Job Summary

The Quality Improvement Coordinator will support the quality measures and performance for assigned centers by providing continuing training, reviews, and best practices for HEDIS/Stars Ratings. This person will provide quality improvement support and serve as the main contact for the responsible centers at Cano Health. This candidate should have excellent communication skills and be able to act proactively to ensure smooth team operations and effective collaboration facilitating interdisciplinary approaches. Provides training and clinical oversight of medical assistants with guidance from the Office Managers, Care Management and Clinical Operations Department. Will assist with providing training to Cano Health’s medical assistants and phlebotomist on the organizational SOP’s, workflows, and various clinical tasks. Will ensure new hires and existing staff receives ongoing educational training quarterly and annually or as needed.

Essential Duties & Responsibilities

• Represent the Quality department with tracking open gaps to ensure HEDIS (Healthcare Effectiveness Data and Information Set) standards are meet as follow but not limited to: Part-D & Medication Adherence, Part-C & Preventive Care measures, Patient Experience, and Audit Process.
• Commit to training center staff, office manager, medical assistant, medical technician etc. on applying HEDIS best practices for gaps closure.
• Coordinate Quality events/campaigns at the centers ensuring gaps closure ex: Colorectal cancer screenings, Dilated Retinal Exams, Mammograms, DEXA (Density Exam) and/or DEXA Scans.
• Responsible for distributing the Monthly HEDIS Scorecard/reports by center, review pending gaps and areas of opportunities with the Medical Assistants, Care Managers, and Office Managers.
• Review quality measures and MA’s/Care Managers level of documentation in ECW as it relates to HEDIS/Stars.
• Engage on continue training medical technician applying correct steps into daily process including and no limited to module software on an ongoing basis.
• Support medical centers to increase uniformity on the generalization on daily process where Quality data is collected.
• Evaluating medical assistant for HEDIS workflows and performances
• Participates in audits and analyzes data to identify trends and improvement opportunities.
• Other daily activities include the ability to manage data electronically, extract and analyze data, file documents in electronic filing software, faxing, scanning, and abstracting documents from electronic storage devices.
• Enhances practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
• Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements.
• Attend Meetings/Identify any gaps in process and create action plan.
• Any other duties or responsibilities assigned.
• Performs and trains medical assistants/phlebotomist interns to:
• Preliminary physical (blood pressure, weight, and temperature).
• Verify patient information; record medical history; confirm purpose of visit.
• Provide support and assistance as needed regarding patient care such as transfers/mobility, activities of daily living including but not excluding assistance with hygiene and toileting while patient is at the medical center.
• Immunization and any IM / SC injections and blood venipuncture.
• Fingerstick glucose test, Urine dipstick test, Eye exams, Rapid strep, Spirometry, PT/INR test, EKG exam, Nebulizer Treatment, ear lavage and any other additional in-house procedure.
• Assists medical provider, as needed, with procedures including but not limited to ear lavage, wound care, electrocardiogram (ECG), blood draws, handling and processing specimens, vaccines, vitals, spirometry, medication administration to include oral/injection/inhaler medication administration.
• Communicates/implements workflows and training materials to medical assistants and phlebotomists.
• Assist in the supervision of work and performance of medical assistants/phlebotomists and other support staff, as instructed, including input for performance reviews and corrective action plans as needed.
• Works collaboratively with clinic staff on programs to improve patient outcomes as it relates to new MA/phlebotomy initiatives.
• Assists in training/retraining staff on quality improvement activities.
• Ensuring compliance with all health care regulations, including HIPAA, JAHCO, and OSHA.
• Assist with training staff on proper workflows on laboratory and diagnostic tests as ordered by the provider.
• Maintains safe, secure, and healthy work environment by establishing and following standards and procedures, complying with legal regulations including securing patient confidential information.
• Assist with training staff on appropriate maintenance of medical supply inventory.
• Assist with training phlebotomy on laboratory codes and navigation of laboratory portals.
• Assist with training on calibration and operation of equipment as it relates to troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; calling for repairs etc.
• Updates job knowledge by participating in educational opportunities, EMR updates. Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements.
• Enhances practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
• Ensure all documents and refills are completed.
• Oversee patient flow while in the primary care visit.
• Oversee review of lab invoices have been correctly responded.
• Oversee lab interface reconciliation.
• Review temperature log accuracy.

Supervisory Responsibilities

• No supervisory responsibilities.

Critical Results

• Part-D & Medication Adherence>90%
• HEDIS stars performance > 4.5
• NPS >80

Best Practices

• HEDIS start performance > 4.5:
• Support training for current and/or new acquisition staff to apply the same process to obtain appropriate data that allows us to close GAPS effectively.
• Part-D & Medication Adherence>90%:
• Provide the team with necessary tools and resources to perform their duties effectively to meet or exceed key indicators.
• CAHPS/HOS -Patient Experience>85%
• Works with team members to provide a positive environment that facilitates outcomes aligned with organization metrics.

Education & Experience

• Required:
• High school Diploma or higher education.
• Completion of Medical Assistant training.
• CPR or BLS for the Healthcare Provider certificate issued by the American Red Cross or American Heart Association.
• Fluency in English
• Experience with EMR system
• Preferred:
• Minimum two (2) years of related work experience.
• Knowledge of Quality- HEDIS Measures

Education Requirements

Required/Preferred

Education Level

Discipline

Required

High School

Knowledge, Skills & Proficiencies

• Ability to communicate with employees, patients, and other individuals in a professional and courteous manner.
• Ability to pay close attention to detail and to ensure accuracy of reports and data.
• Skill in operating phones, computers, software, and other IT systems.
• Must be a quick learner, who can demonstrate the ability to follow multi-step instructions, be a problem solver, and adhere to department protocols.
• Be able to prioritize workload while remaining flexible.
• Show ability to maintain records with strong organizational and planning skills.
• Knowledge in the fields of medicine, anatomy, and physiology.
• Excellent time management skills and ability to multi-task and prioritize work.

Physical Requirements

This position works under usual office conditions. The employee must work at a personal computer and be on the phone for extended periods of time. Must be able to stand, sit, walk, and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include the ability to lift to 50 lbs.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Conditions

Must be able to perform essential functions such as typing, standing, sitting, stooping, and occasionally climbing

Travel Requirements

Amount of Expected Travel

Details

Yes

0-25%

Work may involve some driving/traveling to assigned clinics.

Tools & Equipment Used

Computer and peripherals, standard and customized software applications and tools, and usual office equipment.

Job Type: Full-time

Pay: $16.97 - $21.78 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Ability to Commute:

• Pembroke Pines, FL (Required)

Ability to Relocate:

• Pembroke Pines, FL: Relocate before starting work (Required)

Work Location: In person