11 days old

Quality Coordinator Telecommute from San Antonio Austin TX or Tampa FL - 915008

Austin, TX 78701 Work Remotely
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  • Job Code
    915008

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm)

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The Quality Coordinatormanages 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.

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If you are located in Dallas, TX, San Antonio, TX, or Tampa, FL, you will have the flexibility to telecommute* as you take on some tough challenges.

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Primary Responsibilities:

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  • Primary role (75% of the time) is to call patients, and/or providers of care that have current quality gaps in care
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  • 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
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  • 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)
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  • 25% possible travel to local clinics for interactive engagement with HCP and Team around quality
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  • 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
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  • Prioritize patient-facing outreach upon the contractual quality gaps in care by region and plan type
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  • Manage letter and postcard campaigns for gap closure in various markets
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  • Create actionable quality initiative gap closure plans and timelines to address gaps in care by plan with management supervision
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  • Demonstrate required goals of progression of quality gap closures by weekly reporting
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  • Report on gap closure plan metrics including successes and opportunities for improvement
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  • Professional oral and written communication with both internal and external audiences, which may include leadership, colleagues and patients
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  • Record patients' medical history, vital statistics and additional information such as test results in electronic medical records as identified by outside medical records
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  • Validate patient reported gap closure metrics by requesting records
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  • Identify and share with leadership any team workflow process improvement opportunities to improve quality metrics
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  • Attend required meetings, participate in team activities and professional development activities
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  • Treat all customers, internal and external, in a courteous and cooperative manner
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  • Serve as back up for the administrative coordinators when necessary
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  • Collaborate with CIN Team members, regional Team members and physician Teams on gap closure initiatives
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Youll 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.

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Required Qualifications:

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  • High school diploma or GED equivalent with relevant work experience in health care and quality
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  • Proficient knowledge of Microsoft Office products, particularly Excel
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  • Working knowledge of electronic medical records and practice management software
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  • Understanding of healthcare industry primarily from a quality perspective
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  • Ability to travel 25% of this role may include travel in a personal vehicle to local clinics
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  • You will be asked to perform this role in an office setting, however, may be required to work from home temporarily due to space limitations
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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Preferred Qualifications:

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  • Bachelors degree with health care and/or quality experience
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  • Medical Assistant certification
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  • Telephonic engagement and customer service skills
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  • Ability to work in a fast paced and dynamic team environment Professional and clear communication
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  • Ability to coordinate, prioritize and execute across multiples systems and platforms
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Careers with WellMed.Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to doyour life's best work.(sm)

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: Quality Coordinator, Medical Assistant, Healthcare Call Center, Patient Service Rep, San Antonio, TX, Dallas Texas, Tampa, FL, Texas

Posted: 2021-02-16 Expires: 2021-03-29

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 Telecommute from San Antonio Austin TX or Tampa FL - 915008

UnitedHealth Group
Austin, TX 78701

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