Demo

Clinic Quality LPN

Mary Kraft HR
San Antonio, TX Full Time
POSTED ON 2/23/2025
AVAILABLE BEFORE 5/20/2025

Job Description

Job Description

Job Profile

Job Title : Clinic Quality LPN

Location : San Antonio, TX

Hire Type : Contingent

Pay Range : $33 / hr

Work Model : Remote

Recruiter Contact : Natalie Dunn I natalie@marykraft.com I 443.345.3303

Nature & Scope : Positional Overview

Our client is seeking a dedicated Clinic Quality LPN to join their team and play a key role in ensuring top-tier patient care and compliance with clinical quality standards. If you are passionate about improving healthcare outcomes, thrive in a fast-paced environment, and have a keen eye for detail, this is the perfect opportunity for you! In this role, you'll support patient care initiatives, assist with quality assurance processes, and collaborate with healthcare professionals to enhance clinical efficiency. Join them and be part of a team that values excellence, Apply today!

Role & Responsibility :

Tasks That Will Lead To Your Success

  • Assisting in the review of medical records to highlight Star / HEDIS opportunities for the medical staff.
  • Review medical records for data collection, data entry, and quality monitoring that close gaps in care.
  • Partner with the leadership team, the practice administrative or clinical staff to identify trends observed and potential strategies to support the practice.
  • Communicate challenges or trends that may negatively impact quality outcomes.
  • Track and trend barriers / challenges that exist at their assigned groups so that better outcomes can be achieved including access to appointments lack of follow up on referrals, or inconsistent coding practices.
  • Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS / Star measures.
  • Support quality initiatives by requesting medical records from provider’s offices as needed.
  • Receives and responds to incoming Clinical Quality inquiries from all communication venues : e.g. phone and fax queue, TruCare, or department e-mail box.
  • Conducts in-bound and out-bound calls for quality requirements including, but not limited to : medical records requests, contact verification.
  • Provides clerical and / or administrative support to quality staff and managers for special projects and reporting needs.
  • Provides excellent customer service by serving as a resource to all internal and external customers.
  • Maintains education / knowledge base of HEDIS / STARs.
  • Datamining

Skills & Experience

Qualifications That Will Help You Thrive

  • Highschool / GED or equivalent
  • Licensed Practical Nurse
  • Minimum 2 year HEDIS experience and / or knowledge
  • Solid knowledge of managed care requirements related to clinical quality
  • Strong medical record review and abstraction prefer
  • Research and detail oriented, excellent proof reading skills
  • Excellent time management and prioritization skills
  • Strong communication skills
  • Strong proficiency with Microsoft Office applications, including : Word, Excel, Adobe and PowerPoint
  • Critical thinking skills
  • Results-driven independent worker, and self-starter
  • Salary : $33

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