17 days old

Quality Coordinator - San Antonio, TX or Tampa, FL

San Antonio, TX 78205
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The Quality Coordinator manages quality improvement initiatives under the supervision of team leadership using internal and external data extracted from multiple sources to create a plan to close quality gaps via contact with patients, providers, health care teams and clients. Interactive engagement with these stakeholders allows this role to assist the team in meeting all key performance indicators, plan based metrics and performance guarantees.  
Primary Responsibilities:
  • Primary role (~75% of the time) is to call patients, and/or providers of care have current quality gaps in care. All conversations are accurately documented in the case management software platform
    • Patient calls focus on gathering information about visits that may have already occurred with external providers, education about gap closures, and assist in scheduling required appointments for gap closure
    • Provider calls focus on requesting records from an external provider that would close the quality measure (i.e. mammogram), as well as with any WellMed providers who can meet quality gaps within the PCP clinical setting (i.e. A1C testing)
    • 25% possible travel to local clinics for interactive engagement with HCP and Team around quality
  • Extract and work off internal and external daily reports from the CIN software and/or plan specific sites to extract and identify gaps in care
  • Prioritize patient-facing outreach upon the contractual quality gaps in care by region and plan type
  • Manage letter and postcard campaigns for gap closure in various markets
  • Create actionable quality initiative gap closure plans and timelines to address gaps in care by plan with management supervision
  • Demonstrate required goals of progression of quality gap closures by weekly reporting
  • Report on gap closure plan metrics including successes and opportunities for improvement
  • Professional oral and written communication with both internal and external audiences, which may include leadership, colleagues and patients
  • Record patients' medical history, vital statistics and additional information such as test results in electronic medical records as identified by outside medical records
  • Validate patient reported gap closure metrics by requesting records
  • Identify and share with leadership any team workflow process improvement opportunities to improve quality metrics
  • Attend required meetings, participate in team activities and professional development activities
  • Treat all customers, internal and external, in a courteous and cooperative manner
  • Serve as back up for the administrative coordinators when necessary
  • Collaborate with CIN Team members, regional Team members and physician Teams on gap closure initiatives
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Posted: 2020-03-13 Expires: 2020-04-12

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Quality Coordinator - San Antonio, TX or Tampa, FL

UnitedHealth Group
San Antonio, TX 78205

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