Clinic Quality Coordinator

JOB TITLE:         Clinic Quality Coordinator 

DEPARTMENT:      Rural Health Clinics 

REPORTS TO:          Director of Clinic Operations 

Summary for Position: 

The main purpose of the clinic Quality Coordinator is to improve CAHPS Score through quality performance improvement.  

POSITION RESPONSIBILITIES 

ESSENTAIL FUNCTIONS: 

Improvement of patient experience and HCAHPS Scores 

Plans, implements, and monitors quality improvement to meet the clinic’s needs.  

Coordination of process improvement activities within the clinics 

Develop and lead continuous performance improvement process 

Monitor ongoing chart reviews for analysis of medical care quality 

Acts as liaison with external agencies that request PI data [CMS, KRHA, KHIE, Stars Quality Reports, Inova Lon, etc.] 

Attend, facilitate, and report to various committees  

Works within the facility to maintain surgery readiness. 

Performs other duties as assigned. 

Helps quality improvement (QI) manager to plan, design, implement, and maintain a comprehensive medical practice continuous quality improvement (CQI) program including utilization management and risk management. Assists in educating new staff, including physicians, about QI systems and requirements. 

Meets with internal and external audiences to identify and problem solve QI issues. 

Monitors medical practice efforts to ensure compliance with internal and external QI standards. Reviews medical records and other documentation to ensure quality care. Helps to prepare annual QI report. 

Coordinates the effort to gather data and prepare reports to meet the requirements of NCQA and other regulatory/accrediting agencies, including patient satisfaction data. 

Evaluates variance and other data to identify QI opportunities and risk management issues. 

Monitors utilization and service quality through diagnosis-related group (DRG) review, HEDIS quality measures, payer/provider/patient satisfaction surveys, and complaints. Follows through on complaints including identification of corrective actions needed. Reports on results. 

EXPECTATIONS 

Proficiency in this position should be reached in 6-8 months.   

Must be willing to take specialty classes and other educational offerings as indicated.    

Must demonstrate the ability to interact with other personnel in a positive fashion.   

Must demonstrate the ability to work independently and to delegate appropriate tasks to others.   

Full knowledge of Microsoft Office & Internet 

Excellent Time Management skills 

Must exhibit excellent interpersonal communication skills, both written and verbal. 

 Flexible 

 Open to feedback 

 Innovative 

 Analytical Skills 

 Team player 

 Committed 

 Professional attitude 

 Should be a self-starter 

 Result-oriented​ 

Excellent verbal, written communication and presentation skills. 

Ability to build and maintain respectful, productive internal and external relationships, that are professional, encourage collaboration, ensure accountability and allow the achievement of mutual objectives and strategies. 

Strong attention to detail with a project and process management focus. 

Demonstrated accuracy with a strong attention to detail. 

Excellent work ethic and ability to prioritize tasks. 

Excellent problem-solving skills. 

Ability to present findings and discuss issues with effectively. 

Ability to work independently and as a part of a team in a deliverable-focused professional environment. 

Ability to shift focus as necessary when priorities change without losing sight of original assignments. 

Willing and able to work extended hours as business needs require. 

Strong sense of confidentiality and professionalism regarding company and employee information. 

Strong listening, decision-making, time management, communication, and critical-thinking skills. 

Performance-driven with demonstrated ability to multi-task and work proactively with cross-functional teams. 

Proficiency with Microsoft Office programs, proficient in excel. 

Ability to work on-site Monday through Friday 8am-5pm. 

WORKING CONDITIONS 

Subject to varying and unpredictable situations.   

Subject to many interruptions.   

Frequent pressure due to multiple calls, inquiries, questions and requests.   

Performs both standardized and non-standardized duties that require independent judgment and initiative on an ongoing basis.   

LANGUAGE SKILLS/READING SKILLS/HEARING 

Ability to talk/converse with and understood by others.  

Ability to read, analyze and interpret written information.  

Ability to respond to common inquiries or complaints from customers 

Ability to effectively present information to others (individually or in groups)  

Ability to read dictionaries, thesaurus, technical journals and other related materials. 

VISION  

Far acuity: ability to see clearly at 20 feet or more 

Must be able to visually identify, assess, and complete job-related tasks safely and accurately, with or without reasonable accommodation. 

SKILLS  

Well organized and able to plan work well, managing time efficiently 

Be able to cope with last minute changes and difficult situations 

COMPLIANCE 

Acts in accordance with the compliance policies set forth in the compliance plan and to report violations of these policies. 

DISCLAIMER STATEMENT 

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. 

Qualifications

MINIMUM EDUCATION:  

High School Diploma or GED (Associates Degree in health related field) 

MINIMUM EXPERIENCE:  

Prefer 6 to 12 months of related experience. (At least 3 years of healthcare experience or healthcare QA experience) 

PREFERRED EXPERIENCE:  

Experience interacting with end users, project managers, business teams and leaders, external vendor partners and technical resources.