The CKHobbie Group

The Licensing Technician is responsible for conducting program analysis, coordinating facility inspections, and managing enforcement actions to ensure regulatory compliance. They also oversee data systems, review incident reports, and provide technical support to staff while liaising with law enforcement.

Review and abstract clinical data from medical records according to HEDIS measures and NCQA guidelines. Collaborate with healthcare providers and internal teams to ensure data integrity and meet productivity benchmarks.

Review and abstract clinical data from medical records according to HEDIS measures and NCQA guidelines. Collaborate with healthcare providers and internal teams to ensure data integrity and meet productivity benchmarks.

The role involves conducting clinical reviews to ensure quality, appropriateness, and compliance with healthcare standards, while supporting program integrity efforts by identifying trends and risks. The nurse will also advocate for beneficiaries, analyze medical records and billing data, and collaborate with teams to promote best practices across Pennsylvania.

The Workload Manager will manage complaint and incident tracking systems, prioritize investigations, coordinate inspections, and support enforcement actions to protect vulnerable residents in licensed settings. This involves conducting research, system analysis, and generating reports to strengthen programs and ensure provider accountability.

Conduct clinical reviews to ensure quality and compliance with healthcare standards while advocating for beneficiaries. Collaborate with interdisciplinary teams to promote best practices and contribute to quality improvement initiatives.