Coordinator, Clinical Quality (Job ID: 1090)

Posted: 11/09/17 | SHARE:

Description:

Conducts clinical quality review and medical record abstraction for MVP’s regulatory required medical record reviews. Collects accurate and timely medical record review data for reporting purposes. Assures that clinical quality is maintained by measuring and monitoring providers’ clinical performance relating to quality of care and access. Identifies opportunities for improvement with an individual provider and facilitates compliance to MVPs clinical guidelines and regulatory standards. Provides pertinent feedback to providers regarding the results of medical record reviews. Works directly with an individual provider/practitioner to facilitate performance improvement in the provider office setting. Performs other duties as assigned.

Qualifications:

Minimum Education:

Current New York State license as a required. B Registered Nurse preferred.

Minimum Experience:

  • Experience in review of clinical documentation and medical records.
  • Five years of varied work experience in clinical services preferred.

Required Skills:

• Self-motivated individual with strong analytical skills

• Ability to prioritize multiple tasks and work in time-sensitive environment

• Ability to work independently as well as work effectively as a member of a team

• Ability to solve complex problems

• Demonstrated problem-solving and analytical abilities.

• Interpersonal and customer-focused communication skills

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