QUALITY IMPROVEMENT COORDINATOR

Overview

Tri-City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens. The hospital has received a Gold Seal of Approval® from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community.

Tri-City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City’s Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities’ pressing health and social needs.

Position Summary:

The Quality Improvement Coordinator is responsible for collaboratively collecting, analyzing and reporting data and clinical outcomes. This includes, but is not limited to, Merit-based Incentive Payment System (MIPS), Medical Group Quality Measures – such as Annual Health Assessments (AHAs), 5-Star ratings, and Pay-for-Performance metrics. The Coordinator also prepares reports and recommends corrective action plans based on data analysis, clinical outcomes and audit findings.

Major Position Responsibilities:

The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.

• Maintains a safe, clean working environment, including unit-based safety and infection control requirements.
• Responsible for collecting, screening and reporting information on clinical quality indicators, clinical outcomes and audits, including the Electronic Health Record (EHR).
• Run reports and upload supplemental data as needed.
• Audit charts and acquire necessary medical records.
• Assist clinicians with the Centers for Medicare & Medicaid Services (CMS) Meaningful Use and MIPS program.
• Identify and minimize Care Gaps.
• Assist with reporting and follow-up with appropriate staff to assure compliance with implementation of corrective action plans to fulfill quality improvement goals.
• Schedule patients and submit orders under provider’s supervision.
• May assist with front and back duties and PPO/Medicare/Tricare referrals.
• Adheres to all medical practice policies and procedures.
• Monitor healthcare data platform to track and close care gaps for both senior and commercial patients.
• Submit documented measures and upload medical records from external providers as needed.
• Contact patients to schedule preventive care services such as PAP smears, blood pressure checks, and lab work.
• Coordinate and submit referrals for eye exams, colonoscopies, FIT screenings, mammograms, and other disease management (DM) measures
• Performs other duties as necessary.

Qualifications:

• Minimum one (1) year experience in healthcare or care coordination role, required.
• Experience in quality measures and/or clinical transformation/quality improvement, preferred.
• Must have a comprehensive understanding of clinical operations within medical practices.
• Must have working knowledge of EHR system workflow, practice transformation, health equity and health outcomes.
• Must have up to date knowledge of CMS and current IPA regulations and trends.
• Strong understanding of preventive care guidelines and clinical quality measures.
• Effective oral and written communication skills with ability to be thorough, accurate and detail oriented, required.
• Must possess analytic and problem-solving skills.
• Proven ability to manage multiple projects simultaneously in a deadline driven environment.
• Ability to relate and work with people of all authority levels, ages, social and ethnic backgrounds.
• Demonstrated knowledge of computer technology, including word processing, spreadsheet, and databases, required.
• Bilingual English/Spanish, preferred.

Education:

• High School diploma or GED required.
• Medical Assistant training preferred.

Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.

*Salary/Hourly wage range for this position is posted. Actual pay will be determined based on verified experience as well as internal equity.