Clinic Quality Coordinator

JOB TITLE:

Clinic Quality Coordinator DEPARTMENT:
Rural Health Clinics

REPORTS TO:

Director of Clinic Operations Summary for Position:

The main purpose of the clinic Quality Coordinator is to improve CAHPS Score through quality performance improvement.

POSITION RESPONSIBILITIESESSENTAIL FUNCTIONS:

Improvement of patient experience and HCAHPS Scores Plans, implements, and monitors quality improvement to meet the clinic’s needs.

Coordination of process improvement activities within the clinics

Develop and lead continuous performance improvement process

Monitor ongoing chart reviews for analysis of medical care quality

Acts as liaison with external agencies that request PI data [CMS, KRHA, KHIE, Stars Quality Reports, Inova Lon, etc.]Attend, facilitate, and report to various committees

Works within the facility to maintain surgery readiness.

Performs other duties as assigned.

Helps quality improvement (QI) manager to plan, design, implement, and maintain a comprehensive medical practice continuous quality improvement (CQI) program including utilization management and risk management. Assists in educating new staff, including physicians, about QI systems and requirements.

Meets with internal and external audiences to identify and problem solve QI issues.

Monitors medical practice efforts to ensure compliance with internal and external QI standards. Reviews medical records and other documentation to ensure quality care. Helps to prepare annual QI report.

Coordinates the effort to gather data and prepare reports to meet the requirements of NCQA and other regulatory/accrediting agencies, including patient satisfaction data.

Evaluates variance and other data to identify QI opportunities and risk management issues.

Monitors utilization and service quality through diagnosis-related group (DRG) review, HEDIS quality measures, payer/provider/patient satisfaction surveys, and complaints. Follows through on complaints including identification of corrective actions needed. Reports on results.

EXPECTATIONS Proficiency in this position should be reached in 6-8 months.

Must be willing to take specialty classes and other educational offerings as indicated.

Must demonstrate the ability to interact with other personnel in a positive fashion.

Must demonstrate the ability to work independently and to delegate appropriate tasks to others.

Full knowledge of Microsoft Office & Internet Excellent Time Management skills

Must exhibit excellent interpersonal communication skills, both written and verbal.

Flexible Open to feedback

Innovative

Analytical Skills Team player

Committed

Professional attitude

Should be a self-starter

Result-oriented

Excellent verbal, written communication and presentation skills.

Ability to build and maintain respectful, productive internal and external relationships, that are professional, encourage collaboration, ensure accountability and allow the achievement of mutual objectives and strategies.

Strong attention to detail with a project and process management focus.

Demonstrated accuracy with a strong attention to detail.

Excellent work ethic and ability to prioritize tasks.

Excellent problem-solving skills.

Ability to present findings and discuss issues with effectively.

Ability to work independently and as a part of a team in a deliverable-focused professional environment.

Ability to shift focus as necessary when priorities change without losing sight of original assignments.

Willing and able to work extended hours as business needs require.

Strong sense of confidentiality and professionalism regarding company and employee information.

Strong listening, decision-making, time management, communication, and critical-thinking skills.

Performance-driven with demonstrated ability to multi-task and work proactively with cross-functional teams.

Proficiency with Microsoft Office programs, proficient in excel.

Ability to work on-site Monday through Friday 8am-5pm.

WORKING CONDITIONS Subject to varying and unpredictable situations.

Subject to many interruptions.

Frequent pressure due to multiple calls, inquiries, questions and requests.

Performs both standardized and non-standardized duties that require independent judgment and initiative on an ongoing basis.

LANGUAGE SKILLS/READING SKILLS/HEARING Ability to talk/converse with and understood by others.

Ability to read, analyze and interpret written information.

Ability to respond to common inquiries or complaints from customers

Ability to effectively present information to others (individually or in groups)
Ability to read…