PRIMARY FUNCTION: The Quality Coordinator functions in conjunction with a clinical care department to ensure patient centered medical home principles of patient centered access.  This position works closely with the assigned clinical care team (OB/GYN, Pediatrics, Adult  Medicine, or Dental), appointment setters (Front Desk and Call Center), Integrated Health team,  and Community Health Workers, to ensure medical provider schedule access is effectively aligned with patient care needs and quality measures.

ESSENTIAL DUTIES AND FUNCTIONS
I. Weekly Schedule Scan, Outreach, and Scheduling
1. Perform weekly check on the assigned department and clinical schedules to ensure  that all schedules are booked at 100% capacity at designated appointment times.
2. If schedules have openings in the week examined, employee will utilize Outreach  Lists from population health and/or payer non-compliant lists of calls and schedule patients into openings on schedules in assigned department.
3. Team member will document, weekly:
a. Capacity filled per provider, at time of check.
b. Capacity filled per provider, after patient outreach.
c. Number of patients outreached in relation to quality measures.
4. Review any quality measures that are time sensitive and prioritize the patients that are on the list.

II. Daily Schedule Scan, Outreach, and Schedule
1. Review current day schedule of providers in assigned department to identify unfilled schedule slots.
2. Consult with each provider team to identify patients with low likelihood of a show rate.
3. Actively utilize Outreach Lists to schedule patients in identified potential slots for current day.
4. Continue to monitor all daily schedules through the day to monitor for schedule openings and, in communication with clinical teams, proactively and appropriately schedule patients in the best suited appointment type (on-site visit or telehealth visit).
5. Responsible for managing and communicating care gaps.

III. Managing Outreach Lists
1. Manage and update Population Health tool derived Patient Outreach Lists.
2. Manage and update Team identified Patient Outreach Lists.
3. Manage and update Payor identified patients care gap Outreach Lists.

IV. Quality and Safety
1. Works with the Team to meet quality clinical measures set by the organization  including preventive measures and clinical protocols, for example annual PAPs, immunizations, cancer screening.
2. Participates in quality initiatives as direct to fulfill the organizations grant obligations  and insurance incentive programs.
3. Attends departmental and insurance payer quality meetings.
4. Accurate tracking of outreach lists and coding for effectiveness.
5. Performs statistical analysis, data analysis, and interpretation.
6. Collaborates with other departments and utilization of trauma-informed care to assist  patients.
7. Evaluates variance and other data to identify quality improvement (QI) opportunities.
8. Monitors utilization and service quality through diagnosis-related group (DRG) review, HEDIS quality measures, and payer’s provided information.
9. Works with care teams in the areas of chronic care management, reducing gaps in  care and patient education to improve clinical outcomes.

V. Other Duties:
1. Attends additional training sessions to improve deficiencies or enhance knowledge and skills.
2. Performs other duties as assigned and within scope of training.

QUALIFICATIONS

Education: Associates degree preferred in a health-related field and basic knowledge of medical terminology. High School/GED required.

Experience: 
-- Three or more years of experience in outpatient setting, patient scheduling, or related experience as a medical assistant, patient advocate, or patient services.
-- Prior experience and familiarity with patient-centered medical home (PCMH) and our population.

Skills/Competencies:
-- Excellent verbal and written communication skills, including active listening.
-- Ability to plan and organize projects.
-- Must have ability to logically analyze and optimize patient schedules.
-- Must possess leadership skills.
-- Computer literate in word processing and spreadsheets. Knowledge/skills of basic computer  operations, i.e. word processing, Microsoft Suite, including Excel, PowerPoint, and data base, and ability to learn our electronic medical records system, Epic.

Certifications
-- TB clearance within the past 12 months.