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Community Health Systems · 4 weeks ago

Clinical Quality Coordinator-Transitions of Care

United States

Full-time

Remote

Entry, Mid Level

2+ years exp

Community Health Systems is seeking a compassionate and organized Transition of Care Clinical Support team member to support patients as they move from hospital to home. In this role, you will conduct post-discharge phone interviews to assess patient needs and help schedule timely follow-up appointments to reduce hospital readmissions.

Health CareHospital

Responsibilities

Implements and monitors quality improvement initiatives to ensure adherence to best practices, policies, and regulatory requirements

Supports teams as a subject matter expert on quality-related workflows, ensuring staff adherence to established procedures

Coordinates and tracks patient outreach efforts to close gaps in care, ensuring timely follow-up on quality attribution reports

Optimizes provider schedules by ensuring appointments address preventive care and chronic disease management gaps

Monitors and analyzes key performance indicators (KPIs) related to quality measures, providing feedback and accountability to stakeholders

Conducts regular rounding with providers and staff to reinforce best practices and identify workflow improvement opportunities

Assists in medical record audits, ensuring compliance with payer requirements and timely submission of quality-related documentation

Facilitates training sessions and provides ongoing support to enhance staff competency in quality care initiatives

Collaborates with data analytics and population health teams to ensure accurate reporting and performance tracking

Maintains compliance with all payer-specific quality programs, ensuring proper documentation and adherence to incentive program requirements

Performs other duties as assigned

Complies with all policies and standards

Qualification

Quality improvement methodologiesElectronic medical records (EMR)Data analysisHealthcare regulatory requirementsPayer quality programsCommunication skillsOrganizational skillsProblem-solving skillsInterpersonal skillsAttention to detailAdaptability