Ambulatory Quality Improvement Specialist

JOB DESCRIPTION

Overview:   
 
  
 
TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. This client is a locally based, nonprofit healthcare organization. Their health system includes two hospitals, a 100-provider primary and specialty care medical group, a cancer center; and a new medical fitness center. 
 
 
Job Title: Ambulatory Quality Improvement Specialist  
 
Location: Green Valley, CA, 94534   
 
Duration: 2 Months  
 
Job Type: Contract  
 
Work Type: Onsite 
 
    
 
   
 
JOB SUMMARY:    
 
  
 
Duties:  
 
 
 
Performs quality functions in support of the ambulatory division. 
 
 
 
Accurately updates patient information in the electronic medical record related to physician assignment, deceased records, multiple missed appointments, and health plan disenrollment related to the daily operations of the practices. 
 
 
 
Reconciles and captures clinical quality documentation. 
 
 
 
Assists with health plan medical record review (MRR) surveys and compiles data for quality measure/health plan reporting. 
 
 
 
Assists with managing the data and clinical quality integrity of the medical record. 
 
 
 
Collaborates with the Manager to enhance quality measure provider and staff training, clinical performance, and process improvement efforts 
 
 
 
Skills:  
 
 
 
Supports quality operations of the Ambulatory Division providers and clinical staff. 
 
 
 
Processes quality and clinical results data for medical records pertaining to care gap closures, preventive, chronic conditions, and continuity of care.  
 
 
 
Processes medical records and supplemental data and corresponding results in accordance with medical record policies for medical records received from outside facilities, third-party vendors, lab results and other external clinical data (i.e., updating health maintenance, preventive and chronic condition care gaps, lab and procedure results).  
 
 
 
Utilizes clinical knowledge to review provider and staff documentation and updates medical record data received to ensure compliance with HEDIS and CMS measures through identified through health plan care gap lists. 
 
 
 
Utilizes clinical knowledge of vaccinations and immunization schedules, updates the medical record immunization profiles and California Immunization Registry (CAIR) to accurately reflect immunization compliance.  
 
 
 
Use clinical knowledge and judgment to assess external medical data received for appropriate inclusion in the medical record and supplemental data to health plans. 
 
 
 
Assists managers in identifying, addressing, and resolving patient medical record care gaps and issues; provides corrective feedback to team members when appropriate. 
 
 
 
Utilizes clinical knowledge to perform medical record and immunization review/ audits, in compliance with CDPH, CHDP, and HEDIS reporting requests and requirements.  
 
 
 
Assists in patient outreach and identifying and resolving care gap closure lists in the medical records. 
 
 
 
Performs duties related to policies associated with multiple missed appointments and disenrollment from the ambulatory departments.  
 
 
 
Complies with client's policies and procedures, HIPAA, safety, and other applicable regulatory statutes.  
 
 
 
Participates in process management activities and implements action plans.  
 
 
 
Performs all other duties as assigned.  
 
 
 
Education:  
 
 
 
AA degree is preferred. 
 
 
 
Graduate of an accredited Medical Assistant program required.  
 
 
 
Must have successfully completed the client Medication Administration competency credential.  
 
 
 
Licensure/Certification: 
 
 
 
Certified Medical Assistant required. 
 
 
 
Experience: 
 
 
 
Minimum 3 years of experience working in a medical office in an outpatient setting.  
 
 
 
Skills: 
 
 
 
Excellent oral and written communication skills and comprehensive knowledge of state and federal chart completion and release of information requirements. 
 
 
 
Knowledge of and experience with computers and computer systems. 
 
 
 
Ability to manage multiple tasks at one time. 
 
 
 
Demonstrated ability to lead others in complying with policies and procedures. Working knowledge of MS Word and MS Excel. 
 
 
 
Past experience with electronic medical records (i.e. Cerner applications or equivalent systems) required.  
 
 
 
Interpersonal Skills: 
 
 
 
Demonstrates the client. 
 
 
 
The client Way is a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees who work at the client. 
 
 
 
The client Way principles consist of Caring, Communication, Collaboration, and Competence.  
 
 
 
Ability to work as a team member with providers, staff, and patients. 
 
 
 
Ability to complete assigned duties in a timely manner and prioritize workflow to meet deadlines. 
 
 
 
Ability to multi-task and work on special projects. 
 
 
 
Capable of mature and independent judgment. 
 
 
 
Demonstrated leadership skills and creativity in problem- solving. 
 
 
 
Flexibility and tact. 
 
 
 
Excellent communication skills and teamwork. 
 
 
 
Standards of Performance: 
 
 
 
Demonstrate performance by adhering to established policies and procedures and exhibiting the defined characteristics associated with attendance and punctuality.  
 
 
 
Physical Effort: 
 
 
 
Attendance is an essential function of the job. 
 
 
 
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. 
 
 
 
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  
 
 
 
CMA requirement waived for this req  
 
 
 
TekWissen   Group is an equal opportunity employer supporting workforce diversity.