Job Description

Essential Duties and Responsibilities: include but are not limited to the following functions.

MUST HAVE EXPERIENCE WITH UDS AND HEDIS! IF YOU DO NOT HAVE THE EXPERIENCE, PLEASE DO NOT APPLY.

• Provide care management services
• Engage members
• Perform coordination of care, and transition of care.
• Connect members with resources.
• Create reports.
• Improve and drive Quality Improvement across all areas.
• Drive to clinic locations
• Engage in process improvement and work with other departments as needed in order to ensure organization-wide improvement.
• Develop policies, procedures, and protocols for the department using knowledge of Quality Improvement principles, practices, and procedures.
• Work directly with the clinic staff in establishing, refining, and implementing developed policies, procedures, and protocols for use in the clinic.
• Assist with the tracking of all UDS, HEDIS clinical indicators on a monthly basis and reporting these measures to the supervisor.
• Assist with credentialing of Providers
• Assist with audit
• Educate and facilitates the use of the PDSA model.
• Facilitate CAP as determined by QIC when metrics do not progress toward the target.
• Monitor effectiveness of implementation.
• Provide written and verbal reports of findings to QI Director.
• Maintain written reports of findings and activities.
• Attend training programs as assigned/approved by supervisor.
• Attend both internal and external meetings.

Qualifications:

Education:

• Bachelor’s degree in health sciences, business, healthcare administration, health information management, engineering, or other relevant field.
• Must know Excel, PowerPoint.
• Must know how to create a PowerPoint presentation
• Must know how to use Excel.
• Minimum 1 year of work experience in healthcare.
• Current CPR certification is required.

Job Tags

Work experience placement,

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