AdvantageCare Physicians (ACPNY)

Quality Specialist

ID
2017-4735
55 Water St.
Type
Full Time
New York
Union / Non-Union
Non-Union
US-New York
Daily Schedule
Mon-Thurs 10am-7pm; Fri 9am-6pm
Dept/Spec
Clinical Care_Quality [71017]

Overview

AdvantageCare Physicians (ACPNY) is one of the largest physician-led multi-specialty practice in the New York metropolitan area, serving half a million patients across Manhattan, Brooklyn, Queens, Staten Island and Long Island. At ACPNY, patients receive individualized coordinated care from a compassionate team focused on helping them live their healthiest lives.

 

Our 30+ professionally managed, multi-specialty physician practices are designed to deliver convenient, comprehensive and community-based care. At AdvantageCare Physicians primary and specialty care is coordinated through an integrated network of full-service medical offices, regional specialty referral hubs, urgent care centers and strategic hospital affiliations across Manhattan, Brooklyn, Queens, Staten Island and Long Island.

 

Having the best Quality Specialists at AdvantageCare Physicians enables us to achieve our vision to be the preferred care destination for our patients and the communities we serve. At AdvantageCare Physicians, our mission is to focus care on the needs of our patients and partner with them in the pursuit of better health.

 

The Quality Specialist position provides outreach to patients to support HEDIS, HCC, and other quality improvement activities. The quality specialist position also supports addition activities aimed at improving HEDIS, HCC, and other quality and care coordination activities. These include but are not limited to identifying information in the medical record, providing information to providers and other staff members, and presenting quality results and other information to office staff.

 

 

 

 

 

 

Responsibilities

  • Outreaches patients to schedule appointments. This includes determining what barriers or obstacles exist that prohibit patient from making or keeping appointment and determine what resources may be needed or action that should be taken.
  • Reads, understands and applies HEDIS/HCC specification and/or policy as it relates to compliance and outreach.
  • Reviews patient’s charts as needed to determine compliance based on specification or process outlined. Determine next steps based on chart review findings.
  • Determines possible root cause to issue effecting patient compliance and present issue and possible solutions to management.
  • Conduct work essential to supporting outreach efforts, including but not limited to:
    • Collecting and verifying compliance data.
    •  Entering data
    • Summarizing findings
    • Recording the results of outreach
    • Reporting results to management
  • Educate providers and other staff on quality related activities (e.g. HEDIS,HCC).
  • Performs other job-related duties as required.

Qualifications

Required

 

  • High School Diploma or GED.
  • A minimum of two years’ work experience in health care setting.
  • Computer proficiency with Microsoft Word, Excel, and PowerPoint.
  • Knowledge of HEDIS quality measures.

 

Preferred

  • Bachelor's degree
  • A minimum of two years’ work experience in quality related activities.
  • Experience utilizing electronic medical records systems (such as EPIC).
  • Experience with HEDIS, HCC, PCMH.
  • Excellent interpersonal, communication, organization and writing skills with the ability to effectively prioritize work.
  • Commitment to enhancing member experience.

 

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