Quality Improvement Specialist

Company: St. Joseph Health
Location: Mission Viejo
Posted on: February 25, 2021

Job Description:

We are looking for a Quality Improvement Specialist for the HSS Emerging Model Department at St. Joseph Heritage Healthcare. Location: Mission Viejo, CA--
Work Schedule: Full time - 80 Biweekly hours
Shift: 8-hour, Days-- Job Summary:
The Performance Improvement Project Coordinator oversees the daily operations of pay for performance programs (P4P) and other performance improvement (PI) initiatives as assigned by the Dir. of Performance Improvement. This position provides on-going communication to patients, staff and physicians, runs reports, and manages electronic applications for improved patient care coordination.-- Essential Functions:

• Coordinates with IPA member physician offices to operationalize P4P programs in an ambulatory care setting. Run outcomes reports, track changes over time and monitor new measures.
• Maintain accurate and up-to-date P4P databases including Ascender, Avatar and PhysConnect to identify and track patients. Enter data, run reports, manage users and communicate with physicians and their office staff.
• Coordinate P4P and HCC written and verbal communication with patients through letters, surveys and phone calls.
• Research problems by investigation methods at physicians' offices in paper charts or/in electronic medical record systems and/or practice management system when discrepancies in data exist, provide accurate and timely responses to physicians, and update appropriate SJHAP databases.
• Fully comprehend clinical P4P measures and support the Director of Performance Improvement in ongoing communications to the IPA physicians and staff.
• Manage the continuity of care process to ensure follow-up with patients who have been discharged from the hospital or Emergency Department.
• Assist in process improvement initiatives by organizing meetings, collecting data and following-up with departments, practices and sites.
• Work with the Director of Performance Improvement and the Center for Health Promotion to administer chronic care management programs.
• Participate in staff meetings and assist in other Performance Improvement initiatives. Skills:
  • Able to work independently with minimum supervision.
  • Knowledge of computers, micro-soft office, access, and practice management software.
  • Excellent problem resolution skills.
  • Good writing and verbal skills.
  • Able to learn medical terminology.
  • Reliable transportation.
  • Demonstrated ability in written and verbal communication skills preferred.
  • Bilingual English/Spanish communication skills preferred. Minimum Position Qualifications: Education: Bachelor's Degree with 1 year experience in a health care environment or 4 years in a health care environment Experience: 4 years in health care environment. Preferred Position Qualifications: Experience:--Experience in process improvement initiatives and pay for performance programs. Mission Heritage Medical Group is one of California's most respected medical groups. With over 3,000 employees and 75 locations throughout California, including, Northern California, Orange County, High Desert and Los Angeles County, Mission Heritage Medical Group has been continually recognized as a leader in quality, customer service and information technology. This kind of success is the result of team work, a commitment to excellence and a strong adherence to the organization's mission, vision and values.
    
    Mission Heritage Medical Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Mission Heritage Medical Group complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. My Profile Create and manage profiles for future opportunities.

Keywords: St. Joseph Health, Mission Viejo , Quality Improvement Specialist, Other , Mission Viejo, California