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    Quality Coordinator - Las Vegas, United States - Arkos Health

    Arkos Health
    Arkos Health Las Vegas, United States

    1 week ago

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    Description

    Job Description

    Job DescriptionSalary:

    Our Organization:

    Welcome to Arkos Health We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Backed by a robust technology platform, innovative software, and a light human touch, Arkos Health is committed to delivering advanced and accessible community-based services allowing our clients to live healthier, more independent lives. How do we do this? Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve.

    How You'll Make a Difference:

    The Quality Care Coordinator will conduct outreach to our specific member population to encourage healthy behaviors through innovative telephonic communications. Performance driven on all provided targeted lists received by our Health Care partners. The Quality Care Coordinator will also enter data into our data base for all CPT II codes being performed. The Quality Care Coordinator will schedule and follow up on clinical care needs for patients as it relates to Healthcare Effectiveness Data and Information Set (HEDIS) and other quality STAR initiatives. The position contributes to the organization's drive to improve the overall experience of patient care, including the quality of health, and work to reduce the cost of care across the population served.

    Essential Duties and Responsibilities:

    • This position is responsible for reviewing data collected to confirm gaps in care are captured
    • Coordinate and order preventative and diagnostic tests around gaps in care on behalf of the primary care physician utilizing standing orders/protocols required by the health plan
    • Conduct data entry and maintain appropriate documentation and tracking for quality initiatives
    • Conducts outreach to specified patients on priority lists for any outstanding care gaps and schedule accordingly
    • Educating patients on procedures that are being scheduled/performed and the reason for performing them
    • This is both an in-office/field position: candidate must be comfortable traveling up to 20% of the time locally

    Qualifications/Skills:

    • High school diploma or GED equivalent required
    • Medical Assistant (MA) Certification and or Certified Nurse Assistant (CNA) Certification
    • Current CPR required
    • 2+ years' experience in a healthcare environment
    • Recent and related experience working with HEDIS STARS Program
    • Experience with Microsoft Word, Excel, and Power Point
    • Experience in Electronic Health Records
    • Ability to collect and process specimen samples
    • Experience with verifying Eligibility and navigating through Insurance Portals
    • Experience with CPT II codes
    • Basic knowledge HCC's and Medical Diagnosis
    • Ability to perform multiply procedures (i.e.) ABI, DRE, Urine Dips if necessary
    • Familiarity of Medicare guidelines to perform patient screening's
    • Medical Terminology

    Benefits:

    • Fully paid employee medical/dental/vision/life/short term disability
    • Employer matching 401(k)
    • 15 days annual combined sick/PTO with 9 paid holidays

    Must complete our Culture Index Survey. Take the assessment at This is not a pass/fail test and does not measure intelligence.

    Arkos Health EEO Statement

    All Arkos Health divisions are Equal Opportunity Employers. We do not discriminate on the basis of race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status or any other status protected under federal, state or local laws.

    Arkos Health is a drug free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.

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