True Health · 2 hours ago
Quality Specialist II
United States
Full-time
Remote
Entry Level
1+ years expTrue Health is dedicated to providing high-quality services to their patients, and they are seeking a Quality Specialist II to coordinate therapeutic services and improve patient care. The role involves planning with patients and healthcare teams, educating patients about treatment options, and advocating for positive health outcomes.
Health CareMedicalUnderserved Children
Responsibilities
Plan with the patient, family/caregiver, primary care provider, support staff, payers, and the community resources, to maximize healthcare responses, quality, and cost-effective outcomes
Facilitate communication and coordination between members of the healthcare team, involve the patient in the decision-making process to minimize fragmentation in the services
Educate the patient, family or caregiver, and members of the healthcare delivery team about treatment options, community resources, insurance benefits, psychosocial concerns, care coordination, etc., so that timely and informed decisions can be made
Empower the patient to problem-solve by exploring options of care, when available, and alternative plans, when necessary, to achieve desired outcomes
Encourage the appropriate use of healthcare services and strive to improve quality of care and maintain cost effectiveness on a case-by-case basis
Assist the patient in the safe transitioning of care to the next most appropriate level
Strive to promote patient self-advocacy and self-determination
Advocate for the patient to facilitate positive outcomes for the patient, health care team, and payers
Attending monthly meetings with insurance payers to have a consistent line of communication open and assist with setting goals for quality improvement
Work on projects as assigned based on priorities received from insurance companies
Stay involved and active with quality improvement activities
Conduct chart audits to determine quality compliance and documentation opportunities
Proficient in clinical knowledge to aid other non-clinical colleagues with closing care gaps as needed
Other projects/duties as assigned
Qualification
Required
Current Florida LPN License, active and in good standing
One (1) year minimum experience in Clinical Care Coordination, Care Planning or Chronic Care Management
Computer competency is required
One (1) year minimum experience with an EHR (Athena Health preferred)
Must be a collaborator but able to work independently
Excellent spoken and written communications skills
Must have reliable transportation
Ability to view a computer screen for extended periods of time
Ability to perform repetitive hand and wrist motions for extended periods of time
Ability to communicate effectively with patients and staff
Preferred
Certified Medical Assistant active and in good standing
Bilingual is a plus (English/Spanish)
Company
True Health
True Health is a non-profit patient-centered medical home serving the community .
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Janelle Dunn, MHA, CMPE
Chief Executive Officer
Roy Carlton
Chief Financial Officer
Company data provided by crunchbase