Quality Improvement Coordinator I

Job Description

Analyze, develop, implement, and monitor clinical quality improvement initiatives to achieve healthy outcomes. Communicate with provider practices to ensure that transitions of care (TRC) and Medication Reconciliation Post-Discharge (MRP) have been completed and uploaded to the EMR. Audit medical records and monitor performance measures for healthcare risk management, sentinel events, and trends. Perform administrative tasks including requesting and processing medical records. Comply with quality improvement programs according to state requirements, support Quality Assurance Performance Improvement work plan/initiatives, schedule and assist with committee and sub-committee preparation, and assist in the investigation and resolution of member quality of care complaints.

Responsibilities

• Analyze, develop, implement, and monitor clinical quality improvement initiatives to achieve healthy outcomes.
• Communicate with provider practices to ensure TRC and MRP have been completed and uploaded to the EMR.
• Audit medical records to ensure transitions of care (TRC) and Medication Reconciliation Post-Discharge (MRP) are included.
• Monitor performance measures for healthcare risk management, sentinel events, and trends.
• Request and process medical records as part of administrative duties.
• Perform duties to comply with state quality improvement programs requirements.
• Support Quality Assurance Performance Improvement work plan and initiatives.
• Schedule and assist with committee and sub-committee preparation.
• Assist in the investigation and resolution of member quality of care complaints.

Essential Skills

• Quality improvement
• Medical record auditing
• Healthcare risk management
• Electronic medical record (EMR) management
• Transitions of care
• Nursing clinical experience
• Utilization management

Additional Skills & Qualifications

• Bachelor's degree in nursing preferred
• 2 years clinical, quality management or healthcare related experience
• At least one year experience in a quality function within a healthcare setting
• LPN, RN, PA, or LCSW license preferred
• Utilization management certification preferred
• Certified Professional in Healthcare Quality preferred

Work Environment

Hybrid work environment with 50% of the time reporting to the Columbus office and the remaining days working remotely. Travel to the Columbus office is required for 5 out of 10 days. A schedule will be developed post-onboarding to rotate and split in-office days, allowing for a flexible hybrid setting.

Pay and Benefits

The pay range for this position is $20.00 - $25.00

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Columbus,OH.

Application Deadline

This position will be accepting applications until Jan 24, 2025.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

Salary : $20 - $25