Quality Coordinator - Quality Assurance

Prime Healthcare; Victorville (CA); On-site; USD 48,000 - 56,000; Full time

Job summary

Desert Valley Medical Group, affiliated with Desert Valley Hospital, seeks a Quality Coordinator to support quality initiatives and patient outcomes. The role collaborates with Quality Manager, Medical Director, and Administrator to implement CCM, TCM, and other programs, including HEDIS, P4P, MIPS, and STAR measures.

The coordinator analyzes gaps in care, prepares outreach data, and communicates with providers and patients. Travel between clinic offices is required.

Qualifications

• Two years of college education or equivalent work experience.
• 1-2 years of IPA/managed care experience preferred.
• Must be able to travel between clinic offices.
• Excellent presentation, verbal and written communication skills, and ability to collaborate with co-workers, senior leadership, and other management.
• Proficient in word processing, spreadsheets (excel), database and typing.

Responsibilities

• Implement quality platforms with QA team and leadership.
• Manage CCM/TCM and other quality initiatives including HEDIS, P4P, MIPS, STAR.
• Identify gaps in care and prepare data for outreach or provider encounter.
• Educate providers on closing data gaps and back up Member Services.

Skills

Communication skills

Team collaboration

Microsoft Excel

Typing

Data entry

Travel readiness

Education

Two years college education or equivalent work experience

Tools

Word

Excel

Database

Job description

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Desert Valley Medical Group is affiliated with Desert Valley Hospital, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Responsibilities

The (QC) at Desert Valley Medical Group (DVMG) works closely with the Quality Manager, Medical Director and Administrator in implementing quality platforms. This includes chronic care management (CCM), transitional care management (TCM) and other quality initiatives including HEDIS, P4P, MIPS, STAR measures, and annual wellness visits. The QC assesses missing patient benchmarks and organizes the data in preparation for member outreach or encounter with healthcare provider. Through a combination of mailing patient due letters or education flyers, calling the patient and/or healthcare provider, and creating referrals the QC is instrumental in-patient satisfaction and quality outcomes. The QC is also responsible for providing general education related to the quality measures missing or “due” to healthcare provider. The QC reviews gaps in care reports and educates providers to close data gaps. The QC would also be responsible for providing back up to the Member Services Representative. In addition to other duties assigned by the Quality Manger.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

• Two years college education or equivalent work experience


• 1-2 years of IPA/managed care experience preferred


• Must be able to travel between clinic offices


• Excellent presentation, verbal and written communication skills, and ability to collaborate with co-workers, senior leadership, and other management.


• Proficient in word processing, spreadsheets (excel), database and typing

#LI-TP3

Pay Transparency

Desert Valley Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $23.00 to $26.82. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories.Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice

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