Clinical Quality Technician (Healthcare)

JOB CLASSIFICATION: Hourly

JOB SUMMARY

The CMA for Quality Assurance in Healthcare is an important member of the Quality Assurance program who assists with collecting clinical data, QI summaries, reports, clinical training, and monitoring of all clinical quality measures. This position assists with Patient Centered Medical Home (PCMH) program activities by working with the QI Coordinator towards NCQA accreditation status. This position also assists the QI Coordinator with reporting data requirements for Q/I, UDS, ACO, HEDIS, and PCMH; recommends changes and assists with implementation as necessary for improved program outcomes.

RESPONSIBILITIES AND DUTIES

1.         Assists QI Coordinator to foster compliance with standards and regulations in areas of Quality Assurance, UDS data analysis, PCMH benchmarks, ACO measures and HEDIS.

2.         Identifies barriers to implementing PCMH model and works with staff to develop solutions to address barriers.           

3.         Conducts chart audits as required by PCMH to evaluate if locations are meeting the PCMH requirements.

4.         Participates in submission of PCMH documentation using NCQA submission tools.

5.         Assisting the Quality Assurance Program by gathering monthly data and reports for statistical and planning purposes, identifying adverse trends and recommending corrective action to improve outcomes.

6.         Provides education to staff on benchmarks and goals of the Quality Assurance Program, PCMH, Meaningful Use, and UDS requirements.

7.         Other duties as assigned by Executive Leadership or the QI Coordinator.

QUALIFICATIONS, KNOWLEDGE, SKILLS

1. Requires at a minimum a High School Diploma/GED.
2. Current Certified Medical Assistant certification REQUIRED.
3. Current Basic Life Support (BLS) certification.
4. Previous outpatient, primary care experience required.
5. Maintains annual competencies/nursing skills checklist.
6. Meet all training requirements as required of the position.
7. Knowledge and qualifications necessary to execute all duties as described above

under Responsibilities and Duties.

1. Knowledge of computer systems and applications including electronic medical records.
2. Skills in planning, organizing, delegating, problem solving, and decision-making.
3. Knowledge and experience with a strong quality assurance program; gathering and interpreting data.
4. Strong interpersonal skills to mediate conflict resolution and to be a “change agent” based on strong leadership skills.
5. High degree of initiative, judgment, discretion, and decision-making demonstrated in prior employment positions.

TYPICAL PHYSICAL DEMANDS AND WORKING CONDITIONS

Frequent mobility and/or sitting required for extended periods of time. Prolonged computer and data entry requirements. Requires manual dexterity to operate keyboard and other office equipment. Requires corrected vision and hearing to normal range.   High stress position due to work deadlines. Requires some overtime and occasional weekend commitment as the need may arise based on deadlines for program reporting requirements.

INFECTIOUS DISEASE EXPOSURE LEVEL: 2