Practice Quality Coordinator at Dorchester

The Practice Quality Coordinator works in coordination with Steward Health Care Network (SHCN) departments and Local Chapters (LCs)to identify physician practices with opportunities for improved performance. Will work with SHCN and Local Chapters to coordinate plans for improvement, and to provide information to track performance against the plan. Provides support for the practice to meet organizational quality and efficiency goals through optimizing practice work flow and a focus on patient engagement. Must possess the ability to work independently with strong organizational, communication and interpersonal skills to support the management of multiple priorities, at multiple locations, with significant attention to detail for completion of both verbal and written external communications.

Key Responsibilities:

Work collaboratively with SHCN practices to identify opportunities for improved performance and implement local quality plans for improvement. Also works with LCs identify and help implement possible system improvements to improve identified performance measures.

Work collaboratively with assigned LC staff, Office Managers and practice staff to coordinate improvement efforts related to quality measures of Coordinate office implementation of best practices and other tools to support quality improvement.

Assists Practice Staff with use of Patient Registry.

Works with SHCN Patient Registry and practice Electronic Health Record or paper record to support SHCN reporting and monitoring of quality performance.

Works with assigned practices as appropriate and agreed upon to engage patients which may include:

Directly engaging patients to ensure screening and other required preventative tests and appointments are completed.

Coordinating with local specialist offices or other entities to coordinate care and ensure patient follow up.

Engaging patients through mailings, phone calls or other methods and working with the practice to build a process to engage patients going forward.

Working with laboratory and other vendors as required to collect patient results.

Facilitating communications with patients/payers to ensure accurate eligibility, and to minimize inaccurate patient panel assignment.

Participate in office/practice team huddles as appropriate

Support/conduct pre-visit planning reviews for practices.

Support medical record data review/collection for appeals and exclusions.

Communicates information to SHCN Care Management Team as necessary.

Produces and maintains records and reports of LC and practice improvement plans, work completed, dates and time spent at each assigned practice along with monitoring LCand practice performance to determine impact of interventions.

Maintain collaborative team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, and to help foster a positive work environment.

Coordinate with SHCN management to track and share data with practice on patient experience improvement measures and performance against goals.

Performs other similar and related duties as required or directed.

Required to attend meetings as necessary at LC and SHCN central offices.

Required Knowledge & Skills:

Bachelors Degree preferred

One to two years of healthcare and administrative experience

Medical Assistant certification preferred

Demonstrates, after receipt of training, ability to use all applicable electronic systems/applications including but not limited to the Patient Registry, Electronic Health Record (EHR) and population management systems.

Experience in either medical practice management, managed care provider relations, or hospital physician management operations

Excellent verbal and written communication skills

Ability to work well with multiple teams and in multiple settings

Ability to prioritize multiple tasks

Detail oriented with strong multi-task abilities

Excellent interpersonal and communication skills, including customer service skills

Has or is able to obtains a basic understanding of management of chronic health conditions and population management

Able to, after receipt of training, produce and do simple analysis of basic quality measure reporting.

Understands and complies with highest standards of confidentiality

Country: USA, State: Massachusetts, City: Dorchester, Company: Steward Health Care System.