Coordinator, Quality
Location: Fountain Valley, California
Schedule: Full-time
Shift: Full-time
Job Listing: MEM010069
Title: Coordinator, Quality
Location: Fountain Valley
Department: Quality Assurance
Status: Full-time
Shift: Day
Pay Range*: $30.65/hour - $44.45/hour
MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.
Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.
Position Summary
The Quality Coordinator is responsible for supporting quality improvement activities for Memorialcare Select Health plan which surround National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) measures and Centers for Medicare & Medicaid Services (CMS) star programs, in collaboration with the Quality Manager, Department Director and Chief Medical Officer (CMO). The position is responsible for process improvement, compiling and analyzing reports in relation to department and quality metrics and productivity. Additionally, the Quality Coordinator supports audits which include timely and accurate processing of quality related needs required to meet Memorial Care Select Health Plan and Plan to Plan Health provider requirements.
Essential Functions and Responsibilities of the Job
Ability to interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
Ability to write
routine reports and correspondence.
Ability to speak effectively before groups of customer or employees of the organization.
Ability to apply commonsense understanding to carry out detailed but uninvolved written or oral instructions.
Ability to deal with problems involving a few concrete variables in standardized situations.
Proficient on Microsoft Word, Excel, Outlook and PowerPoint. Strong oral and written communication and research/problem solving skills. Attention to detail and accuracy.
Ability to meet deadlines.
Excellent interpersonal skills with a focus on internal/external customer satisfaction and teamwork.
Proven dedication to quality, teamwork, customer service and professionalism.
Meet or exceed productivity and quality standards as assigned by management.
Take responsibility for various projects as assigned by management and perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability.
Work as a team player and communicate in a positive manner with co-workers, managers, providers, and other contacts.
Maintain a strict degree of confidentiality in all areas relating to provider credentials, peer review and provider status.
Maintain a safe and orderly work area.
Occasional local travel.
Ability to be at work and be on time.
Ability to follow company policies, procedures, and directives.
Ability to interact in a positive and constructive manner.
Ability to prioritize and multitask
*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
Minimum Requirements
Qualifications/Work Experience:
Minimum of 2 years’ experience working in healthcare. Experience in Health plan or Managed Care setting preferred.
Experience working with various healthcare industry regulatory agencies and requirements including but not limited to CMS, NCQA, DMHC, HICE, DHCS, preferred.
COZEVA experience strongly preferred.
Experience in HEDIS, STARS, medical record audit or review preferred.
Proficiency in Microsoft Office applications including Word, Power Point, Excel, and Outlook is a must.
Education/Licensure/Certification:
Associates degree (A.A. or A.S) from two-year college or technical school- required.
Bachelor’s degree (B.A. or B.S)- preferred
LVN preferred
Certified Provider Healthcare Quality (CPHQ) -preferred
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At MemorialCare, I have felt supported and recognized for my contributions. Bigger than my career ambitions is the feeling of family and community at MemorialCare which plays a significant part part in my life.”
Mary Haft, MSN, RN, RNC-NIC Clinical Supervisor NICUNICU, Orange Coast Medical Center View All RN Opportunities
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