Quality Care Consultant- Weekends Required

About the position Preferred Primary Care Physicians is looking to hire a Quality Care Consultant to work in a hybrid position, including our Central Office, located at 701 Technology Dr, Canonsburg PA 15317 and remotely from home. General Purpose of the Quality Care Consultant Position: The Quality Care Consultant (QCC) works collaboratively with the Director and Manager of Value Based Care, Quality staff, office staff, and providers to ensure quality care and desired outcomes of patients at the practice location. The QCC is required to use medical expertise and clinical reasoning skills to identify high risk, multiple chronic disease, and high-cost patients' while uncovering their medical and socioeconomic needs. The QCC is responsible for obtaining and distributing pertinent information between all disciplines to ensure that patients receive quality care and positive outcomes post hospitalization specific to their needs. QCCs provide support, resources, and education to prevent further medical decline and rehospitalization, while improving patients' overall quality of life. Schedule: Employee will work Saturday and Sunday daylight hours as well as three weekdays. Days during week are at discretion of employee and can include two consecutive days off if desired Location: Employee will be scheduled to report to 701 Technology Dr, Canonsburg PA 15317

Responsibilities

• Collaborates with Director and Manager of Value Based Care, Quality staff, office staff, and providers to improve patient adherence to evidence based guidelines, implements quality programs and procedures, and develops strategies to overcome barriers limiting success in achieving best practice and quality patient care.
• Collaborates with patients, families, and caregivers within HIPPA guidelines to establish and work toward appropriate self-management goals.
• Collaborate with community agencies in acquiring resources for patient populations requiring additional help in achieving positive outcomes.
• Participates in monthly Quality Care Meeting to improve quality care management / care coordination in the organization.
• Effectively represent the quality department at the practice site by educating staff and supporting quality initiatives as determined by the Director of Value Based Care and Evidence based guidelines.
• Identify high risk and high utilization patients through medical documentation to coordinate outreach to improve and obtain company quality outcomes.
• Works with office staff to help identify patient population requiring more in-depth management.
• Reviews and analyzes internal and external medical documentation to identify patients' potential for complications, side effects, rehospitalization.
• Navigates multiple electronic medical records and hospital portal systems for necessary documentation as needed for transitions and patient care.
• Utilizes clinical reasoning skills and medical knowledge to provide education for patients on specific disease processes, recovery, and management to prevent further medical decline or rehospitalization.
• Utilize standing orders for ordering medication refills, ordering tests and routine preventive services, and arranging follow-up appointments, etc.
• Educate patients and families on managing their health conditions.
• Identify medication adherence issues and assist patients with managing their medications.
• Identify and address barriers to achieving positive outcomes.
• Provides materials and education on community resources available for patients.
• Educates providers and office staff on patients' needs and medical concerns.
• Refer patients to programs and resources available for patients' specific needs.
• Schedules patients for follow up and acute appointments to ensure care continuum and effective medical management.
• Utilize reporting tools such as Cedar Gate Central Worklist to track, manage, and assist patient population post hospitalization.
• Effectively organize and prioritize worklist to ensure patients are reached timely and in compliance with department standards and quality guidelines.
• Track patient outcomes for revisions in strategies.
• Assist with patients' navigation through the health care continuum.
• Work collaboratively with all Quality staff to optimize the clinical management of select patient population.

Requirements

• Education: High School Diploma or GED is required.
• Minimum 3-5 years clinical experience
• Minimum 1-year Quality or Case Management experience
• Excellent health assessment and communication skills
• Independent and creative thinker
• Ability to problem solve
• Excellent clinical reasoning skills
• Support patient and family problem solving, self-management goals setting, etc.
• Able to work well with Office staff, Quality staff and providers to problem solve and implement changes
• Utilize data tracking and organize reports to revise goal setting, strategies, etc.
• Credentials: RN required.

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