CLINICAL QUALITY IMPROVEMENT SPECIALIST - Graves Gilbert Clinic : Job Details

CLINICAL QUALITY IMPROVEMENT SPECIALIST

Graves Gilbert Clinic

Job Location : Bowling Green,KY, USA

Posted on : 2025-01-29T19:36:41Z

Job Description :
  • Reflect the mission and vision of Graves Gilbert Clinic in all duties within the Clinic and communities we serve.
  • Develop and maintain strong collaboration with providers and practice staff to ensure effective and timely communications of quality improvement strategies.
  • Work collaboratively with internal departments and external partners to support the ongoing programs/needs of the department.
  • Know, track, and monitor payer-specific incentive program contracts/registries/portals to identify quality gaps and opportunities for outreach to close quality gaps.
  • Track and monitor initiatives to improve the quality of care, efficiency and growth in the Clinic across all value-based care programs.
  • Leverage and embrace technology to drive process improvement, operational efficiency, and improved clinical results.
  • Responsible for implementing and supporting the prioritization, metric development / tracking and ROI associated with new/ongoing projects.
  • Track and monitor payer-specific quality and cost metrics and provide routine and ad-hoc reports to the Director of Quality Operations, providers and practice staff.
  • Perform targeted quality control and quality assurance reviews of provider and practice staff documentation for assigned quality programs to ensure timely compliance.
  • Conduct medical record reviews for accuracy in assigned payer-specific quality and cost measure programs.
  • Participate in health plan quality meetings to review clinic progress, identify areas of improvement, and identify operational strategies for improvement.
  • Actively participate in team meetings and provide education, feedback, training and coaching to providers and practice staff on current and new operational best practices (e.g. scheduling, use of EHR templates and technology).
  • Demonstrates commitment to providing outstanding customer service in a manner that is reflective of The Graves Gilbert Clinic's mission, values, and customer service standards.
  • Travel to assigned practice offices required. Performs other duties as assigned.
As expected with all healthcare positions, must adhere to HIPAA/OSHA/BLOODBORNE PATHOGEN regulations and maintain associated workplace trainings.
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