Quality Outreach Specialist
Posted 17ds ago
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Quality Outreach Specialist working with a healthcare startup to enhance Star Ratings and ACO REACH quality programs. Streamlining patient care through outreach, education, and collaboration with healthcare providers.
Responsibilities:
- Identify and remove patient barriers to accessing and receiving care
- Conduct patient outreach calls to understand root causes of barriers to medication non-adherence and offer solutions
- Connect patients with important care and services to close critical gaps in care
- Perform medical record reviews to find evidence of clinical gap in care closure
- Prepare and submit gap in care closure details to the payor and joint venture partners
- Support the development of initiatives to support patient care and gap in care closure
Requirements:
- Medical Assistant, Licensed Practical Nurse, Certified Nursing Assistant, Emergency Medical Technician, Pharmacy Technician license or certification required
- 3+ years of experience in a role for which closing Healthcare Effectiveness Data and Information Set (HEDIS) measures and/or Star Rating gaps were primary responsibilities
- Prior quality measure chart review experience
- Experience complying with Health Insurance Portability and Accountability Act (HIPAA)
- Inpatient or outpatient clinical experience, including strong electronic medical records (EMR) experience preferred
- Strong verbal and written communication skills
Benefits:
- Health insurance
- Reasonable accommodations for applicants with disabilities
- Professional development opportunities
Similar Jobs
1d
Quality Management Specialist III – Population Health
Quality Management Specialist developing policies and analyzing care data for Trillium Health Resources, a North Carolina behavioral-health managed-care organization. Supporting population health programs for complex member populations.
1d
18d
Quality Management Specialist
Quality Management Specialist reviewing contract deliverables for quality assurance controlling adherence to quality standards. Supporting UAT and driving corrective actions on adverse quality trends.
18d
No more related jobs available.