SR CLINICAL QUALITY COORDINATOR

JPS Health Network•Fort Worth, TX

39d•Onsite

About The Position

Job Summary: The Senior Clinical Quality Coordinator (Sr CQC) plays a key role in advancing value-based care by supporting clinic-level quality initiatives and providing guidance to Clinical Quality Coordinators and medical support staff. Assigned to a specific clinic, the Sr CQC is responsible for patient outreach, care gap closure submissions, and quality measure documentation, while also assisting with training, workflow optimization, and ongoing process improvement across a group of clinics. This role collaborates closely with the interdisciplinary care team, supports clinical operations, and contributes to overall performance improvement efforts within the network.

Requirements

One of the following qualification groupings is required for this position as indicated below:
Current certification from a national registry as a Certified Medical Assistant (CMA) or a Certified Clinical Medical Assistant (CCMA).
2 years of experience in the healthcare field.
2 years of experience with HEDIS and STARS.
1 year of Clinical Quality Coordination experience.
OR
Current licensure to practice vocational nursing in the State of Texas by the Board of Nurse Examiners and must maintain licensure throughout employment.
2 years of experience in the healthcare field.
2 years of experience with HEDIS and STARS.
1 year of Clinical Quality Coordination experience.
OR
Requisite educational or training background and 1 year of combined experience in medical billing and coding, patient registration, and navigating patient's electronic medical records may suffice for licensure/certification.
2 years of experience in the healthcare field.
2 years of experience with HEDIS and STARS.
1 year of Clinical Quality Coordination experience.

Nice To Haves

Bachelor's Degree from an accredited school of professional nursing or school of business with a healthcare focus.

Responsibilities

Oversees a designated group of clinics and assigned Clinical Quality Coordinators, supporting daily workflows, production, and issue resolution.
Provides training and ongoing support to Clinical Quality Coordinators and medical support staff on payer portals, quality measure requirements, and standardized workflows aligned with value-based care contracts.
Partners with CQCs and clinic staff to develop efficient, gap-focused workflows that enhance the quality of patient visits.
Identifies and recommends process improvement opportunities to enhance quality performance and Star ratings, using sound judgment and data-informed insights.
Accesses Clinical Operations shared drives to retrieve or upload reports and materials as needed, particularly in the absence of the Manager.
Monitors CQC performance, identifies root causes of workflow gaps, and collaborates with the Manager to develop and implement targeted improvement strategies.
Supports the Manager for Process Improvement in maintaining CQC operational efficiency and consistency across network clinics.
Partners with physicians and patient care team to assist patients in completing health screens and preventive care measures that are not yet completed to close care gaps.
Contacts external physician offices to obtain copies of consult notes and reports for patients who had preventive healthcare screens and clinical measures completed at outside facilities.
Contacts Patients to remind them to pick up their Prescriptions and identifies any barriers with taking prescription or picking up prescriptions.
Successfully updates preventive health screens and clinical measures in the Electronic Medical Record (EMR) that have been determined as completed.
Communicates regularly with interdisciplinary team members to coordinate/update patient's care.
Maintains an accurate tracking log of patients who have been contacted and status of their preventive health screens, clinical measures and medication adherence.
Participates in various quality driven initiatives within JPS and collaborates together to achieve high level patient outcomes.
Submits data to external agencies as directed by the manager.
Explains the importance of preventive health screens and clinical measures to staff, patients, and families.
Records patient care documentation in the EMR accurately and in a timely manner.
Identifies when others' documentation is incorrect and alerts clinic leadership.
Assists CQCs with documentation questions.
Respects patient confidentiality at all times.
Ensures others are also respecting patient confidentiality.
Anticipates provider's needs prior to patient encounter.
Partners with multidisciplinary care team to support and improve medical adherence.