Quality Care Coordinator - Medical Assistant

Job Description:

The Quality Care Coordinator will conduct outreach to our specific member population to encourage healthy behaviors through innovative telephonic communications. Performance driven on all provided targeted lists received by our Health Care partners. The Quality Care Coordinator will also enter data into our data base for all CPT II codes being performed. The Quality Care Coordinator will schedule and follow up on clinical care needs for patients as it relates to Healthcare Effectiveness Data and Information Set (HEDIS) and other quality STAR initiatives. The position contributes to the organization's drive to improve the overall experience of patient care, including the quality of health, and work to reduce the cost of care across the population served.

The Company:

This role is with USHS, an Arkos Health Company. Arkos serves health plans and provider organizations an integrated system-of-care comprised of clinical and social services backed by a robust technology platform. By engaging individuals with virtual, in-home, in-clinic and in-facility care options, Arkos Health delivers advanced community-based health services that allow our clients to live healthier, more independent lives.

Essential Duties and Responsibilities:

• This position is responsible for reviewing data collected to confirm gaps in care are captured
  
• Coordinate and order preventative and diagnostic tests around gaps in care on behalf of the primary care physician utilizing standing orders/protocols required by the health plan
  
• Conduct data entry and maintain appropriate documentation and tracking for quality initiatives
  
• Conducts outreach to specified patients on priority lists for any outstanding care gaps and schedule accordingly
• Educating patients on procedures that are being scheduled/performed and the reason for performing them
  
• This is both an in-office/field position: candidate must be comfortable traveling up to 20% of the time locally

Qualifications/Skills:

• High school diploma or GED equivalent required
• Medical Assistant (MA) Certification and or Certified Nurse Assistant (CNA) Certification
• 2+ years' experience in a healthcare environment
• Recent and related experience working with HEDIS STARS Program
• Experience with Microsoft Word, Excel, and Power Point
• Experience in Electronic Health Records
• Ability to collect and process specimen samples
• Experience with verifying Eligibility and navigating through Insurance Portals
• Experience with CPT II codes
• Basic knowledge HCC’s and Medical Diagnosis
• Ability to perform multiply procedures (i.e.) ABI, DRE, Urine Dips if necessary
• Familiarity of Medicare guidelines to perform patient screening’s
• Medical Terminology

Benefits:

• Fully paid employee medical/dental/vision/life/short term disability
• Employer matching 401(k)
• 15 days annual combined sick/PTO with 9 paid holidays

Must complete our Culture Index Survey. Take the assessment at https://portal.cultureindex.com/public/survey/general/bg3VS0H2kF. This is not a pass/fail test and does not measure intelligence.

Arkos Health EEO Statement

All Arkos Health divisions are Equal Opportunity Employers. We do not discriminate on the basis of race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status or any other status protected under federal, state or local laws.

Arkos Health is a drug free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.