Quality Coordinator - San Diego, United States - San Diego American Indian Health Center

San Diego American Indian Health Center
San Diego American Indian Health Center
Verified Company
San Diego, United States

6 days ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Position Schedule:
Monday - Friday, *:00am - 5:00pm ON-SITE


Do you thrive in environments where your work makes a real impact? San Diego American Indian Health Center (SDAIHC), a Federally Qualified Health Center (FQHC), is seeking passionate individuals to join a team of healthcare professionals making a difference for local underserved communities.

Future SDAIHC - San Diego American Indian Health Center


More Than Just a Job:


  • Join an organization providing 45 years of healthcare services to San Diego,
accredited by AAAHC, AHA, CHQR, CARF International, and NCQA.

  • Be part of a workplace where you will shape the future of community health.
  • Make a difference every day with patientcentered care for diverse populations.
  • Reach your career goals with various opportunities for professional development.
  • Enjoy competitive compensation, great benefits, and supportive worklife balance.

About SDAIHC:


San Diego American Indian Health Center is a 501(c)(3) nonprofit organization providing comprehensive medical, dental, behavioral health, and community wellness services.

Initially established to serve Urban American Indians, we've expanded our reach to people of all backgrounds.


We're currently undergoing exciting new expansions, including a $35 million campaign to construct a modern community health center and a partnership with the County of San Diego's Refugee Health Assessment Program to address the health concerns of newly arrived refugees.

These upcoming developments have created new job opportunities at our organization, and we need your expertise to shape the future of community health.


Summary:


The HEDIS/GPRA Quality Coordinator (HQC) performs outbound calls to attributed patients of the clinic to close HEDIS/GPRA quality care gaps.

This includes scheduling appointments, validating documentation in the progress note, conducting surveys and questionnaires and other coordinating activities such as submitting authorizations, collecting medical records, and collaborating with various stakeholders to ensure care caps are closed.

Must be able to demonstrate knowledge and skills necessary to perform all job-related activities as outlined below. In addition, must perform other duties as assigned.


Essential Duties and Responsibilities:

Customer Service

  • Be courteous and friendly on the phone, following SDAIHC service standards and best practices.
  • Be professional at all times.
  • Provide patients with a caring and positive attitude.
  • Answer all questions without rushing the patient. Perform service recovery if patient's expectations are not met.
Patient Engagement

  • Call attributed patients to schedule medical appointments to address quality care gaps.
  • Strategically speak and engage with patients and convince hesitant patients to come in for care
  • Remove barriers to accessing care such as coordinating transportation, offering telehealth, etc.
  • Perform courtesy calls to remind patients of appointments, provide additional instructions and expectations, and initiate answering questions the patient may have.
  • Identify and assist patients in completing appropriate screenings before any visits. Screenings may be for but not limited to depression, activities of daily living, smoking status, etc.
Documentation, and Reporting

  • Accurately schedule appointments internally and document any external appointments within the EMR.
  • Accurately document all calls and activities to evaluate effectiveness and understand trends using various tools such as excel, SharePoint, Tableau, Relevant and other available tools
Care Coordination

  • Partner with medical team to close the loop on referrals related to closing care gaps to specialists such as Imaging Health Specialist, Quest, etc.
  • Schedule appointments with specialists as needed.
Collaboration

  • Team with Data Analytics department, Quality Department, Medical Department and others to access web portals, patient lists, and other data needed to successfully conduct patient calls and care coordination to close care gaps.
  • Build positive relationships with staff and leaders to engage them in Quality Management.
  • Build positive relationships with patients.
Innovation

  • Using available data and best practices, develop strategies to efficiently target various patient populations to improve HEDIS/GPRA scores.
Other duties as assigned


Qualifications:

- _

  • Bachelor's degree from an accredited college or university in Nursing, Quality, Social Work, or other health related field preferred.
  • Minimum 35 years' experience working in a healthcare quality related environment.
  • Some knowledge of clinical quality measures, best practices, medical record review, legal aspects of documentation, or medical coding and billing preferred.

Preferred:


  • Experience in Quality Coordination, Documentation Standards, Billing, and Coding knowledge.
  • Experience serving a multinational, multicultural population.
  • FQHC background.
  • Familiarity wi
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