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Clinical Quality Assistant

4 months ago

Oakwood, United States Northeast Georgia Health System, Inc Full time

Job Category:

Revenue Cycle

Work Shift/Schedule:

8 Hr Evening - Morning

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.



About the Role:

Job Summary

The Clinical Quality Assistant is an important member of the quality department. The Clinical Quality Assistant supports the Quality department by conducting telephonic outreach to patients who are needing preventative services in support of quality initiatives and regulatory/contractual agreements via three-way phone call, to help in closing the gaps in care. Provides education to members regarding gaps in care that they have and assists in scheduling appointments.  The assistant acts as a liaison between patient, physician, healthcare team members and community resources. The Assistant completes special assignments and projects and instrumental to the function of the department including, but not limited to, abstracting data to compile ACO metric submission. Maintains current knowledge of NGPG practices, physicians, services as well knowledge of current quality measures. Assists with a variety of quality improvement projects such as standard work and works effectively as a team member to ensure best quality care delivered to patients while maintaining confidentiality of business and protected health information. Refers to care managers or other resources as needed. 
 



Minimum Job Qualifications

  • Licensure or other certifications: Certification or Registry (CMA/RMA) as a Medical Assistant required.

  • Educational Requirements: High School Diploma or GED.

  • Minimum Experience: Five (5) years experience in healthcare, with at least three (3) years in direct patient care in a clinical environment.

  • Other:



Preferred Job Qualifications

  • Preferred Licensure or other certifications:

  • Preferred Educational Requirements: Bachelors degree, in health/human services.

  • Preferred Experience:

  • Other:



Job Specific and Unique Knowledge, Skills and Abilities

  • Excellent self-management and organizational skills and ability to work independently and as part of a team.

  • Ability to prioritize and manage multiple tasks concurrently. Ability to be flexible, prioritize and manage multiple tasks concurrently.

  • Excellent written and oral communication skills with high degree of competency in manipulating and presenting large data. 

  • Microsoft Office and Excel knowledge (intermediate).

  • Must be creative and able to work in a very fast paced, dynamic environment.

  • General knowledge of anatomy/physiology, case finding, abstracting and follow up procedures, medical terminology and general clerical and computer expertise.



Essential Tasks and Responsibilities

  • Collaborates with and supports team members of the Quality and Risk Services team with key projects and initiatives.

  • Performs chart abstractions, chart audits and documentation reviews to comply with organizational policies and accreditation requirements.  

  • Provides educational and communications strategies and tools to provider groups and physician practices targeted for recognition; builds and maintains excellent relationships with participating practice contacts in order to advance education and communication goals regarding care gaps. Strategies and tools are developed collectively by Quality department staff and shared.

  • Supports team by being the liaison in providing education and communication to project teams, workgroups, task forces, learning sessions, and other meetings as necessary, facilitating meetings, preparing meeting minutes, and ensuring appropriate follow up of action items regarding clinical quality and care gaps initiatives.

  • Reviews and evaluates correspondence from patients, payors and helps formulate responses and generate documentation as appropriate

  • Assists with educating providers and staff when deficiencies are identified by payors in order to achieve higher compliance scores on quality measures, NGPG goals, payor objectives and accreditation requirements.

  • Generates valid and accurate monthly quality reports from comparison files received from payors and in house reports collected from provider summary cards, used to find gare gaps.

  • Participates in meetings with staff, payors and others to improve strategic use of data and improve quality outcomes and patient care

  • Ensures results/consultation reports are received, reviewed and added to the electronic health record in an appropriate time frame

  • Manages assigned panel of patients for chart review and identify opportunities for care follow up and routing recommendation for providing additional coordination of care, patient outreach and education to the clinic team in that clinic.  
     



Physical Demands

  • Weight Lifted: Up to 50 lbs, Occasionally 0-30% of time

  • Weight Carried: Up to 50 lbs, Occasionally 0-30% of time

  • Vision: Moderate, Frequently 31-65% of time

  • Kneeling/Stooping/Bending: Occasionally 0-30%

  • Standing/Walking: Occasionally 0-30%

  • Pushing/Pulling: Occasionally 0-30%

  • Intensity of Work: Frequently 31-65%

  • Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. 


NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.