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in Columbus, OH
QI SPECIALIST
Hours | Full-time, Part-time |
---|---|
Location | Columbus, Ohio |
About this job
Job Description
Reports to: Clinical Systems and Quality Manager
Supervises: N/A
Dress Requirement: Business casual in accordance with the Heart of Ohio Family Health dress code policy
Work Schedule: Full-Time Position, Monday through Friday during standard business hours
Times are subject to change due to business necessity.
Non-Exempt
Job Duties: These are considered essential to the successful performance of this position:
Quality Improvement/Quality Assurance/Performance Improvement
Quality Improvement Specialist assures positive client health outcomes through an effective surveillance, monitoring, and performance improvement program.
- Develops, implements and maintains existing policies and procedures in collaboration with supervisor, functional leaders, the QI teams.
- Conducts data analysis of performance improvement and quality monitoring activities and reports findings.
- Participates in the design, implementation and evaluation of data-driven performance improvement initiatives.
- Analyzes quality data to identify workforce training and education needs.
- Conducts quality audits or assessments, as needed, on key performance indicators.
- Works with Health Plans and internal clinical team on closing in Gaps-in-Care.
- Participates in the data collection for UDS, CPC, PCMH, various grants related to quality care, and other program reporting, as needed.
- Participates in quality and process improvement teams as requested. Assists in note-taking at meetings.
- Participates in Accreditation/ Recognition activities and assists in keeping organization current with all new standards and/or requirements.
- Educates staff at various levels of the organization in performance improvement philosophy, tools, and techniques.
- Assesses the effectiveness of orientation and education materials and or programs and make needed revisions based on findings.
- Leads special programs and projects based on assignment (mammogram bus program, smoking cessation, CPC outreach, no-show improvement, etc.).
- Assist in EHR training activities related to project implementation.
- Assists with patient experience phone line and initiatives to improve patient experience/satisfaction.
- Other Duties as Assigned
Job Qualifications: (Experience, Knowledge, Skills and Abilities)
- 3 to 5 years of healthcare industry experience required. Knowledge of managed care, Medicare, Medicaid and Community Health Center operations a plus.
- Experience in quality improvement preferred
- Knowledgeable of regulatory, accreditation and or recognition standards related to quality activities.
- Ability to develop trend reports with analysis and develop appropriate action plans for submission to Quality Committees.
- Willingness to become familiar with NCQA, PCMH, HEDIS, CMS regulations, Health Plans and Health Insurance Exchange.
- Ability to understand complex workflows; Ability to comprehend technical documents and programs.
- Must be detail oriented, produce accurate work and have the ability to effectively communicate both verbally and in writing with all levels and roles within the company.
- Must demonstrate self-direction and be able to manage multiple priorities.
- Must be flexible to adapt to changing, competing priorities.
- Ability to maintain confidentiality when dealing with sensitive, performance-related information.
Education:
Associate Degree and/or QI or data analysis experience in healthcare preferred.
Adheres to HOFH’s Values:
Communication, Teamwork, Respect and Quality
Equipment Operated:
Telephone
Computer
Printer
Fax machine
Copier
Other office equipment as assigned
Facility Environment:
Heart of Ohio Family Health operates in multiple sites in Columbus, Ohio and surrounding areas. All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, pharmacy stock room, business offices, hallways and private toilet facilities. Both facilities ADA compliant.