Quality Improvement Coordinator

Company: Ardent Health Services
Location: Tyler
Posted on: January 27, 2023

Job Description:

Job Description Overview

Join UT Health East Texas as a Full Time, Day Shift, Quality Improvement Coordinator!! Advancing Healthcare Together - The Future of Healthcare is in East TexasWhy UT Health - East Texas? Our People. Our people truly are our greatest strength. They make a massive difference in the amazing care we provide every day. We work closely together to create a positive experience for our patients and each other. Our Purpose. We will build on your experience and provide meaningful and purposeful career growth for your future. You will have the opportunity every day to make a difference in someone's life and change the course of healthcare. Our Place. Tyler, Texas is a small town with a huge heart where you will have the privilege of caring for your neighbors. Everybody is somebody here. Representing the very best in healthcare, UT Health East Texas is comprised of 10 hospitals and more than 50 clinics across east Texas. With nearly 7,500 employees and over 1,000 licensed in-patient beds, UT Health East Texas provides healthcare services to thousands of patients annually through our hospitals, clinics, Level 1 trauma facility, air emergency fleet and EMS service in a metropolitan service area of a quarter-million people. Our UT Health Physicians Managed Group is seeking an experienced Quality Improvement Coordinator. We are looking for your experience, knowledge and patient care skills in our Quality Department where you will be responsible for: POSITION SUMMARY:The Quality Improvement Coordinator will be responsible for identifying quality gaps, risk adjustment gaps and outreach needs for members managed within Medicare advantage plans as well as the UTHET population at large. Individuals within this job classification are accountable for contributing to the assessment, implementation, and documentation of quality activities in accordance with UTHET standards to deliver efficient, effective, and quality patient care. Performs as a team member to support and enhance the system-wide quality improvement program. Provides positive staff support and education and acts as a resource to clinical staff and administration. Provides support and assists in the implementation of tools, guidelines, and best practices to improve efficiency, quality of care, and patient outcomes. Promotes and supports the implementation and monitoring of system policies and guidelines, and other state and federal laws or regulations. The Quality Improvement Coordinator will work with a multi-disciplinary healthcare team to assist in facilitation of meeting quality metrics, risk adjustment activities and other assignments for a designated panel of managed care patients. Shall perform as a team member to support and enhance the system-wide quality improvement program. Responsible for collecting and organizing data to build and maintain patient registries to identify gaps in care and lead to better healthcare outcomes for patients. Expected to lead the employed and embedded QI care partners in the collection of quality data, audits and conduct outreach as necessary. Will be proficient in use of EMR, payer platforms and population management tools. Will be knowledgeable of workplace health and safety guidelines (CDC), physician office practice, preventive health maintenance, national evidence-based guidelines, patient safety, and case management. Promotes and supports the implementation and monitoring of system policies and guidelines and other state and federal laws or regulations.
Responsibilities

DUTIES, ACCOUNTABILITIES AND RESPONSIBILITIES:

• Performs abstraction of clinical information for CMS and Payers
• Coordinates aggregation of data from within and outside the department
• Attends and participates on assigned performance improvement committees and team meetings
• Ability to exercise judgment, courtesy, and tact in receiving callers, in giving information and obtaining information, and in making proper disposition of problems
• Assists in preparing monthly, bi-monthly, quarterly, and annually quality reports as assigned
• Abstracts clinical data and entry to clinical abstraction software that meet CMS Core Measure performance improvement initiatives
• Create and maintain patient registries for an assigned panel of patients with chronic diseases, preventive health needs and other registries as needed
• Using data from registries, identify gaps in care for patients with identified diagnosis, those identified as high risk and those with outstanding preventive health needs while documenting contacts, education, and appointments provided in EMR
• Assist Care Coordination with quality improvement activities at the physician practices
• Validates regulatory reports by conducting chart audits.
• Provides timely feedback to reporting team and management
• Performs other duties as assigned QUALIFICATIONS / REQUIREMENTS:Education:
  • High school diploma
  • LVN, preferred Experience:
    • One to three minimum years clinical or healthcare experience
    • Quality experience, preferred
    • Epic EMR, preferred
    • Medicare Advantage experience, preferred
    • Microsoft Excel knowledge, preferred
      Qualifications
      
      BEHAVIORAL STANDARDS:Service
      • Patient Centered Customer Service: Genuinely care about people.
      • Cultivate a compassionate environment: Changing lives for the better together. Quality
        • Clinical and Operational Excellence: A relentless drive to be the best.
        • Holistic Approach: Think and act for the benefit of the whole.People
          • Promote a collaborative environment: Build effective working relationships with others.
          • Identify and Develop Talent: Prepare others to deliver excellence.Financial
            • Business Acumen: Know, own and drive our business.
            • Continually Simplify and Improve: Work to make everything as efficient as possible.Growth
              • Foster Innovation: Seek and apply leading edge solutions.
              • Set Clear Direction: Tell others where you are going, how to get there and why.PHYSICAL REQUIREMENTS:
                • Ability to sit for long periods of time while completing work on a computer
                • Ability to move throughout the workplace
                • May work in areas that are confined and/or crowded, as well as possible exposure to communicable diseases and to blood and bodily fluids. Now that you have read about what you will be doing and the experience we seek, it is time to apply and make a difference in the lives of our patients. UT Health East Texas is an equal opportunity employer (including veterans and persons with disabilities) - - - - - -
                  With 30 hospitals and hundreds of clinics, Ardent Health Services is a premier provider of health care services, delivered with compassion for patients and their families and with respect for employees, physicians and other health professionals. Nearly half of our facilities have been recognized among healthcare's best places to work. -
                  Our hospitals and health systems include; Hillcrest Health System in Oklahoma, UT Health East Texas, BSA Health System, and Seton Medical Center Harker Heights in Texas, Lovelace Health System in New Mexico, University of Kansas Health System St. Francis Campus in Kansas, Portneuf Medical Center in Idaho, as well as Hackensack Meridian Health at Pascack Valley, and Hackensack Meridian Health Mountainside hospitals in New Jersey.
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Keywords: Ardent Health Services, Tyler , Quality Improvement Coordinator, Other , Tyler, Texas