CARE MANAGER AND QUALITY IMPROVEMENT COORDINATOR
BLEHEALTH
Date: 1 week ago
City: Pomona, CA
Salary:
$16
-
$25
per hour
Contract type: Full time
Essential Duties and Responsibilities: include but are not limited to the following functions.
MUST HAVE EXPERIENCE WITH UDS AND HEDIS! IF YOU DO NOT HAVE THE EXPERIENCE, PLEASE DO NOT APPLY.
Education:
MUST HAVE EXPERIENCE WITH UDS AND HEDIS! IF YOU DO NOT HAVE THE EXPERIENCE, PLEASE DO NOT APPLY.
- Provide care management services
- Engage members
- Perform coordination of care, and transition of care.
- Connect members with resources.
- Create reports.
- Improve and drive Quality Improvement across all areas.
- Drive to clinic locations
- Engage in process improvement and work with other departments as needed in order to ensure organization-wide improvement.
- Develop policies, procedures, and protocols for the department using knowledge of Quality Improvement principles, practices, and procedures.
- Work directly with the clinic staff in establishing, refining, and implementing developed policies, procedures, and protocols for use in the clinic.
- Assist with the tracking of all UDS, HEDIS clinical indicators on a monthly basis and reporting these measures to the supervisor.
- Assist with credentialing of Providers
- Assist with audit
- Educate and facilitates the use of the PDSA model.
- Facilitate CAP as determined by QIC when metrics do not progress toward the target.
- Monitor effectiveness of implementation.
- Provide written and verbal reports of findings to QI Director.
- Maintain written reports of findings and activities.
- Attend training programs as assigned/approved by supervisor.
- Attend both internal and external meetings.
Education:
- Bachelor’s degree in health sciences, business, healthcare administration, health information management, engineering, or other relevant field.
- Must know Excel, PowerPoint.
- Must know how to create a PowerPoint presentation
- Must know how to use Excel.
- Minimum 1 year of work experience in healthcare.
- Current CPR certification is required.
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