JPS Health Network · 1 week ago
SR CLINICAL QUALITY COORDINATOR
Fort Worth, TX
Full-time
Onsite
Mid, Senior Level
2+ years expJPS Health Network is a comprehensive healthcare system in North Texas, and they are seeking a Senior Clinical Quality Coordinator. This role is responsible for advancing value-based care by supporting clinic-level quality initiatives, providing guidance to Clinical Quality Coordinators, and optimizing workflows to improve patient care quality.
Health Care
Responsibilities
Oversees a designated group of clinics and assigned Clinical Quality Coordinators, supporting daily workflows, production, and issue resolution
Provides training and ongoing support to Clinical Quality Coordinators and medical support staff on payer portals, quality measure requirements, and standardized workflows aligned with value-based care contracts
Partners with CQCs and clinic staff to develop efficient, gap-focused workflows that enhance the quality of patient visits
Identifies and recommends process improvement opportunities to enhance quality performance and Star ratings, using sound judgment and data-informed insights
Accesses Clinical Operations shared drives to retrieve or upload reports and materials as needed, particularly in the absence of the Manager
Monitors CQC performance, identifies root causes of workflow gaps, and collaborates with the Manager to develop and implement targeted improvement strategies
Supports the Manager for Process Improvement in maintaining CQC operational efficiency and consistency across network clinics
Partners with physicians and patient care team to assist patients in completing health screens and preventive care measures that are not yet completed to close care gaps
Contacts external physician offices to obtain copies of consult notes and reports for patients who had preventive healthcare screens and clinical measures completed at outside facilities
Contacts Patients to remind them to pick up their Prescriptions and identifies any barriers with taking prescription or picking up prescriptions
Successfully updates preventive health screens and clinical measures in the Electronic Medical Record (EMR) that have been determined as completed
Communicates regularly with interdisciplinary team members to coordinate/update patient’s care
Maintains an accurate tracking log of patients who have been contacted and status of their preventive health screens, clinical measures and medication adherence
Participates in various quality driven initiatives within JPS and collaborates together to achieve high level patient outcomes
Submits data to external agencies as directed by the manager
Explains the importance of preventive health screens and clinical measures to staff, patients, and families
Records patient care documentation in the EMR accurately and in a timely manner. Identifies when others’ documentation is incorrect and alerts clinic leadership
Assists CQCs with documentation questions
Respects patient confidentiality at all times. Ensures others are also respecting patient confidentiality
Anticipates provider’s needs prior to patient encounter
Partners with multidisciplinary care team to support and improve medical adherence
Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned
Qualification
Required
Current certification from a national registry as a Certified Medical Assistant (CMA) or a Certified Clinical Medical Assistant (CCMA)
2 years of experience in the healthcare field
2 years of experience with HEDIS and STARS
1 year of Clinical Quality Coordination experience
Current licensure to practice vocational nursing in the State of Texas by the Board of Nurse Examiners and must maintain licensure throughout employment
2 years of experience in the healthcare field
2 years of experience with HEDIS and STARS
1 year of Clinical Quality Coordination experience
Requisite educational or training background and 1 year of combined experience in medical billing and coding, patient registration, and navigating patient's electronic medical records may suffice for licensure/certification
2 years of experience in the healthcare field
2 years of experience with HEDIS and STARS
1 year of Clinical Quality Coordination experience
Preferred
Bachelor's Degree from an accredited school of professional nursing or school of business with a healthcare focus
Company
JPS Health Network
The Tarrant County Hospital District, known as JPS Health Network, is a nationally recognized system anchored by John Peter Smith Hospital, a 582-bed facility in Fort Worth.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Stanley C. Adams, MBA
Interim CFO
Colin Werenka
Senior Vice President, Chief Compliance Officer
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