Job Title: Clinical Quality Improvement Outreach Coordinator

Location: Columbia, SC

Company Overview:

Cooperative Health has been serving the Midlands area since 1981. We are South Carolina’s largest and most cost-effective community health center system and we are hiring! We are looking for people who are passionate about providing accessible, high quality, compassionate healthcare in the Spirit of the Good Samaritan.

Position Summary:

Cooperative Health strives to achieve outstanding health outcomes. Health outcomes are demonstrated through data metrics. Each data metric is successfully realized when a clinical team member delivers a prescribed service and the service is successfully recorded in Athena (electronic medical record (EMR)), the data metric data points are aggregated into a report. When a prescribed service is not delivered, the service is not successfully recorded in Athena, or the data metric is not aggregated into a report, then a gap in care is created. Cooperative Health and insurance partners strive to minimize gaps in care.

Under the supervision of the Director of Clinical Quality Improvement, the Clinical Quality Improvement Outreach Coordinator will serve as a liaison between office team members who deliver health care services, Cooperative Health’s Health Information Technology Department (Health Analytic Technologist / Managed Care Coordinator and Population Health Specialist), and Insurance Care Organizations.

Principal Accountabilities/Responsibilities:

• Works with Cooperative Health’s Population Health Specialist to maintain a full understanding of all clinical quality measures and successful recording of the measures in Athena
• Works with Cooperative Health’s Population Health Specialist, Health Analytic Technologist, and the Director of Clinical Quality Improvement to maintain a full understanding of all clinical quality HEDIS measures and successful recording of the measures in Athena
• Works to achieve the highest level insurance company based incentive program payments
• Will work with the CMO, applicable Clinical Care Committee team, and Insurance companies to develop unique strategies to reduce unnecessary emergency room utilization.
• Assist clinical team members to develop best practice workflow to ensure maximum patient medication adherence.
• In collaboration with the Director of Clinical Quality Improvement and representative from UnitedHealthCare will regularly detail all applicable clinicians and medical offices about this UnitedHealthCare initiative.
• In collaboration with the Director of Clinical Quality Improvement and the Finance Department will maintain a running detailed report on all incentive payments received and from which companies the payments are received

Education & Experience:

• Education
• • BA – Health Care Administration or health related field
  • RN or LPN
• Experience
• • Technology skills include familiarity with health care management, basic spreadsheet, and database software / systems
  • Knowledge of continuous quality improvement principles and the ability to understand and use analytical reasoning to interpret and plan action on patient care data trending
• Excellent interpersonal communication and problem solving skills
• Excellent written and oral communication skills with an emphasis on presentation skills
• Knowledge of statistics, data collection, analysis and data presentation

Competencies:

• A commitment to the mission of Eau Claire Cooperative Health Center, Inc. (Cooperative Health)
• Excellent written and verbal communication and problem solving skills. Ability to communicate with people from a variety of socioeconomic and cultural backgrounds.
• Ability to prioritize, organize and carry out work assignments independently and efficiently.
• Ability to maintain appropriate degree of confidentiality.
• Proficient in use of computer programs including Word, Excel and PowerPoint.

COVID-19 Vaccination Requirement Statement

Cooperative Health falls under Centers for Medicare and Medicaid (CMS) guidelines related to COVID-19 Vaccinations which will require employees to be fully vaccinated

The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in order to perform the work.

Cooperative Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Cooperative Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.