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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 www.libertycareers.com for more information.
Background checks/drug-free workplace.
EOE.
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