LVN​/LPN Quality HEDIS​/STARs Coordinator San Antonio Texas

$1K Sign on Bonus for External Candidates

Well Med, part of the Optum family of businesses, is seeking a LVN/LPN Quality HEDIS/STARs Coordinator to join our team in San Antonio, Texas. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and erience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country.

Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be whileCaring. Connecting. Growing together.

This position is responsible for the coordination of HEDIS and STARs data. This role is responsible for education to the patient on quality measures and coordinates strategies for closing gaps. The Quality Coordinator LVN, through telephonic outreaches will educate patients on CAHPS & HOS components while working to close other HEDIS gaps for patients. Evaluates the quality and completeness of clinical gap closures by performing quality reviews with patients, maintaining clinical documentation, and accurately records of their review activities.

The Quality Coordinator LVN will maintain up-to-date knowledge of regulatory (HEDIS/STARs) standards and guidelines.

Position Highlights & Primary Responsibilities:

• Analyze data, evaluate for possible data integrity and data deficits and document findings
• Analyze and trend HEDIS/STAR rates, identify barriers to improvement of rates and create interpretive exhibits
• Identifies patients with the missing measures and works to close the measures through education/counseling, appointment setting, and other means as appropriate
• Conduct a high volume of outbound calls to members to discuss reasons for non-compliant to medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow up information from providers. Outbound calls are made primarily using an auto dialer requiring precision to
• detail and adaptability to type of response needed
• May answer inbound calls from members and assists them with their inquiries. Routes calls to appropriate department if necessary
• Follows system scripting and validates member demographic information
• Documents the provider or member's record with accurate information obtained on the call
• Works closely with local leadership to execute quality strategies
• Supports and assists PCPs/clinics with quality data collection
• Provides reports and monitors performance at local level
• Engages PCP and clinic staff in developing strategies to close quality gaps
• Maintains education/knowledge base of HEDIS/STARs standards and guidelines
• Performs all other related duties as assigned

This is an office-based position located near Interstate Highway I-10 West, near West Frontage Road just past The Rim Shopping Center/Ferrari Dealership, 78257

In 2011, Well Med partnered with Optum to provide care to patients across Texas and Florida. Well Med is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors’ offices. At Well Med our focus is simple. We’re innovators in preventative health care, striving to change the face of health care for seniors.

Well Med has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

You’ll be rewarded and recognized for your…