Quality Improvement Specialist (Bilingual)

LOCATION : HOPE Clinic – Alief

REPORTS TO : Director of Clinical Services and Quality Improvement

EDUCATION: Associate degree required, bachelor’s preferred

WORK EXPERIENCE : 2+ years of healthcare experience to include patient education, health navigation, medical assisting or patient care assistance

SALARY RANGE : Depends on Experience

FLSA STATUS : Exempt or Non-Exempt

POSITION TYPE : Full-Time

LANGUAGE : Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is required

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_HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws._

JOB SUMMARY :

The Quality Improvement Specialist (QIS) performs different tasks to ensure Quality Metrics data and reports are accurate, including investigation, auditing, and improvement opportunities. The QIS will be responsible for the development and/or ongoing management and administration of clinical quality programs, especially, Clinical Quality Improvement, PCMH compliance, etc. This position will focus on tasks that occur in accordance with the State of TX, CMS, NCQA, insurance payors, or other requirements as applicable. Provides implementation support, measurement standards, and revisions as needed that incorporate applicable best practices with proven outcomes. Will work closely with HEDIS Coordinator

MAJOR DUTIES & RESPONSIBILITIES:

* Lead process improvement to meet assigned objectives defined by the Quality Assurance and Risk Manager;

* Serve as subject matter expert on all technical specifications UDS, PCMH, and OSHA.

* Lead process improvement at provider sites to support clinical team performance on high impact quality measures and adherence to clinical practice guidelines;

* Complete regulatory reporting requirements related to oversight of PCMH Quality performance;

* Serves as Clinical implementation expert for E. Med. Rec.

* Provides coordination and oversight of the VFC program ensuring accurate ordering, inventory, documentation and storage/handling of VFC program resources;

* Works with DCS/QI to evaluate and audit clinical data necessary for program integrity related to the various programs at HOPE Clinic including the 340B drug discount program, clinical chart audits, UDS clinical quality data and other programs;

* Works with DSC/QI to train and implement a program of provider/department report cards based on quality data and updates this periodically;

* Works with DSC/QI to implement new software related to quality improvement work with providers and other staff such as software for risk assessment of patients, remote patient monitoring and other similar type programs;

* Other assigned duties per the needs of the CQI department;

* Attend on-site/off-site community engagement activities, meetings, clinic events, and/or training as needed;

* Perform other duties as assigned to support HOPE Clinic’s Mission, Vision, and Values.

QUALIFICATION REQUIREMENTS :

* Minimum of 2 years in health education, patient navigation, and/or health clinic patient assistance field preferred;
* Medical Assistant Certification Required, LVN or RN preferred.
* Knowledgeable of and maintains HIPAA standards of privacy and confidentiality;
* Proficient with Microsoft Office;
* Must be able to utilize the Internet;
* Strong written and oral communication skills;
* Must be detailed oriented and able to handle multi tasks;
* Excellent customer service skills;
* Must be able to handle multiple tasks, complexity, and diversity of customers;
* Insurance and medical experience preferred;
* Must collaborate well in team environment to assist in change management and serve as objective part of organizational leadership.

EDUCATION and/or EXPERIENCE :

* Associate Degree required. Bachelor’s degree preferred;
* ​2+ years of healthcare experience to include patient education, health navigation, medical assisting or patient care assistance.

OTHER SKILLS and ABILITIES :

* Bilingual (Vietnamese, Chinese, Arabic, and/or Spanish with English) is preferred;
* ​Above average skills in language ability as well as public speaking and writing;
* Excellent telephone etiquette;
* Must have good transportation and a valid Texas Driver’s license.

Education & Experience Requirements:

* Associate Degree required. Bachelor’s degree preferred;
* ​2+ years of healthcare experience to include patient education, health navigation, medical assisting or patient care assistance.

Work Schedule:

Varied

Compensation:

* Salary is negotiable dependent upon previous experience and education achieved;

* Paid bi-weekly according to company payroll policy;
* Performance and salary reviews occur annually dependent upon start date.

Compensation Range:

TBD/Negotiable

Benefits:

* Up to 11 paid holidays per year;
* PTO accrual of up to 16 days per year at FTE status = 1 for new employees with increases in PTO accrual dependent upon length of service;
* Medical, Dental, Vision, and Life insurance available for full-time employees;
* 401K available after 3 months of employment and company matching up to 3% per pay period after 1 year of employment;
* Continuing Medical Education (in the form of hours and allowance) and Membership available for provider positions.

Compensation Points:

Retirement Package, Health Insurance

[Apply Now](https://recruiting.paylocity.com/Recruiting/Jobs/Details/2787981)