Quality Care Coordinator

Department: Quality - Risk Adjustment

Employment Type: Full Time

Location: 1301 Atwood Avenue, Suite 206N, Johnston, RI 02919

Reporting To: Anh Nguyen-Leite

Compensation: $22.00 - $25.00 / hour

Description

Job Title: Quality Care Coordinator
Department: Quality - Risk Adjustment

The Quality Care Coordinator (QCC) assists the Performance Programs department leadership team in achieving the highest percentage of member compliance for the annual goals of HEDIS, IHA, and STAR measures, as well as Annual Wellness Visits. The QCC serves as the main quality contact and resource for assigned practices, taking ownership in practice and provider engagement and participation in quality programs and quality improvement activities. 

What You'll Do

• Gathers and manages quantitative and qualitative patient data using EHR population registries and evidenced-based assessment tools 
• Prepare, modify, and distribute patient data and reports received from external organizations, such as payers, for practice use
• Review medical records and other healthcare data sources, and outreach to other facilities and/or providers to obtain patient records, results or reports for quality gap closure
• Provide monthly in-person support for assigned primary care practices
• Communicate with office managers regarding patient gaps in care and provide support to meet quality care metric goals that is individualized for each practice
• Conduct quality improvement projects in collaboration with assigned primary care practices 
• Other duties as assigned

Qualifications

Education/Experience:

• High School Diploma or General Education Development (GED) required
• Basic understanding of medical terminology
• Ability to project excellent customer service, negotiation, and conflict resolution skills via telephone and in-person while maintaining a professional demeanor
• Preferred minimum of 2 years experience in customer service or in a health care setting Experience in promoting healthcare behavior change is desirable 
• Prior use of electronic health records and other health care information systems desirable

 Knowledge/Skills/Abilities: 

• Ability to identify problems, think creatively, and devise innovative solutions 
• Strong verbal and non-verbal communication skills required
• Highly organized, self-directed and able to accomplish daily workflows in remote, central office and practice-based settings 
• Ability to work as a member of a collaborative team and engage others in efforts towards accomplishing objectives 
• Ability to manage and complete assignments with minimal supervision or absence of detailed instruction
• Proficiency in Microsoft Office Suite, included but not limited to Excel, Outlook, and Teams applications
• Must be able to speak, read, and write English proficiently
• Strong verbalization skills; ability to provide information to respond to questions from managers, peers, physicians, members, and the general public
• Demonstrate a strong commitment to our company’s values: Integrity, Ambition, Smart, Passion, Accountability, and Teamwork. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to remain in a stationary position, such as standing or sitting, over 90% of the time. Must be able to travel to and move about within different work environments Operation of a computer, other office devices (fax/copy machine, printer), and medical devices (Retinavue) Required to communicate and exchange information with others Specific vision abilities required by this job include close vision The employee might regularly lift and/or move up to ten (10) pounds Work Environment The work environment characteristics described here are representative of those an employee encounters while perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Primarily indoors in an office environment. Regularly required to work within medical offices, remotely off-site, and on-site at administrative office. Exposure to noise levels consistent with normal operations of a medical office or administrative office. Regularly working in close proximity to others Employer retains the right to change or assign other duties to this position

Environmental Job Requirements and Working Conditions

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