Clinic Quality Coordinator - Full-Time (Rx2)

Quality Coordinator will:

Daily

-Hardwire CHS “Every patient/ every time” best practice workflows into behavior adoption
-Support practices as local QSME until needs are resolved
-Respond to requests from QL and PPS leadership
-Ensure hospital d/c calls are completed/ scheduled/ tracked
-Ensure TCM eligible patients are contacted w/i 2 business days and scheduled w/i 7 days
-Ensure there is adequate patient access for appointment scheduling
-Ensure open schedules are maximized with preventative and chronic management appointments after same day availability     need is met
-Ensure appointments are being optimized for ACV/GIC closure (Chart Prep)
-ACV Scheduling/ Completion
-Publish how many MAWV are scheduled/completed for the month in relation to CHS benchmark goal

Weekly

-Monitor all QI efforts, report status to key stakeholders and intervene to address concerns
-Round with providers/key stakeholders to support CHS best practices/ efficient workflows
-Provide ongoing training , support, and coordination of quality care
-HQPAF Worklist (Schedule/Submit)
-Submission of nonstandard PAFs
-Validate automated claim rules are firing/being followed
-Ensure the capture of HCC/RAF/Suspect Conditions
-Audit charts for educational opportunities by user
-Take action on RX reports
-Attend Bi-weekly AMR Build Coordinator Call
-Huddle w/ PM and key stakeholders on KPI
-Complete vulnerable patient worklist
-Complete Emerald/Ruby Worklist
-Complete ED Frequent flyer outreach
-Complete medical record requests to outside offices to close GIC
-Follow-up on GIC orders that are not resulted after two-weeks of order
-Reward/Recognize Staff
-Celebrate the wins

Monthly

-Complete best practice workflow for each MCO/ACO incentive program we participate in
-Present KPI/action plans/assign owners at practice meetings
-Reviews rosters for data integrity, escalate to QL/MC
-Serves on quality committee/ document and report IA
-Optimize local AMR tablespace for performance and pop health mgmt.
-Monitor chart prep, QM tools for utilization, provide feedback, and hold stakeholders accountable
-Track results of patient outreach campaigns
-Ariba payer access business owner
-Share scorecards (translate performance) with stakeholders & providers
-MIPS/PI call with corporate team
-Complete medical record requests from payers related to quality audit reviews
-Utilize Physician leadership to address resistant behaviors and gain buy-in

Quarterly

-Complete best practice workflow for each MCO/ACO incentive program we participate in
-Present KPI/action plans/assign owners at practice meetings
-Reviews rosters for data integrity, escalate to QL/MC
-Serves on quality committee/ document and report IA
-Optimize local AMR tablespace for performance and pop health mgmt.
-Monitor chart prep, QM tools for utilization, provide feedback, and hold stakeholders accountable
-Track results of patient outreach campaigns
-Ariba payer access business owner
-Share scorecards (translate performance) with stakeholders & providers
-MIPS/PI call with corporate team
-Complete medical record requests from payers related to quality audit reviews
-Utilize Physician leadership to address resistant behaviors and gain buy-in