CMA for Quality Improvement in Healthcare

JOB SUMMARY

The Quality Tech is an important member of the Quality Assurance program who assists with collecting clinical data, QI summaries, reports, clinical training and monitoring of all clinical quality measures. This position assists with Patient Centered Medical Home (PCMH) program activities by working with the QI Coordinator towards NCQA accreditation status. This position also assists the QI Coordinator with reporting data requirements for Q/I, UDS, ACO, HEDIS and PCMH; recommends changes and assists with implementation as necessary for improved program outcomes.

RESPONSIBILITIES AND DUTIES

• Assists QI Coordinator to foster compliance with standards and regulations in areas of Quality Assurance, UDS data analysis, PCMH benchmarks, ACO measures and HEDIS.
• Identifies barriers to implementing PCMH model and works with staff to develop solutions to address barriers.
• Conducts chart audits as required by PCMH to evaluate if locations are meeting the PCMH requirements.
• Assisting the Quality Assurance Program with gathering monthly data and reports for statistical and planning purposes, identifying adverse trends and recommending corrective action to improve outcomes.
• Assists QI Coordinator with reports, surveys, and data/statistical information required by the Quality Assurance Program, PCMH Program, UDS reporting system, ACO and HEDIS.
• Provides education to staff on benchmarks and goals of the Quality Assurance Program, PCMH, UDS requirements, ACO and HEDIS.
• Other duties as assigned by COO or QI Coordinator.

QUALIFICATIONS, KNOWLEDGE, SKILLS

• Current MA certification REQUIRED
• Minimum (2) years medical experience required
• Current Basic Life Support (BLS) certification
• Previous outpatient, primary care experience required
• Maintains annual competencies/nursing skills checklist
• Meet all training requirements as required of the position.
• Knowledge and qualifications necessary to execute all duties as described above under Responsibilities and Duties.
• Knowledge of computer systems and applications including electronic medical records.
• Skills in planning, organizing, problem solving, and decision-making.
• Knowledge and experience with a strong quality assurance program; gathering and interpreting data.
• Strong interpersonal skills to mediate conflict resolution and to be a “change agent” based on strong leadership skills.
• High degree of initiative, judgment, discretion, and decision-making demonstrated in prior employment positions.