CARE MANAGER AND QUALITY IMPROVEMENT COORDINATOR Job at BLEHEALTH, Pomona, CA

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  • BLEHEALTH
  • Pomona, CA

Job Description

Essential Duties and Responsibilities: include but are not limited to the following functions.

MUST HAVE EXPERIENCE WITH UDS AND HEDIS! IF YOU DO NOT HAVE THE EXPERIENCE, PLEASE DO NOT APPLY.

  • Provide care management services
  • Engage members
  • Perform coordination of care, and transition of care.
  • Connect members with resources.
  • Create reports.
  • Improve and drive Quality Improvement across all areas.
  • Drive to clinic locations
  • Engage in process improvement and work with other departments as needed in order to ensure organization-wide improvement.
  • Develop policies, procedures, and protocols for the department using knowledge of Quality Improvement principles, practices, and procedures.
  • Work directly with the clinic staff in establishing, refining, and implementing developed policies, procedures, and protocols for use in the clinic.
  • Assist with the tracking of all UDS, HEDIS clinical indicators on a monthly basis and reporting these measures to the supervisor.
  • Assist with credentialing of Providers
  • Assist with audit
  • Educate and facilitates the use of the PDSA model.
  • Facilitate CAP as determined by QIC when metrics do not progress toward the target.
  • Monitor effectiveness of implementation.
  • Provide written and verbal reports of findings to QI Director.
  • Maintain written reports of findings and activities.
  • Attend training programs as assigned/approved by supervisor.
  • Attend both internal and external meetings.

Qualifications:

Education:

  • Bachelor’s degree in health sciences, business, healthcare administration, health information management, engineering, or other relevant field.
  • Must know Excel, PowerPoint.
  • Must know how to create a PowerPoint presentation
  • Must know how to use Excel.
  • Minimum 1 year of work experience in healthcare.
  • Current CPR certification is required.

Job Tags

Work experience placement,

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