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University of Rochester Embedded Health Home Quality Assurance Coordinator - 237289 in Rochester, New York

Embedded Health Home Quality Assurance Coordinator Job ID 237289

Location Strong Memorial Hospital Full/Part Time Full-Time Favorite Job Regular/Temporary Regular Opening

Full Time 40 hours Grade 054 Health Equity Prog Support Ofc

Responsibilities

POSITION SUMMARY

General Purpose:

Provide quality assurance for the Strong Medicaid Health Home Care Management program. With the goal being to deliver high quality care to health home program participants and families, the Health Home Quality Assurance Coordinator is dedicated to achieving operational excellence and compliance with Health Home standards and quality guidelines, including but not limited to compliance with NYS DOH Health Home Program.

Demonstrates ICARE* values in each of the major responsibilities

Major Responsibilities

35%: Auditing and Reporting

  • Develops auditing and reporting processes to meet the needs of the NYS DOH Health Home Program, the lead Health Homes, the Care Management Agency, and the practice stakeholders.

  • Develops and implements operational, quality, and compliance reporting. Communicates progress to Care Managers, Team Leaders, and practice stakeholders utilizing data visualization.

  • In coordination with the Financial Specialist and Health Home Director, reviews financial metrics and streamlines feedback to Care Managers, Team Leaders, and practice stakeholders

30%: Setting Quality Standards

  • Gathers feedback from leadership and stakeholders to identify performance benchmarks of importance, informed by NYS DOH Health Home Program requirements and internal Care Management Agency goals for the program

  • Incorporates standards into existing and new workflows and communicates to team members routinely to develop common understanding and expectations for Care Managers, Team Leaders, and practice stakeholders.

  • In collaboration with the Director of Health Home Care Management, reviews and considers for inclusion additional quality measures as they arise from NYS DOH Health Home Program, value-based payer contracts or other upstream enterprise initiatives that health home may impact.

35%: Process Development and Optimization

  • Participates in team development of processes to support Care Manager and team member workflows

  • Monitors and evaluates results of critical program aspects; identifies gaps for improvement

Provides cross-coverage in absence of Referral Coordinator

Understands the organizational visions and expectations of service excellence

Performs other responsibilities and projects as assigned

Required Skills & Experience:

  • Bachelor's degree in Healthcare Administration or a related field required; Graduate degree in Business, Public Health, or Health Administration preferred

  • 3-5 years of healthcare experience or an equivalent combination of education and experience

  • Previous work experience in clinical setting, population health initiatives or care management highly desired

  • Strong project management skills, including organization of individual and team work prioritization; problem solving; adaptability; flexibility; and attention to detail

  • Proficiency in data analytics

  • Ability to define and drive own work as well as carry out directives from others

  • Exceptional judgment and ability to learn the needs of different stakeholders

  • Instinctive capability to foster an inclusive, collaborative work environment

  • Excellent verbal, written and interpersonal skills; and

  • Proficiency with Microsoft Office programs (Outlook, Word, Excel, Access and Powerpoint) and ability to learn new software as needed (Netsmart, eRecord)

Reports to:

Director of Embedded Health Home Care Management

Training / Certification Expectations:

This position requires an annual re-certification in HIPAA awareness and annual renewal of an iCARE Commitment contract.

*For more on the ICARE values go to: http://intranet.urmc-sh.rochester.edu/patient-experience/patient-centered-care/icare-values.asp

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

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