Summary:
The Clinical Quality Coordinator is responsible for oversight of day-to-day activities of the quality department. The Clinical Quality Coordinator is responsible for assisting the Director of Clinical Quality in coordinating quality improvement initiatives, population health activities, care gap closure efforts, quality reporting, patient outreach, care coordination, and value-based care performance across the organization. The Clinical Quality Coordinator must be a strong advocate and champion for the elements of the Patient Centered Medical Home. The Clinical Quality Coordinator must support the Director of Clinical Quality in quality performance activities to ensure quality patient care.
Essential Duties and Responsibilities:
General Management Reporting to the Director of Clinical Quality, the Clinical Quality Coordinator manages the quality team. This includes RN Quality Case Managers & RN Wellness Nurses. The Clinical Quality Coordinator helps coordinate quality improvement activities and collaboratives to improve clinical quality/performance.
Analyzes quality gaps within the organization, evaluates solutions, and utilizes best practice guidelines to guide quality improvement activities.
Supports hiring, evaluates, trains, and supervises the quality coordinator, case managers, and wellness RNs.
Supports a team approach to quality solutions within the organization.
Externally, participates in quality collaboratives that support improvements in overall patient outcomes.
Works collaboratively with the Manager of Clinical Support and the Non-Clinical Support Manager to support quality patient care.
Maintains communication with all quality team members as well as other department leaders/directors to ensure understanding of quality initiatives, UDS, and PCMH requirements.
Assists the Director of Clinical Quality in using nationally recognized population health methodologies to assist with development of annual quality plan.
Assists in collecting and coordinating data for PCMH submission.
Collaborates with the Director of Clinical Quality, Director of Payer Relations, & Care Gap Specialist on payer-related quality measures to include HEDIS, ACO, CIN, and any other activities and reporting.
Financial Management Works closely with the Director of Clinical Quality in forecasting and preparing the annual budget.
Help evaluate financial decisions that affect quality initiatives and incentives within the organization.
Ability to understand the elements of the Performance Management Incentive Bonus Plan as it relates to scorecard calculations, NACHC percentages, and program requirements.
Human Resources
Resolves department problems and openly communicates with quality staff to ensure high productivity and morale. Ensures that Leader Rounding activities occur regularly to ensure leader visibility and improve staff relations.
Manages a quality team that includes care coordination and case management.
Manages Performance Evaluation and staff relations for the Quality Team.
Works closely with Human Resources in maintaining Employee Health issues, including but not limited to immunizations and vaccinations.
Compliance & Performance Improvement Participates in maintaining organizational compliance with governmental regulations and industry requirements. Supports activities to maintain such compliance.
Coordinates and assists in quality improvement performance programs.
Supports and participates in organizational risk management and corporate compliance programs.
Assists with UDS tracking of quality metrics and performance improvement activities.
Supports team-based preparation for HRSA OSV reviews, review preparation, coordinating and follow-up.
Maintains an understanding of Federal, State, and local laws and regulations that impact Grace Health’s ability to provide patient care.
Performs other related duties as assigned by the Director of Clinical Quality and the Chief Medical Officer.
Communication: Conveys information…