QUALITY PERFORMANCE COORDINATOR - CSNP

QUALITY PERFORMANCE COORDINATOR - CSNP

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We are currently seeking an experienced:

QUALITY PERFORMANCE COORDINATOR – CSNP

JOB SUMMARY:

• Identify members at risk for medication non-adherence using pharmacy claims and internal reports.
• Conduct telephonic outreach to assess medication adherence and identify barriers.
• Educate members on the importance of medication adherence and disease self- management.
• Assist with closing member barriers.
• Develop a report and present to interdisciplinary team to discuss identified barriers and potential solutions.
• Communicate effectively with individuals across the care continuum.
• Documents member information in the electronic medical record.
• Communicate with member and/or family obtaining and providing information regarding care and needs.
• Recommends and/or conducts specific areas of in-service or continuing education with patients and caregivers as appropriate.
• Monitor HEDIS metrics and communicate needs to interdisciplinary team.
• Analyze data to prioritize high-risk members that need follow up and intervention.
• Assists with compliance of quality measures for CSNP program
• Assist with HEDIS measures and collection of data
• Assist with collection and presentation of QA data for the CSNP program
• Performs other duties as assigned

JOB REQUIREMENTS:

• High school graduate, or equivalent, required
• Knowledge of community resources, preferred
• Previous experience working with behavioral health populations, preferred
• Experience working with low income and disadvantage populations, preferred
• Previous work with vulnerable adults or senior populations, preferred
• Must be able to demonstrate computer skills, including use of e-mail and Microsoft office word and excel
• Must be able to demonstrate effective written communication skills including but not limited to writing reports and correspondence
• Must be able to demonstrate effective verbal communication skills, including but not limited to speaking effectively to members, providers, families and staff and listening to members, providers and families
• Demonstrated ability to meet deadlines, and use time effectively and efficiently.
• Demonstrated successful experience working in an environment of change. Effectively copes with change and uncertainty; responds and "shifts gears" comfortably
• Is dedicated to meeting the expectations and requirements of both external and internal customers, acts with customers in mind
• Demonstrated ability to establish and maintain effective relationships with customers, and gain their trust and respect
• Uses logical methods to solve problems with effective solutions; looks beyond the obvious for solutions

Visit for more information.
Background checks/drug-free workplace.
EOE.

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