planning, implementing, and evaluating all clinical care services provided at the Unit. You will oversee the reporting and communication of quality improvement initiatives, patient safety awareness, safety culture survey administration, and recognition programs. Your responsibilities will include establishing and maintaining patient care protocols and standards to ensure all regulations and guidelines are met, with a focus on increasing patient satisfaction. You will also provide clinical and administrative direction for the clinical operation of medical departments and services, as well as support medical audits and manage v...

As a Medical Director, you will have a pivotal role in ensuring clinical oversight and quality assurance within the hospital setting. Your responsibilities will include implementing standard treatment protocols, monitoring the quality of patient care and clinical outcomes, leading medical audits, morbidity-mortality meetings, and internal quality checks, as well as ensuring hospital compliance with legal, accreditation, and ethical standards. Additionally, you will provide administrative leadership by supervising day-to-day operations across clinical departments, coordinating with department heads for resource planning and workflow management, and ensuring the proper execution of hospital po...

Manage and ensure coordination within medical services to deliver on service quality standards. Monitors clinical and other established indicators to ensure ongoing quality assurance. Responsible for implementation and adherence to SOPs in all Clinical Specialties, conducting regular Medical Audits on an ongoing basis. Strictly adheres to organization s regulations and policies especially those related to infection control, patient safety and JCI/NABH. Ensure that proper Standard Operative Procedures are in place for the efficient care of patients (Admission, care Discharge). Set up ensure the regular functioning of clinical/ Nonclinical committees, in consultation with the Medical Superinte...

Manage and ensure coordination within medical services to deliver on service quality standards. Monitors clinical and other established indicators to ensure ongoing quality assurance. Responsible for implementation and adherence to SOPs in all Clinical Specialties, conducting regular Medical Audits on an ongoing basis. Strictly adheres to organization s regulations and policies especially those related to infection control, patient safety and JCI/NABH. Ensure that proper Standard Operative Procedures are in place for the efficient care of patients (Admission, care Discharge). Set up ensure the regular functioning of clinical/ Nonclinical committees, in consultation with the Medical Superinte...