What are the responsibilities and job description for the Quality Improvement Specialist-Associate position at UT Health Science Center at San Antonio?
Job Description
Under direct supervision, responsible for performing a variety of clinical support functions for the outpatient setting including patient outreach, care gap analyses, and patient follow up to support the value-based care model.
Required Skills
Under direct supervision, responsible for performing a variety of clinical support functions for the outpatient setting including patient outreach, care gap analyses, and patient follow up to support the value-based care model.
- Responsibilities
- Performs patient chart reviews to identify opportunities in patient care to satisfy HEDIS measure gaps.
- Maintains systems for storing and tracking HEDIS medical record documentation
- Documents in the Electronic Medical Record
- Outreaches and requests charts and medical records from other facilities to close gaps in pre and post care for value-based patients with quality needs
- Scans or uploads medical records into payor databases
- Performs patient outreach to schedule Annual Wellness Visits and Follow up appointments to fill gaps in care
- Performs pre-visit evaluations that identify gaps in care for the clinical team and post-visit evaluations that identify gaps in care after the visit
- Identifies, tracks, and follows up on gaps in care that cannot be or were not closed in the clinic
- Performs medication adherence reviews to identify and mitigate barriers to patients not taking their medication
- Coordinates and assists in processing hierarchical condition category attestation forms from payors
- Performs all other duties as assigned
Qualifications
- Demonstrates the ability to support the mission, vision and patient promise throughout all interactions, The UT Health Way.
- Demonstrate the ability to communicate effectively, written and verbally.
- Demonstrates analytical thinking – this role requires analyzing information and using logic to coordinate work within schedule constraints and handle emergent requirements in a timely manner.
- Demonstrates the ability to participate as an integral part of the interdisciplinary healthcare team in providing the highest quality of care to the patient, The UT Health Way.
- Demonstrates a working knowledge of healthcare Effectiveness Data and Information Set (HEDIS) measures for which UT Health is responsible for under shared savings programs
- Demonstrates working knowledge of the electronic health record
EDUCATION:
HS Diploma or GED equivalent
PREFERRED:
MA experience and experience working in a clinic.
Required Skills
- No experience required.SkillTypenullSkillId300001531191423SectionId300000006778627ContentItemIdnull
- No experience required.SkillTypenullSkillId300001531191424SectionId300000006778627ContentItemIdnull