LPN - Quality Coordinator - Tampa, Florida - Full-time / Part-time

Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm)

This position is responsible for the coordination of HEDIS and STARs data gathering process within the clinic setting.  This role is responsible for the education to the clinic on quality measures and coordinates strategies for closing gaps.  Evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, maintaining accurate records of review activities, developing formal training and improvement programs and maintaining up-to-date knowledge of regulatory (HEDIS/STARs) standards and guidelines.   

Primary Responsibilities:

• Analyze data, evaluate for possible data integrity and data deficits and document findings


• Analyze and trend HEDIS/STAR rates, identify barriers to improvement of rates and create interpretive exhibits


• Obtains quality detail report and flags patient's charts with the missing measures


• Works closely with local leadership to execute quality strategies


• Supports and assists PCPs/clinics with quality data collection


• Provides reports and monitors performance at local level


• Engages PCP and clinic staff in developing strategies to close quality gaps


• Supports and improves communications between market and corporate departments


• Maintains education/knowledge base of HEDIS/STARs standards and guidelines


• Performs all other related duties as assigned

Required Qualifications:

• Licensed Vocational/Professional Nurse


• Prior HEDIS/STAR experience or participation with similar regulatory reporting


• Three or more years of healthcare experience to include experience in a managed care setting


• Three or more years of experience with data analysis/quality chart reviews


• Must be able to review data and provide recommendations for improvement


• Experienced using Microsoft office applications, including databases, word-processing, and excel spreadsheets


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  This position requires AHCA level II background checks (fingerprinting) by the state of FL for all clinicians that have face to face contact with members or employees who have access to confidential patient data and will require renewal every five years.

Preferred Qualifications:

• Two or more years of college, in pursuance of a Bachelor's or Associate's degree


• Two or more years of experience working with HEDIS/STAR measures

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Certain positions are subject to random drug testing.

Job keywords: quality coordinator, HEDIS, STAR, RN, data analysis, Orlando, FL