What are the responsibilities and job description for the Specialist, Clinical Care Gap & Data Quality position at The Wright Center for Graduate Medical Education?
Description
- Assist in the development, monitoring of Azara and ensure all metrics are accurate and up to date
- Routinely and proactively reviews patient medical records, claims data and other relevant information to identify care gaps.
- Assess urgency and potential impact of care gap closures across all Value Base Programs.
- Training and presentation of Azara features in Population Management courses
- Develop dashboards and reports within Azara to monitor clinical performance and identify areas for improvement
- Conduct comprehensive reviews of patient records and regular data audits to identify clinical care gaps, inconsistencies, and potential quality issues
- Collaborate with clinical teams to develop strategies for closing care gaps and improving UDS reporting measures
- Collaborate with EHR Trainers to improve clinical training on where to document to meet measures
- Coordinate tracking and reporting of clinical outcomes, and follow-up of corrective action plans
- Responsible for developing methods for data collection and extracts data as required
- Assist with coordination of monthly QI meetings in alignment with program requirements
- Prepare QI reports and statistics
- Assist with the management of all clinical quality measures as they pertain to all health center program requirements
- Assist with UDS and HRSA reporting requirements and actively engages in improvement activities involving them
- Have working knowledge of HEDIS measures and UDS reporting
- Participate in payor meetings as they relate to value-based care and care gap closure
- Assist with Vatica Health by outreaching to patients for visits, reconciling the insurance rosters, and assisting the providers with Well365 navigation to ensure we reach the maximum potential
- Communicates with patients and utilizes connection with outside facilities to obtain information on appropriate documentation needed to close care gaps
- Outreach to patients for priority visits and encourage them to complete specific health screenings as they relate to the Value Based Program.
- Generate necessary orders for patients needing testing
- Provide clear and concise explanations about the importance of care gap closures across the enterprise
- Clearly and consistently document all patient interactions as they relate to care gap closures in the patient’s medical record.
- Provide patient specific education based on their specific insurance plan to better help them manage their condition.
- Implement system wide fixes to ensure the organization is able to achieve its optimal score across all Value Based Programs
- Knowledge of SDOH and all community resources we have to offer to patients
Requirements
- Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool
- Buy in and experience working in the EOS® model (strongly preferred)
- Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride
- Bachelor’s degree in a healthcare-related program or other related field preferred or minimum 5 years healthcare experience
- Knowledge of EHR (Electronic Health Records) systems preferably Medent
- Knowledge of Microsoft Office software
- Must be focused, self-directed, organized, and have demonstrated problem-solving abilities
- Accurate and precise attention to detail
- Excellent verbal and written communication skills
- Able to work both independently and as part of a team
- Must possess team leadership skills and have a positive disposition
- Valid drivers license
