Care Manager and Quality Improvement Coordinator Job at BLEHEALTH, Pomona, CA

TS9BZ21JWS9paWJNT2EyYUZxc29IWHptdXc9PQ==
  • 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,

Similar Jobs

Rev

Video Captioner Needed Job at Rev

Work from home captioning videos with Rev Rev is hiring video captioners. You'll get to watch a wide variety of video content (TV, movies, university lectures, and more!) and will be paid to add text captions to the videos using Rev's proprietary captioning software... 

Your Bright future

Social Media Strategist - Remote Contract | Texas Applicants Job at Your Bright future

 ...who want flexibility without sacrificing meaningful work. Youll be involved in digital outreach, content creation, and lead engagementall within a proven system...  ...Marketers Thrive Here: Flexibility to work from home, a downtown co-working space, or your favourite East... 

National Aeronautics and Space Administration (NASA)

A Next-Generation Wildfire Risk Assessment System: Integrating Satellite Data with Deep Learning Insights Job at National Aeronautics and Space Administration (NASA)

 ...optimize the weightings of each contributing factor and identify the key drivers of wildfire risk. Historical wildfire records from MODIS, VIIRS, and NOAA will validate the system, and results will be compared to established indices such as the Fire Weather Index, the Fire... 

Domino's Franchise

Delivery Driver - 1589 N Main St Job at Domino's Franchise

 ...are paid cash nightly, which includes: tips and mileage reimbursement! Our driver position is an excellent start to learn about the delivery business, customer service, and the creation of a great product ... Domino's Pizza! We are committed to promoting from... 

Providence Health & Services

RN - General Medicine (MedSurg Psych) Job at Providence Health & Services

Multiple Shifts (Day/Night Shifts) and FTE's (0.6 - 0.9 FTE's) available!$15,000 Hiring Bonus and relocation for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence...