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Company: Liberty Health
Location: Kernersville
Posted on: July 6, 2024

Job Description:

There---s no place like Liberty Healthcare Management Come explore career opportunities with Liberty Health , a dynamic leader in the healthcare industry. Join us We are currently seeking an experienced: QUALITY IMPROVEMENT COORDINATOR --- LIBERTY ADVANTAGE Full Time JOB SUMMARY: Assists with collecting, compiling and reporting of QI data for both I-SNP and C-SNP programs. Performs comprehensive, concurrent, and retrospective reviews in a timely manner, utilizing QI plan Collaborate with team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS) Versed in HEDIS technical specification Ability to abstract medical record information in accordance with HEDIS specifications, which may include research in claims and other systems to find needed information. Provides care for assigned I-SNP and C-SNP patients in collaboration with provider. Conducts assessments for assigned patients based on the model of care requirements. Completes acute assessments to evaluate patient conditions. Focus on early identification of changes in condition and communicate findings to practitioner. Communicates effectively with any transition of care. Documents patient assessment and directed plan of care in the electronic medical record. Reviews appointments, labs and diagnostic tests communicating pertinent results to practitioner for additional interventions Collaborates with members of IDT for coordination of care Communicates with patients and/or family monthly or quarterly as condition dictates. Utilizes strong communication skills and focus on customer needs and services. Assists with any patient emergency as needed. Recommends and/or conducts specific areas of in-service or continuing education with patients and caregiver as appropriate. Assists with compliance of quality measures for assigned members Participates with ICT meetings for assigned members Completes initial and annual HRA's and corresponding care plans for assigned members Performs other duties as assigned. JOB REQUIREMENTS: Graduated from an accredited Registered Nurse (RN) program Current RN licensure in state of practice Current BLS certification Minimum 2 years clinical experience as a Registered Nurse (RN) in geriatric, adult or family practice setting Pertinent clinical work experience relevant to the population being served. Must be able to demonstrate computer skills, including use of e-mail and Microsoft office word and excel Must be able to demonstrate effective written communication skills including but not limited to writing reports and correspondence Must be able to demonstrate effective verbal communication skills, including but not limited to speaking effectively to members, providers, families and staff and listening to members, providers and families Demonstrate ability to meet deadlines, and use time effectively and efficiently. Demonstrate successful experience working in an environment of change. Effectively copes with change and uncertainty; responds and "shifts gears" comfortably Dedicated to meeting the expectations and requirements of both external and internal customers, acts with customers in mind Demonstrate ability to establish and maintain effective relationships with customers, and gain their trust and respect Utilize logical methods to solve problems with effective solutions; looks beyond the obvious for solutions Must be action oriented and sees challenges as opportunities Visit for more information. Background checks/drug-free workplace. EOE. PIa5469b56ac53-31181-34667931

Keywords: Liberty Health, Winston-Salem , QUALITY IMPROVEMENT COORDINATOR - LIBERTY ADVANTAGE, Other , Kernersville, North Carolina

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