Quality Support Specialist

Overview

Outer Cape Health Services is hiring a Quality Support Specialist to assist with outreach to engage patients in care and drive quality metrics under the direction of the Quality Manager and Population Health Director.

Our culture focuses on safeguarding and nurturing community health resources within a vibrant, inclusive workplace where every team member is valued for their unique contributions.

Responsibilities

• Conduct telephone outreach in a professional manner.
• Identify patients with care gaps via external databases or EHR reports.
• Explain outreach purpose to patients or patient representatives for re-engagement of members overdue for appointments or preventative care gaps.
• Schedule appointments and assist with previsit planning tasks (lab reminders, HCC coding cues, vaccine opportunities) to close quality care gaps.
• Collaborate with the Quality Manager, Practice Managers, and Operations Coordinator to manage patient panels and facilitate new member engagement; notify staff when patients transfer care externally.
• Outreach to patients via telephone, MyChart messages, and mailed letters promoting population health recommendations based on quality initiatives and clinical guidelines.
• Attend and actively participate in team meetings (on-site or virtual).
• Maintain patient confidentiality and follow OCHS policies and HIPAA guidelines.
• Provide excellent customer service with a professional and responsive approach to patients and coworkers.
• Verify patient demographics, active health insurance, and current PCP; ensure the EHR reflects this information.
• Direct patient needs and clinical questions to appropriate staff members.
• Complete data entry required from external provider sources for quality metric closure.
• Request medical records when appropriate for quality metric gap closure.
• Assist with Hierarchical Condition Coding (HCC) tasks for overview building on patient Problem Lists.
• Support monthly Quality Oversight Board meeting minutes.
• Other related duties and projects as assigned.

Qualifications

AAP / EEOC Statement

Outer Cape Health Services is committed to providing equal employment opportunity in all employment programs and decisions. Discrimination in employment on the basis of any protected class under federal, state, or local law is a violation of our policy and is against the law. Equal employment opportunity is provided to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, protected veterans' status, marital status, personal appearance, sexual orientation, family responsibilities, matriculation, political affiliation, or any other protected characteristic. This policy applies to all terms and conditions of employment, including recruitment, hiring, placement, promotion, termination, reductions-in-force, recall, transfer, leave of absence, compensation, and training.

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