Primary Job Functions:

General Responsibilities:

• Assists in the implementation of the health center quality improvement/quality assurance (QI/QA) program, recommending improvements where necessary to support the provision of high-quality patient care while maintaining patient confidentiality.
• Provides ongoing monitoring, care coordination, and health education and support to patients, which may include scheduling appointments, making reminder calls, etc
• Effectively collaborates and consults with staff members, payors, and outside sources in the delivery and arrangement of value-based care opportunities and care management services.
• Assists in communicating and educating clinic staff about patient care gaps and opportunities, performance measures, and quality improvement projects, efforts and processes.
• Collects, tracks and monitors patient satisfaction survey results. Follows up on patient grievances and works with clinics to facilitate corrective actions and improvements.
• Assists in communicating and educating patients, families and clinic staff, including physicians, about quality improvement projects, requirements, efforts and processes.
• Assists with compliance and accreditation surveys and site visits, including but not limited to HRSA, Joint Commission, etc.

Supervision and Consultation:

• Seeks supervision and consultation as needed.
• Accepts and employs suggestions for improvement.
• Actively works to enhance skills.

Clinical Record Keeping:

• Documents in a timely fashion per AltaPointe policy
• Documents in a clear and concise manner.
• Documents legibly

Courteous and respectful attitudes towards consumers, visitors and co-workers:

• Treats patients/consumers with care, dignity and compassion and respects privacy and confidentiality.
• Is pleasant and cooperative with others.
• Is sensitive to patient/consumer needs, expectations, and individual differences.
• Adopts a teamwork approach with coworkers.

Administrative and Other Related Duties as Assigned:

• Actively participates in AltaPointe committees as required
• Follows AltaPointe policies and procedures
• Attends appropriate in-services training and other workshops

Bachelor’s degree in a behavioral health, social services, or healthcare related discipline. Knowledge of and experience with quality management and performance improvement preferred. Experience working in a behavioral or healthcare setting preferred.  Must be computer proficient, detail-oriented, and have strong communication, planning, and time management skills. Must possess excellent analytical and critical thinking skills. Knowledge in the areas below to be attained within three months of employment:

• Knowledge of quality improvement and outcome measurement processes, models and tools, and performance measures and goals
• Knowledge of Medicaid, Medicare and third-party payment systems, managed care principles, and value-based payor incentive programs.
• Knowledge of Federally Qualified Health Center/FQHC Program Compliance and Operations, including Federal Tort Claims Act (FTCA) program requirements
• Knowledge of Joint Commission standards, including Ambulatory Care Accreditation and Patient Centered Medical Home Certification/PCMH
• Knowledge of integrated care concepts, strategies, and models of care
• Knowledge of Care Management models, service delivery and standards