Quality Management Specialist - Clinical Quality Specialist

Job Description:

New Horizon Family Health Services (NHFHS) is a Federally Qualified Health Center (FQHC) that has been improving the health of the communities we serve since 1992. We offer quality health care for anyone needing a family doctor and medical home. Our years of experience and commitment to excellence have earned us the reputation as a trusted source of quality medical, dental, and behavioral health care. 

Details:

• The Quality Management Specialist (Clinical Quality Specialist) works under the direct supervision of the Quality Management and Compliance Director.  This position provides support to the organization in the areas of Compliance and Quality Management. Areas of focus will include:
  • Collect and review data related to Clinical Quality Measures to assist the Quality Management and Compliance Director in monitoring patient outcome data.
  • Build and support the infrastructure for collaboration with external partnerships for improved clinical outcomes.
  • Planning and organizing internal staff trainings related to Clinical Quality Measures.
  • Collect, track, and trend clinical patient outcomes.
  • Initiate and support quality improvement projects in relation to Clinical Quality Measures. 
  • Facilitate communication and collaboration between departments in regards to quality improvement. 
  • Provide outreach to patients with identified gaps in care in Clinical Quality Measures. 
  • Assist in scheduling and visit planning to close gaps in care and meet Clinical Quality Measures. 
  • Document and track efforts to contact and schedule patients to address Clinical Quality Measures. 
  • Identify and track high risk patients to ensure completion of Clinical Quality Measures. 
  • Proactively identify and address barriers to care.
  • Support patients through offering community resources, providing screenings, and patient education directly related to SDOH and/or barriers to meeting Clinical Quality Measures.
  • Work with the Childhood Health and Immunization Nurse to provide assistance with home visits, immunization clinics, and additional patient assistance related to meeting clinical quality measures as needed. 
  • Prepare and present outcome data to CQI committees on a monthly basis.

Experience and Skills:

Education:

• Bachelor’s degree OR
• Licensed Practical Nursing with SC Licensure OR
• High School Diploma with 10 years’ experience OR
• Certification in Medical Coding; AAPC designated

 Licensure/Certification:

• Must be BLS CPR certified. 

Knowledge and Skills:

• Two years’ work experience in health care setting
• Experience with data collection, compilation and analysis
• Must be proficient in use of personal computer and other office equipment including Microsoft Office, Electronic Health Record, and Practice Management Software
• Must demonstrate good communication skills including legible handwriting, spelling accuracy, ability to speak clearly with correct grammar
• Must demonstrate the ability to work under stress and work well with others

Benefits

New Horizon Family Health Services offers a robust and comprehensive benefit package to full time employees. These choices/options include:

• Paid Vacation, holidays and sick leave

Optional Benefits which include:

• Medical (PEBA State Health Plan), Dental and Vision benefits
• Flexible Spending and Health Savings Accounts
• Voluntary Life Insurance
• Short Term Disability and Long Term Disability
• Optional contribution to a 403 (b) Retirement Plan, with up to 4% employer match after the first year of employment
• Continuing education courses through SC AHEC

Mission:

Our Mission is to provide quality, affordable, compassionate patient-centered health care to improve the health of the communities we serve. Our Vision is that our community will be one of the healthiest in the Nation. Superior patient care is the hallmark of NHFHS.

Community:

Greenville, South Carolina is the perfect place to live, work, and play. Greenville is surrounded by mountains, lakes, hiking & biking trails, as well as recreational activities including golf, tennis, water sports, cultural performances and more. Geographically located between Atlanta, GA and Charlotte, NC, with beaches just 3.5 to 4 hours away.

We are an Equal Opportunity employer.