What are the responsibilities and job description for the Quality Navigator I position at Employment Opportunities?
Job Summary
The Quality Navigator (QN) will work to improve the health of our patient population by collaborating with the primary care and population health teams. The primary focus is to assist the clinic in obtaining quality measures through data scrubbing, validation, and patient outreach. The Quality Navigator I is an integral part of the care team, supporting both patients and providers to achieve excellent patient care and quality scores.
Job Specific Competencies.
1. Assists Population Health and Medical Teams with obtaining quality measures.
2. Assists Population Health and Medical Teams with the management of the Quality tab in the electronic health record, Athena.
3. Assists with coaching and training of teams as needed.
4. Completes patient recall for those due for preventative care and those with care gaps in conjunction with identifying barriers to care.
5. Assists Population Health Department with scrubbing Athena data for assigned teams.
6. Assists with special projects aimed at increasing quality scores.
7. Utilizes Quality Bonus Fund (QBF) tool and other MCO data tools to extract data.
8. Makes outreach phone calls for scheduling patients with CVCH services to close clinical quality gaps or achieve measurable quality goals established with ACOs, MCOs, or other value-based care programs.
General Duties and Responsibilities
1. Performs other duties and tasks as assigned by supervisor.
2. Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job.
3. Conforms to safety policies, general housekeeping practices.
4. Demonstrates sound work ethics, flexible, and shows dedication to the position and the community.
5. Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers.
6. Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others.
7. Employees are expected to embrace, support, and promote the core values of respect, integrity, trust, compassion, and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others.
8. Conforms to CVCH policies and Joint Commission and HIPAA regulations.
Job Specifications
1. Education: Associates Degree or equivalent work experience.
2. Certification/Licensure: N/A
3. Experience: Two years’ experience in Community/Migrant Health, or Public Health preferred.
4. Language Skills: Bilingual in English/Spanish preferred.
5. Essential Technical/Motor Skills: Knowledge of computer applications and equipment related to work. Must have basic computer and keyboarding skills and the ability to enter data within company’s computer system including strong knowledge in MS Word/Excel and basic knowledge of SQL (preferred); must demonstrate manual dexterity. Must exhibit strong customer service skills. Preferred: strong process improvement background.
6. Interpersonal Skills: Strong interpersonal and communication skills and the ability to work effectively with other staff and management. Demonstrated skill in developing and maintaining productive work teams. Ability to demonstrate personal integrity in all interactions.
7. Essential Physical Requirements: This job is performed mostly in a typical inside, office environment. Essential physical requirements of this job include: light physical effort; repetitive motions of wrists, hands, and/or fingers; standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; frequent sitting; lifting and/or moving items up to 50 pounds, with assistance as needed; ability to read forms and computer screens and to read correspondence and other documents.
8. Essential Mental Abilities: Ability to make decisions in line with state and federal regulations; ability to read, comprehend, and analyze documents, regulations, and policies; ability to prepare and submit complete and succinct documents necessary to the job. Ability to assess and evaluate, have attention to detail. Knowledge of auditing and compliance procedures, quality assurance and improvement practices, understanding of the elements of sponsored clinical protocols including consent forms, and reporting requirements. Problem solving and analytical skills are required with a heavy emphasis on detailed analysis of information to support actions.
9. Essential Sensory Requirements: Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone.
10. Exposure to Hazards: Worker is subject to inside environmental conditions on a frequent basis with moderate noise. Typical working conditions found in most administrative work areas. Worker has contact with consumers and other staff and may be exposed to medical conditions presented by them.
Blood/Fluid Exposure Risk
Category II
1. Usual tasks do not involve exposure to blood, body fluid, or tissues but job may require performing unplanned Category I tasks.
Age Specific Competency
1. Neonatal (Birth – 30 days)
2. Infant (30 days to less than 1 year)
3. Pediatric (1 year – 12 years)
4. Adolescent (12 years – 18 years)
5. Adult (18 years – 65 years)
6. Geriatric (65 years – Death)
Telecommuting:
• Position not eligible for Telecommuting
Benefits
*Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays are prorated based on FTE
|
Benefit: |
Coverage: |
Effective: |
|
Medical Premera (Self Insured) Preferred Provider |
Employee covered - $60.00 per month Dependents covered – please refer to the benefits Guide 2025 for rates |
First of the month following the first date of employment. |
|
Dental Washington Dental |
Employee covered – 100% Dependents covered – 50% |
First of the month following the first date of employment. |
|
Paid Leave |
120 hours – Year 1 136 hours - Year 2 |
Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB. |
|
Extended Illness Bank (EIB) |
Allows for maximum accrual of 200 hours |
PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act. |
|
Holidays |
88 hours related to: · New Year’s Day · Memorial Day · 4th of July · Labor Day · Thanksgiving Day · Day after Thanksgiving · Christmas Eve · Christmas Day · 3 Diversity Days |
Holidays are calculated as 8-hour days if full time, 1.0 FTE, and paid based on the calendar year (January 1 through December 31). Holiday hours will be added to the employee’s timecard automatically. If an employee is part-time, as documented in our HR/Payroll system, Holiday hours will be pro-rated. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below: · Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE) · May 1 – August 31: 2 diversity days (16 hours if 1.0 FTE) · Sept 1 – Dec 31: 1 diversity day (8 hours if 1.0 FTE) Please refer to the Paid Leave policy for additional details. |
|
403(b) Retirement Plan Lincoln Financial |
150% CVCH match up to 3% of the employee’s contribution |
Immediately. Vesting schedule: 20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years. |
|
Employee Assistance Program Mutual of Omaha |
No cost short-term counseling for employee and family |
Immediately. Call 800-316-2796 |
|
Long-term Disability Mutual of Omaha |
Employee Only (variable) |
First of the month following the first date of employment. |
|
Benefit: |
Coverage: |
Effective: |
|
Basic Term Life Mutual of Omaha |
Employee Only (1x annual salary, up to $200,000) |
First of the month following the first date of employment. |
|
Group Accidental Death and Dismemberment (AD&D) Mutual of Omaha |
Employee Only (1x annual salary, up to $200,000) |
First of the month following the first date of employment. |
|
Supplemental Term Life Mutual of Omaha |
Employee / Spouse / Dependent(s) |
First of the month following the first date of employment. |
|
Voluntary AD&D Mutual of Omaha |
Employee / Family |
First of the month following the first date of employment. |
|
Health Reimbursement Arrangement RedQuote |
Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year. |
First of the month following the first date of employment. |
|
Flex Plan: Medical RedQuote |
Flex Plan: Maximum $3,300 per year Direct Deposit available |
First of the month following the first date of employment. |
|
Flex Plan: Dependent Care RedQuote |
Flex Plan: Maximum $5,000 per year Direct Deposit available |
First of the month following the first date of employment. |
|
AFLAC |
Supplemental insurance – cafeteria plan |
First of the month following the first date of employment. |
|
Wellness Stipend |
CVCH will reimburse staff up to $30 per month for a local gym membership OR CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.) |
Immediately. Once employee has submitted invoice to HR/Payroll department. |
|
Cell Phone Discounts |
Discounted monthly access fees Discounted select accessories and special equipment |
Available for personal cell phones, currently in place with AT&T & Verizon |
|
Benefit: |
Coverage: |
Effective: |
|
Tuition Reimbursement |
For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of: · $4,000 for an Associate’s degree, vocational, technical, or certification program · $6,000 for a Bachelor’s degree · $8,000 for a Master’s degree |
Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply.
Employees must agree to work for a period of two (2) years from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams. |
Compensation
$23.00-$31.52/hourly (based on experience)
Salary : $150 - $200,000
