Clinical Quality Coordinator - LPN

About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through Village

MD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: , , , , , , or

Summit Health is seeking a Clinical Quality Coordinator, Licensed Practical Nurse (LPN) to join the Internal Medicine department.

• Coordinates compliance with Clinical Quality Requirements required for ACO/PCMH at Summit Health in conjunction with the Director of Clinical Operations.
• Actively participates in concurrent and retrospective case review to assure that evidence based best practices are implemented timely for patients.
• Tracks compliance of quality measures and provides physician and staff education relating to the externally reported measurements.
• Assists in the planning and implementation of interventions to ensure evidence-based practices are followed (i.e. Preventive Measures for colorectal and breast screening, vaccinations, Disease Management for Diabetes, Hypertension and Hyperlipidemia, and any other identified Gap in care).
• Works closely with providers, support staff and other members of the organization by demonstrating effective communications, teaching and negotiating skills.
• Is accountable for quality assessment and efficient coordinated care.
• Coordinates the day-to-day review of patient flow as part of a healthcare team by assisting in planning and implementing care interventions while promoting high quality patient care in a professional, efficient and safe manner.
• Directs the team member as needed in order to support and maintain high-quality patient care. Leads team huddles regarding patient care.
• Provides assistance with referrals to Palliative Medicine and Case Management as well as site specific injection schedules.
• Expected to keep relevant knowledge up-to-date and apply it to everyday practice.
• Effectively communicates with all team members to support a cohesive work environment.

Essential Functions and

Job Responsibilities:

• Based on Dashboard Metrics, reviews each patient's plan of care to ensure that all quality metrics are being met, including those related to Preventive Measures, Disease Management, Gaps in care, medications, diagnostic testing, education, and other areas.
• Routinely coordinates interdisciplinary care rounds with physicians, mid-level providers, support staff, case managers, respiratory therapists, pharmacists, dietitians, and other appropriate Summit Health personnel.
• Serve as liaison to physician:
  Serves as the point person who communicates and assists with understanding of dashboard metrics and opportunities to improve patient care, internal processes and work flows to the physician and also rounds with physicians to discuss the patient s clinical status and ensure that critical information is shared.
• Facilitate quality improvement, including identification and dissemination of best practices:
  Reviews data and trends from reports generated by Summit Health to determine system performance related to patient outcomes and then suggest areas for improvement. For example, review adherence with ACO, NCQA and contractual reporting requirements compared with the EMR. Identifies education, workflow, process or documentation/template enhancements. The coordinator meets with RN Clinical Manager, and/or Director of Clinical Operations to discuss individual nurse performance issues and/or determine whether a system-wide performance improvement initiative is warranted.
  
  Clinical Coordinator also identifies best practices for implementation.
• Mentor and coach support staff:
  Clinical coordinator orients all new clinical staff to ACO, PCMH requirements, provides ongoing mentoring, coaching, and education to all clinical support staff members. They also conduct site-wide training and education related to topics such as Medicare Wellness, Disease Specific Competencies, Emmi, peak flow, Asthma Action plans and all other department wide performance improvement initiatives.
• Communicate with patient/family: to review outlier metrics and assist the facilitation of scheduling follow-up as appropriate, convey any patient and family concerns to physicians.
• Office Visit – Provides routine office visit care, follow up, charting, desktop management, clerical…