[Remote] Clinical Quality Coordinator-Transitions of Care
Note: The job is a remote job and is open to candidates in USA. Community Health Systems is seeking a compassionate and organized Transition of Care Clinical Support team member to support patients as they move from hospital to home. In this role, you will conduct post-discharge phone interviews to assess patient needs and help schedule timely follow-up appointments to reduce hospital readmissions.
Responsibilities
• Implements and monitors quality improvement initiatives to ensure adherence to best practices, policies, and regulatory requirements.
• Supports teams as a subject matter expert on quality-related workflows, ensuring staff adherence to established procedures.
• Coordinates and tracks patient outreach efforts to close gaps in care, ensuring timely follow-up on quality attribution reports.
• Optimizes provider schedules by ensuring appointments address preventive care and chronic disease management gaps.
• Monitors and analyzes key performance indicators (KPIs) related to quality measures, providing feedback and accountability to stakeholders.
• Conducts regular rounding with providers and staff to reinforce best practices and identify workflow improvement opportunities.
• Assists in medical record audits, ensuring compliance with payer requirements and timely submission of quality-related documentation.
• Facilitates training sessions and provides ongoing support to enhance staff competency in quality care initiatives.
• Collaborates with data analytics and population health teams to ensure accurate reporting and performance tracking.
• Maintains compliance with all payer-specific quality programs, ensuring proper documentation and adherence to incentive program requirements.
• Performs other duties as assigned.
• Complies with all policies and standards.
Skills
• Associate Degree in Healthcare Administration, Nursing, Public Health, or a related field
• 2-4 years of experience in quality improvement, population health, or clinical operations within a healthcare setting
• Bachelor's Degree in Nursing or a related field
• Experience in working with payer quality programs and regulatory reporting
• Certified Medical Assistant (CMA)-AAMA
• LPN - Licensed Practical Nurse - State Licensure
• RN - Registered Nurse - State Licensure and/or Compact State Licensure
• CPHQ - Certified Professional in Healthcare Quality
Company Overview
• Community Health Systems is one of the nation’s leading healthcare providers. It was founded in 1985, and is headquartered in Franklin, Tennessee, USA, with a workforce of 10001+ employees. Its website is http://www.chs.net.
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