POSITION PROFILE:

We seek a compassionate, detail oriented, and outcomes driven Clinical Quality Outreach Coordinator to join our Quality team. The Coordinator primarily completes Transition of Care Management & Medication Adherence outreach. The Coordinator also assists the team with other Clinical Quality activities. The objectives include:

• Timely outreach to recently discharged patients
• Intervention to enhance patient medication compliance
• Closing gaps in patient care
• Ensuring documentation accurately reflects the patients’ condition(s)

KEY RESPONSIBILITIES:

• Reviewing, prioritizing, and actioning on daily discharge reporting to include calls to patients & caregivers
• Reviewing, prioritizing, and actioning on payor medication adherence reporting to include calls to patients, patient caregivers, and pharmacies
• Performing chart reviews for documentation of quality care
• Reviewing reports, data, and medical records to identify opportunities to improve care quality and identify trends related to care quality
• Communicating with clinical team members to achieve program objectives
• Participating in meetings and calls with internal constituents and payors as necessary
• Assisting with other duties as assigned

REQUIRED QUALIFICATIONS:

• High School graduate or equivalent education required.
• Working knowledge of the patient record in the EMR (preferably eCW).
• Medical knowledge associated with experience such as MA, LPN, biller/coder as relates to clinical quality including medical terminology, diagnoses, and medications.
• Excellent verbal and written communication skills.
• Ability to effectively utilize technology to perform clinical quality tasks.
• Prefer previous experience with clinical quality initiatives.
• Knowledge of HEDIS and Medicare.
• Demonstrated ability to organize, coordinate, prioritize, and facilitate multiple tasks.
• Proficient computer skills including Excel, Word, Microsoft Office, Outlook and others
• Professional demeanor and appearance.
• Ability to contribute to a positive, supportive work environment and collaborate with a team.

BENEFITS:

• Medical, dental, and vision insurance
• Childcare assistance, up to $500 per month/child
• 401K with company match
• STD, LTD, Life Insurance
• Paid Time Off and Paid Holidays