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Charles City

    Provider Referral Analyst - Charles City, United States - Nashville General Hospital

    Nashville General Hospital
    Nashville General Hospital Charles City, United States

    3 weeks ago

    Default job background
    Description


    Act as a liaison between providers and the provider practices including spending time on-site at each clinic interacting with providers concerning their performance including reviewing quality data and referral metrics.

    Possess an in-depth knowledge, understanding and application of NCQA standards for PCP and PCSP patient throughput to be a resource for providers.

    Analyze referral data to determine trends.

    Review incoming and outgoing referrals with providers for completeness to close the loop for the best patient experience and outcomes.

    Deliver insights to drive quality outcomes cost-effectively to improve efficiency to providers and others through data exchange. Assists and/or recommends ways to improve communications and to provide feedback to both internal and external referring physicians.
    Creates and presents complex ad hoc data analysis and reports for providers.
    Represents Clinic quality team in collaboration with other internal teams for continual process improvement initiatives to simplify and enhance the customer experience

    .
    Monitor process performance metrics to ensure that improvements are maintained over time.
    Prepare reports that establish recommended interventions and document their impact on patient care delivery.
    Regularly present findings and recommendations to management.

    Preferred Skills and Qualifications:
    Associate's or Bachelor's degree in business, healthcare, or a related field
    Minimum 2-3 years of experience in data collection, process improvement, quality assurance, or a similar role.
    Excellent analytical and problem-solving skills.

    Strong communication, presentation and interpersonal skills and the ability to work effectively with a wide range of individuals and constituencies in a diverse community.

    Ability to interpret and analyze data and provide insight to providers on improvement initiatives.
    Ability to gather data, compile information, and prepare complex reports.

    Certifications and Licenses:
    Obtain certification as a PCMH content expert within 6 months of hire

    We are an E-Verify employer.
    For more information, please click on the following links:

    E-Verify Participation Poster:
    English

    | Spanish

    E-Verify Right to Work Poster:
    English

    | Spanish

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