Clinical Quality LVN

Job Title : Clinical Quality LPN

Location : San Antonio, TX, 78257

Duration : 3 months contract to hire

Shift : Mon-Fri- 8-5 CST, after hours

Hours per Week : 40 hours per week

Rate : $30.00 per hour

Team of 30- (24 LVN / LPN) (3 CTAs) (2 Sups) (1 BA) (1 director)

Responsibilities

• Identifies patients with the missing measures and works to close the measures through education / counseling, appointment setting, and other means as appropriate.
• Conduct a high volume of outbound calls to members to discuss reasons for non-compliant to medication(s), schedule pharmacy telephonic appointments, and / or obtain important follow up information from providers. Outbound calls are made primarily using an auto dialer requiring precision to detail and adaptability to type of response needed.
• May answer inbound calls from members and assists them with their inquiries. Routes calls to appropriate department if necessary.
• Follows system scripting and validates member demographic information.
• Documents the provider or member's record with accurate information obtained on the call.
• Works closely with local leadership to execute quality strategies.
• Supports and assists PCPs / clinics with quality data collection.
• Provides reports and monitors performance at local level.
• Engages PCP and clinic staff in developing strategies to close quality gaps.
• Maintains education / knowledge base of HEDIS / STARs standards and guidelines.

Minimum Required Education, Experience & Skills

Preferred Education, Experience & Skills

Current Unrestricted LVN license in state of Texas