What are the responsibilities and job description for the Quality Specialist II (REMOTE FLORIDA ONLY) position at True Health?
JOB SUMMARY
The Quality Specialist II helps to ensure True Health provides the highest quality of services to their patients. This position addresses basic and complex support needs of the individual patient and assists in coordination of the therapeutic aspects of the services provided. This coordination will close care gaps for patients through education, monitoring, and advocating for individuals in conjunction with direct care providers.
PRIMARY FUNCTIONS
Plan with the patient, family/caregiver, primary care provider, support staff, payers, and the community resources, to maximize healthcare responses, quality, and cost-effective outcomes.
Facilitate communication and coordination between members of the healthcare team, involve the patient in the decision-making process to minimize fragmentation in the services.
Educate the patient, family or caregiver, and members of the healthcare delivery team about treatment options, community resources, psychosocial concerns, care coordination, etc., so that timely and informed decisions can be made.
Empower the patient to problem-solve by exploring options of care, when available, and alternative plans, when necessary, to achieve desired outcomes.
Encourage the appropriate use of healthcare services and strive to improve quality of care and maintain cost effectiveness on a case-by-case basis.
Assist the patient in the safe transitioning of care to the next most appropriate level.
Strive to promote patient self-advocacy and self-determination.
Attending monthly meetings with insurance payers to have a consistent line of communication open and assist with setting goals for quality improvement.
Work on projects as assigned based on priorities received from insurance companies and internal quality metrics.
Stay involved and active with quality improvement activities.
Conduct chart audits to determine quality compliance and documentation opportunities
Proficient in clinical knowledge to aid other non-clinical colleagues with closing care gaps as needed.
This is a remote position
Other projects/duties as assigned
EDUCATION AND EXPERIENCE
Current Florida LPN License, active and in good standing, preferred
Certified Medical Assistant active and in good standing, considered
KNOWLEDGE, SKILLS, AND ABILITIES
One (1) year minimum experience in Clinical Care Coordination
One (1) year minimum experience with an EHR
One (1) year experience in Quality &/or HEDIS
Expierence working in the clinical environment such as provider office
Computer competency is required
ADDITIONAL QUALIFICATIONS
Bilingual is a plus (English/Spanish)
Must be a collaborator but able to work independently
Excellent spoken and written communications skills
Must have reliable transportation
RELATIONSHIP REPORTING
Reports to Quality Manager
PHYSICAL REQUIREMENTS
Ability to view a computer screen for extended periods of time
Ability to perform repetitive hand and wrist motions for extended periods of time
Ability to communicate effectively with patients and staff
Ability to sit, stand, walk, or view computer screen for extended periods of time
Ability to use hands and fingers to handle or feel
Ability to reach with hands or arms
Ability to perform repetitive hand or wrist motions for extended periods of time
Ability to effectively talk and listen to patients and co-workers
Salary.com Estimation for Quality Specialist II (REMOTE FLORIDA ONLY) in Orlando, FL
$70,617 to $85,230
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution.
Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right.
Surveys & Data Sets
What is the career path for a Quality Specialist II (REMOTE FLORIDA ONLY)?
Sign up to receive alerts about other jobs on the Quality Specialist II (REMOTE FLORIDA ONLY) career path by checking the boxes next to the positions that interest you.
Pharmacy Manager JOB SUMMARY The Pharmacy Manager is responsible for the smooth and successful operation of the pharmacy department and the maintenance of ...more
Physician Assistant SUMMARY The duties of a Physician Assistant include, but are not limited to: providing accurate assessment, diagnosis, treatment, consu...more
Medical Assistant Job Summary The Medical Assistant is a professional multi-skilled person dedicated to assisting in all aspects of medical practice under ...more
Medical Scheduler JOB SUMMARY The Medical Scheduler is responsible for scheduling patient appointments by telephone within the guidelines set by True Healt...more
All Native Group, The Federal Services Division of Ho-Chunk Inc.Orlando, FL
Bear Mountain, a division of All Native Group and Ho Chunk, Incorporated, is seeking an exceptional Quality Assurance Specialist (QAS) II to be responsible...more
Dice is the leading career destination for tech experts at every stage of their careers. Our client, PTR Global, is seeking the following. Apply via Dice t...more
