Position Title: Quality Improvement Coordinator
Department: Clinical/Quality Improvement
Reports to: Quality Improvement Director
Purpose of Position:
Quality Improvement assures clinical effectiveness and positive health outcome through effective monitoring and performance improvement driven by Meaningful Use, PCMH, OC3, and other strategies adopted by Carevide. The position of the Quality Improvement Coordinator is responsible for assisting the Quality Improvement Director in the development, measurement, and evaluation of clinical systems and processes which improve efficiency, quality of care, and health outcomes. This position will assure that health outcomes exemplify the customer service goals of Carevide as well as the goals committed to through its healthcare plan, Optimized Comprehensive Clinical Care (OC3), and the standards of Patient Centered Medical Home (PCMH). The Quality Improvement Coordinator works closely with all department leaders and key program managers and reports regularly to the Quality Improvement Director.
Essential Functions:
- Assists in the development and implementation of a comprehensive plan for care coordination quality improvement review, for conducting reviews on a consistent basis, creating reports and making recommendations regarding policy, procedure and training based on those reviews.
- Develops and monitors performance measures guided by PCMH and OC3.
- Collects, analyzes and oversees data entry on relevant quality performance indicators.
- Collects, analyzes, and reports on metrics and other auditing tools used in the course of special projects.
- Designs, schedules and conducts quality review audits as appropriate to the health center or service; performs or coordinates chart and/or other medical record reviews and records and/or abstracts specific relevant data as appropriate.
- Conducts chart audits for identified issues on an as needed basis and/or health center annual reporting as requested by Executive Leadership.
- Participates in the planning, development, coordination and presentation of specific training and educational programs as appropriate to the quality assurance needs of the health center or service.
- Collaborates and consults with other associated facilities at the local or state level regarding current quality control issues and activities.
- Collaborates/initiates oversight and opportunities for process improvement of clinical outcomes and issues identified in audits/chart reviews.
- Assists with the development and maintenance of Carevide’s care coordination objectives.
- Conducts care coordination audits for PCMH.
- Maintains care coordination duties in the event there is an extended absence of a clinic care coordinator
- Performs tasks of a centralized care coordinator, focusing on care gaps for patients identified by payer sources.
- Maintains registries and performs outreach activities for identified patients.
- Participates as a member of the Quality Improvement Committee
- Participates as an active member of the core PCMH team, including the task of maintaining timelines and facilitating performance of the core team’s commitment to sustain and spread PCMH values.
- Participates as an active member of the core PCMH team, assisting with the development, implementation and sustainment of process improvement to support PCMH recognition standards.
- Responsible for the coordination of PCMH team responsibilities , to include scheduling team meetings, preparing agendas and minutes, management of action plans and timelines, provides research efforts for team in relation to PCMH crosswalks, OC3 PCMH portal, list serve, etc.
- Work with leaders of Carevide specialty sites and the PCMH core team in developing processes and procedures to begin implementation of PCMH into the specialty clinics.
- All other duties as assigned.
General Qualification and Requirements:
Required
- Trained medical assistant
- Clinical experience in a healthcare setting
- Knowledge of patient care charts and patient histories
- Knowledge of quality control practices and procedures within a patient care environment
- Computer skills with Microsoft Windows and Office Professional (Word, Excel, and PowerPoint), including knowledge of computer technology in a health care setting
- Extensive knowledge of an electronic medical record and how data is input and stored in the record
- Knowledge of medical records maintenance within the electronic health record
- Knowledge of data collection techniques
- Clinical audit skills
- Strong analytical skills and ability to work with data
- Experience in developing written policies and procedures
- Leadership and managerial skills
- Experience working in team oriented collaborative environments
- Ability to make evaluative judgements
- Ability to investigate and analyze information and draw conclusions
- Ability to develop and present educational programs and/or workshops
- Strong interpersonal skills
- Ability to communicate effectively, both verbally and in writing
- Presentation skills
- Able to organize work, develop procedures and follow instructions
- Able to maintain confidential documents and information
Preferred
- Broad-based knowledge of the scope of operations of a community health center
- Knowledge of quality improvement measures
- Demonstrated ability to develop studies and conduct reviews using measures or indicators
- Experience in using statistical calculations to monitor trends in data
The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in order to perform the work. The health center reserves the right to revise or change job duties and responsibilities as the business need arises. Additionally, this job description is not intended as an employment contract, implied or otherwise, and the Center continues to maintain its status as an at-will employer.
If the essential functions of this position cannot be performed in a satisfactory manner by the employee, reasonable accommodations may be made.
Supervision of Personnel:
None