Quality Coordinator - Quality Assurance

Desert Valley Hospital & Medical Group; Victorville (CA); On-site; USD 32,000 - 37,000; Full time

Benefits offered by this job

Total Rewards package

Tuition reimbursement

401K plan

Medical, dental, vision coverage

Job summary

Desert Valley Medical Group in California is seeking a Quality Coordinator to work with the Quality Manager, Medical Director and Administrator on implementing quality platforms, including CCM, TCM and other quality initiatives such as HEDIS, P4P, MIPS, STAR measures and wellness visits.

You will evaluate data, prepare outreach or encounters, educate providers on missing data, and support member services. Travel between clinic offices is required.

Qualifications

• 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.

Responsibilities

• Implement quality platforms (CCM, TCM) and other quality initiatives (HEDIS, P4P, MIPS, STAR measures, annual wellness visits).
• Assess missing patient benchmarks and organize data for outreach or encounters with providers.
• Create referrals and educational material related to quality measures.
• Provide backup to the Member Services Representative.

Skills

Communication skills

Verbal communication

Written communication

Collaboration

Excel

Word processing

Database

Typing

Education

Two years college education

Tools

Excel

Word processing

Database

Typing

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.

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

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. 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

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf