LPN/Quality Measures

Carolina Health SpecialistsMyrtle Beach, SC
Hybrid

About The Position

Full-time Quality Measures Programs Analyst needed for large multi-specialty medical group. Primary responsibility is to assist the Payers’ Quality Measures Programs in the improvement of clinical effectiveness through performance and improvement activities. Candidate must have the ability to relate, develop rapport, communicate, and work harmoniously with patients of various age groups, and physicians with varying specialties, and to communicate with pertinent personnel in other agencies and facilities. Must have the ability to analyze medical records/charting, set priorities, develop simple solutions to complex problems, and work calmly and effectively in stressful situations. Must be a self-starter, work independently, problem solve, determine priorities, and set daily tasks to meet payers’ quality program criteria.

Requirements

  • Excellent computer skills.
  • Excellent customer service skills.
  • Current LPN license.
  • Experience in an outpatient setting with performance improvement and/or quality management.
  • Strong computer skills including previous Electronic Medical Record systems, Microsoft Office, and Excel.
  • Ability to relate, develop rapport, communicate, and work harmoniously with patients of various age groups, and physicians with varying specialties.
  • Ability to communicate with pertinent personnel in other agencies and facilities.

Nice To Haves

  • Knowledge of the National Committee for Quality Assurance (NCQA) and HEDIS Quality Measures.
  • Previous remote work preferred but not required.

Responsibilities

  • Assist the Payers’ Quality Measures Programs in the improvement of clinical effectiveness through performance and improvement activities.
  • Assist and support clinical staff on process improvement for quality measures not met.
  • Monitor the established workflow to ensure care opportunities are met during patient’s appointments with their provider.
  • Analyze medical records/charting.
  • Set priorities.
  • Develop simple solutions to complex problems.
  • Work calmly and effectively in stressful situations.
  • Be a self-starter, work independently, problem solve, determine priorities, and set daily tasks to meet payers’ quality program criteria.

Benefits

  • Paid holidays
  • PTO
  • Sick time
  • Medical
  • Dental
  • Vision
  • Short-term disability
  • Long-term disability
  • Company paid life insurance
  • Pre-paid legal
  • Identity theft
  • Employee assistance program
  • Pet insurance
  • 401k
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