Quality Specialist
2 weeks ago
Position Title: Quality Specialist
Status:Fulltime
Department: Quality Improvement/Quality Assurance
Position Reports to:Quality Improvement/ Quality Assurance Director
Summary: Clinica Romero seeks a Quality Specialist to link patients to clinic and preventive health
services to support overall wellness and ensure continuous improvement in healthcare delivery. With
a focus on culturally and linguistically sensitive approaches, the incumbent will work towards
improving quality performance measures for our diverse patient population.
Seamlessly integrating the roles of a Patient Navigator and the ability to transition into the QI
Coordinator role as needed, this position is uniquely positioned to drive effective patient care
and operational excellence.
Duties and Responsibilities:
• Act as a vital liaison connecting patients with various healthcare providers.
• Conduct outreach via phone to CMOAR patients eligible for preventive services.
• Identify and address patient barriers to care, such as transportation, insurance, and language, by referring them to appropriate resources.
• Schedule appointments for follow up appointments, consults and support services within established service standards, including dietitians, physician, specialty departments, etc.
• Assist in helping patients arrive at scheduled appointments on time and coordinate transportation when needed.
• Prepare patient summaries for the care team's reference, documenting recommendations using standardized care protocols aligned with CMOAR guidelines.
• Compare health plan data with internal HEDIS data to ensure there are no data gaps
• Review EHR chart documentation and submit supplemental data into COZEVA when applicable
• Assists with the preparation and coordination of HEDIS medical record reviews
• Assist QI Coordinator in training of new staff
• Assist with projects aimed at improving patient healthcare outcomes and enhancing performance improvement metrics.
• Assist with the increase of performance improvement measures by assisting with QI ojects.
• Follow patients throughout the care continuum and collaborate with inpatient care management resources
• Deliver Weekly, Monthly & Quarterly reports that demonstrate outcomes and performance improvement activities.
• Adhere to established productivity benchmarks.
• Attend trainings and learning opportunities that expand content knowledge and best practices
• Responsible for outreach efforts to establish and maintain positive working relationships with key departments (physicians, office staff, diagnostic staff, nurses, community organizing, etc.)
• Gather comments/information from patients and document appropriately in EMR system
• Provide detailed updates or anecdotes regarding the program
• Other duties assigned
Qualifications/Requirements:
Education:
• High school diploma or GED is required.
• Medical Assistant certification or pre-med background is required
Technical Skills:
• Trained in EPIC or similar electronic health record platforms.
• Proficiency in Microsoft Office, especially Excel.
Soft Skills:
Strong problem-solving, decision-making, and critical thinking abilities.
• Exceptional organizational, written, and verbal communication skills.
• Outstanding interpersonal skills, including the ability to maintain strong relationships with
the healthcare team, other departments, and external stakeholders.
• Demonstrated ability to maintain strict confidentiality.
Language:
• Bilingual proficiency in English and Spanish.
Experience:
• 1-2 years of experience working with FQHCs/community health centers.
• Familiarity with HEDIS measures and UDS.
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