What are the responsibilities and job description for the Quality & Risk Specialist - Clinical & Managed Care Operations position at Key Staffing, Inc?
Quality and Risk Specialist (Department Assistant): Clinical and Managed Care OperationsPosition Summary: Responsible to assist and provide support to the Quality and Risk department.• Regular and predictable on-site attendance.• Initiate and facilitate member phone calls supporting Quality initiatives.• Work collaboratively with internal departments and external partners to maximize goals and objectives of the department.• Creates and maintains operational workflows.• Provide cross-coverage to meet business needs.• Performs administrative tasks, including ad-hoc priority requests.• Field a variety of inbound call inquiries from members and physicians.• Answering and redirecting phone calls accurately• Taking accurate messages for team members who are not available to accept a call.• Access and review Electronic Medical Records (EMRs) and member charts, for measure assessment and risk assessment review.• Scrub medical charts for completed measures and attest to those measures in the COZEVA system.• Assist in report management and PAF handling for backup support when needed.• Maintaining member records.• Communicate accurately with all clinical staff to ensure all appropriate patient information is gathered.• Accurately completes and maintains all department records as assigned.• Assists in the development, review and revision of departmental policies and procedures.• Complete timecard and other required documents for accurate payroll processing.• Follow safety rules when performing all tasks.Education and Experience:• High School Diploma or GED• One (1) year experience in an applicable healthcare setting or equivalent combination of education and experience.• Must be able to prioritize tasks to meet deadlines, sharp organization skills, detailed oriented, and highly motivated.If this position caught your eye, send us your resume! For best consideration, include the job title and source where you found this position in the subject line of your email to jellis@hirekeystaff.com
Salary : $20