Clinical Quality Coordinator, RN

JOB SUMMARY:

The Clinical Quality Coordinator, RN functions under the direction of the Director of Client Solutions. The Clinical Quality Coordinator, RN participates in a variety of clinical quality activities including chart reviews, telephonic encounters, and claim reviews to contribute to the goals and objectives of the department. The position is required to work on-site at the Imaging Center located in Stockbridge, GA, and provide medical intervention under Radiologist supervision in the rare event of a patient reaction to administered contrast.

ESSENTIAL FUNCTIONS

· Perform chart reviews to evaluate compliance with protocols and/or workflows.

· Perform claims reviews to ensure quality codes are included.

· Communicate with providers as needed for quality activities.

· Communicate test results and other patient education in accordance with the treatment plan.

· Perform patient assessments and health counseling telephonically (e.g. obesity and alcohol abuse focus).

· Provide treatment according to protocol as needed for reactions to imaging medications.

· Other duties as assigned.

REQUIRED QUALIFICATIONS:

· Current, unrestricted Registered Nurse License in state of GA (or compact)

· 2- 5 years clinical experience, preferably direct patient care

· Experience performing clinical quality activities

· Ability to work independently

· Strong knowledge of Quality Measures (HEDIS)

· Ability to multi-task

· Ability to adapt to change

· Strong organizational skills

· Excellent interpersonal communication skills

· Collaborative and able to contribute to a positive work environment

· Experience with Outlook, MS Word, Excel and tableau

· Experience with EHR systems

MINIMUM REQUIRED EDUCATION/TRAINING:

· Associate’s or Bachelor's degree from an approved program; graduate of an accredited school of nursing required.

· Must have a current BLS card from the American Heart Association

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