Quality Coordinator

Tenor Health Foundation; Wilkes-Barre (Luzerne County); On-site; USD 50,000 - 70,000; Full time

Job summary

Tenor Health Foundation is seeking a Quality Coordinator in Wilkes-Barre, PA. The role focuses on ensuring successful patient care models and involves responsibilities like data submission and collaboration with healthcare providers. Candidates should have at least one year of experience in healthcare, preferably in a clinic or hospital setting, and must possess skills in Google and Microsoft Office suites. An Associate's degree and relevant certifications are preferred for this impactful position.

Qualifications

• Minimum one year experience in healthcare field, ideally in a physician office or hospital setting.
• Basic understanding of HEDIS quality measures and healthcare administration.
• Proficiency in Google Suite and Microsoft Office for daily tasks.

Responsibilities

• Ensure success of patient-focused care models.
• Take action on quality reports from scheduling to care gaps.
• Assist providers in developing necessary skills for quality care workflows.

Skills

Healthcare experience

Project management

Understanding of HEDIS metrics

Knowledge of healthcare administration

Familiarity with governmental regulations

Managed care knowledge

Education

Associates Degree

Tools

Google Suite

Microsoft Office Suite

Kronos

Athena

Job description

Overview

It is the direct responsibility of the quality coordinator to ensure the market's success of patient focused care models to reach the highest achievement possible. It is their job to meet the individual metrics of each program we participate in. QC is responsible for taking action on all quality attribution reports from scheduling to closing gaps in care and submitting data to the various payers. The QC will assist providers and staff with development of the skills necessary to adapt CHS best practices related to quality care workflows. This role will interact closely with the Regional Quality Director and CHS PPS Department. The QC is responsible for ensuring the accountability of the local team to achieve measurable gains within the programs, as measured by internal and external metrics. Scope: Physician practice quality coordinator responsibilities and functions under the administrative supervision of the Regional Quality Director

Qualifications

Education:

Preferred: Associates Degree

Experience/Specialized Skills/Aptitudes

• Minimum 1 (one) year experience in healthcare field; preferably physician office and/or clinic setting, hospital-owned


• Project & Physician-Provider Practice Relationship Experience


• Basic understanding of HEDIS quality measures


• Basic understanding of health care administration, clinic philosophy, and policies and operating procedures


• Basic understanding of governmental regulations and reimbursement requirements


• Basic knowledge of legal issues relating to physician-owned practices and hospital-employed physicians.


• Basic knowledge of managed care industry, understanding of EMR quality management data and/or physician practice management applications. This should be combined with a succinct understanding of physician practice operations including how charge capture and clinical documentation affects quality improvement.

Computer Skills

• Preferred: Google Suite including Gmail, GDrive, GSheets, GCalendar, etc. Microsoft Office Suite including Word, Excel, Power Point, and Visio


• Kronos, Athena, and the ability to learn multiple new systems being used in the organization to perform daily operational activities

Licenses/Certificates:

Preferred: Clinical Certification (i.e., CMA, LPN, RN)