Job description
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
Behaviors
Required- Team Player: Works well as a member of a group
- Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Motivations
Required- Self-Starter: Inspired to perform without outside help
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