Quality & Care Coordination Specialist

Mount Sinai Medical Center; Florida; Sur place; USD 65 000 - 90 000; Plein temps

Avantages offerts par ce poste

Health benefits

Life insurance

Long-term disability coverage

Retirement plan

Paid time off

Tuition reimbursement

Employee assistance program

Wellness program

On-site housing for select positions

Résumé du poste

Mount Sinai Medical Center in Miami, FL seeks a qualified professional to support the Wellness & Preventive Management Program. The role focuses on HEDIS data abstraction, annual wellness visits, and care coordination tasks across departments.

Responsibilities include reviewing medical records for HEDIS measures, collecting data, closing quality gaps with PCPs, uploading data to records, and coordinating with health plans.

Qualifications

• Reviews medical records to abstract data for HEDIS measures.
• Identifies improvements to meet quality measures.
• Collaborates with leadership to implement quality strategies.
• Uploads HEDIS data to medical records and transmits to health plans.

Responsabilités

• Support the Wellness & Preventive Management Program (WPM): HEDIS, Annual Wellness Visits, Appointments, and other care coordination tasks.
• Review assigned medical records to abstract clinical data elements for HEDIS reporting.
• Collect medical record data and identify needed improvements that impact HEDIS measures.
• Review noncompliant reports and flag patient charts with missing measures.
• Request quality data documentation from outside resources.
• Work with leadership to execute quality strategies and monitor performance at group/provider levels.
• Engage PCPs and clinic staff to close quality gaps.
• Upload HEDIS data to medical records and send to the health plan.
• Perform all other related duties as assigned.

Connaissances

Care coordination

HEDIS data abstraction

Medical records review

Data collection

Formation

High School Diploma

Bachelor of Science degree

Description du poste

Mount Sinai Medical Center in Miami, FL seeks a qualified professional to support the Wellness & Preventive Management Program. The role focuses on HEDIS data abstraction, annual wellness visits, and care coordination tasks across departments.

Responsibilities include reviewing medical records for HEDIS measures, collecting data, closing quality gaps with PCPs, uploading data to records, and coordinating with health plans.