Quality Coordinator

Full Time Quality Coordinator Position

Position Qualifications/Minimum Requirements

Education: Required: Bachelors Degree in business, quality or relevant field

Experience: Required: Three (3) years experience in an ambulatory surgery center or related setting.

Preferred: One (1) year recent (within past 5) experience in Credentialing and Performance Improvement.

Skills: Strong knowledge and understanding of the ambulatory surgery center accreditation standards and CMS and state reulgatory agencies requirements. Ability to utilize systems to gather detailed data and report relevant analyses. Appropriate prioritization and planning skills, while achieving safety and quality in a high volume environment; Engaging and effective communication and service skills; Adherence to policy and procedures; Process improvement oriented; Self-initiative to assist with whatever is needed.

Quality Coordinator will:

Daily

-Hardwire CHS “Every patient/ every time” best practice workflows into behavior adoption
-Support practices as local QSME until needs are resolved
-Respond to requests from QL and PPS leadership
-Ensure hospital d/c calls are completed/ scheduled/ tracked
-Ensure TCM eligible patients are contacted w/i 2 business days and scheduled w/i 7 days
-Ensure there is adequate patient access for appointment scheduling
-Ensure open schedules are maximized with preventative and chronic management appointments after same day availability     need is met
-Ensure appointments are being optimized for ACV/GIC closure (Chart Prep)
-ACV Scheduling/ Completion
-Publish how many MAWV are scheduled/completed for the month in relation to CHS benchmark goal

Weekly

-Monitor all QI efforts, report status to key stakeholders and intervene to address concerns
-Round with providers/key stakeholders to support CHS best practices/ efficient workflows
-Provide ongoing training , support, and coordination of quality care
-HQPAF Worklist (Schedule/Submit)
-Submission of nonstandard PAFs
-Validate automated claim rules are firing/being followed
-Ensure the capture of HCC/RAF/Suspect Conditions
-Audit charts for educational opportunities by user
-Take action on RX reports
-Attend Bi-weekly AMR Build Coordinator Call
-Huddle w/ PM and key stakeholders on KPI
-Complete vulnerable patient worklist
-Complete Emerald/Ruby Worklist
-Complete ED Frequent flyer outreach
-Complete medical record requests to outside offices to close GIC
-Follow-up on GIC orders that are not resulted after two-weeks of order
-Reward/Recognize Staff
-Celebrate the wins

Monthly

-Complete best practice workflow for each MCO/ACO incentive program we participate in
-Present KPI/action plans/assign owners at practice meetings
-Reviews rosters for data integrity, escalate to QL/MC
-Serves on quality committee/ document and report IA
-Optimize local AMR tablespace for performance and pop health mgmt.
-Monitor chart prep, QM tools for utilization, provide feedback, and hold stakeholders accountable
-Track results of patient outreach campaigns
-Ariba payer access business owner
-Share scorecards (translate performance) with stakeholders & providers
-MIPS/PI call with corporate team
-Complete medical record requests from payers related to quality audit reviews
-Utilize Physician leadership to address resistant behaviors and gain buy-in

Quarterly

-Complete best practice workflow for each MCO/ACO incentive program we participate in
-Present KPI/action plans/assign owners at practice meetings
-Reviews rosters for data integrity, escalate to QL/MC
-Serves on quality committee/ document and report IA
-Optimize local AMR tablespace for performance and pop health mgmt.
-Monitor chart prep, QM tools for utilization, provide feedback, and hold stakeholders accountable
-Track results of patient outreach campaigns
-Ariba payer access business owner
-Share scorecards (translate performance) with stakeholders & providers
-MIPS/PI call with corporate team
-Complete medical record requests from payers related to quality audit reviews
-Utilize Physician leadership to address resistant behaviors and gain buy-in

Northwest Medical Center is comprised of a 300-bed  hospital, three urgent care facilities, a freestanding emergency center and a large physician group, offering you a variety of settings in which to work.  Every location is dedicated to providing safe, quality patient care, but more than that is the commitment to employees.  It strives to provide a culture of teamwork, respect and appreciation for all staff, whether they care for patients directly or work in a support role. With employee appreciation celebrations throughout the year, opportunities for growth and the satisfaction that you are part of a hospital leading the way with accessible, convenient healthcare in Tucson, Northwest is a great place to work.  NMC is accredited by The Joint Commission and is an equal opportunity employer:  race, gender, disability and Veteran status, and VEVRAA Federal Contractor – priority referral Protected Veterans requested.