HEDIS and CARE GAPS

SUNTREE INTERNAL MEDICINE LLC•Melbourne, FL

7d•$16

About The Position

This position is responsible for assisting to ensure the highest percentage of member compliance for the department annual goals of HEDIS, STAR measures, CareGaps and Annual Wellness Visits for the contractual P4P and Value Based programs. This position also supports the development of patient-centered, team-based care.

Requirements

High School Diploma or GED required
3+ years of quality improvement or healthcare related experience required
Medical Terminology Knowledge required
Medical Experience required
Exceptional Customer Service skills
High-level of multi-tasking
Time management skills
Team player
Ability to manage tasks with minimal supervision

Responsibilities

Coordinate, complete and update management on all HEDIS processes and results.
Work closely with the CareGaps lead to organize and maintain a plan of action to improve HEDIS scores.
Works closely with our records department for all HEDIS requests.
Documents calls thoroughly in DASH system
Schedules preventative care appointments (e.g.: colonoscopies, mammograms, annual wellness visits)
Performs outbound scheduling phone calls for Commercial, and Medicare Quality Care
Communicates with providers and adds orders as needed
Facilitates lab requests for patients who are missing lab results and data; directs patients to closest facility
Provides patient education professionally by phone or email
Facilitates orders and notification practices
Communicates/records results into EMR system
Makes follow-up phone calls for all no shows and cancellations within the realm of annual wellness visits, mammograms, and colonoscopies
Create/Runs point of care reports daily and sends them to administration for care gap closure at the time of service.