Quality Coordinator

Salt Lake City UT 84101 170 South Main

Job Description

This position is responsible for the initial non-clinical activities of quality reviews which includes documenting the gaps in information, coordinating the resolution, and the development of notices to the provider in accordance with internal and regulatory requirements. In addition, this position will be responsible for all processes related to critical and adverse incidents which may require timely internal and regulatory reporting. The coordinator will assist the department with other functions such as patient safety reviews, clinical record review process, accreditation and HEDIS needs, and development of process flows.

#LI-LB1
  • Completes non-clinical review of charts and provides initial decision on eligibility; also responsible for reviewing re-assessments. 
  • Prepares and triages charts ready for review. 
  • Provides feedback on documentation errors while guiding towards documentation improvement.
  • Prepares information used for management presentations and submission to various internal and external customers including but not limited to state regulators, CMS auditors and internal auditors.
  • Prepares and sends communications to vendors and/or provider's office in a manner that is clear and actionable.
  • Data entry input, as well as documents, tracks and queries data in appropriate reporting tools.
  • Organizes and reports data in databases, spreadsheets and graphics.
  • Generates standard reports for Quality team as needed.
  • Follows the process through to ensure it is completed and/or resolved.
  • Assists clinical reviewers with other tasks such as system navigation, as needed.
  • Supports team in day to day functions, accreditation activities and ad hoc reporting as required.

General Job Information

Title

Quality Coordinator

Grade

19

Job Family

Quality Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

10/25/2018

Date Requisition Created

10/25/2018

Minimum Qualifications

Education

Bachelors, GED (Required), High School (Required)

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

  • Health plan and quality review experience.
  • Strong written and verbal communication skills, organization skills, and the ability to handle multiple tasks.
  • Ability to work under timelines and meet standards.
  • Knowledge of Microsoft Office product suite.
  • Ability to learn documentation systems.
  • Experience working with total quality improvement with a healthcare background in treatment modalities, psychopharmacology, federal/state regulatory guidelines, performance measurement.

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