Job Description
Job Description
Salary : $24.00 - $26.00
Position Title : Quality Specialist
Status : Fulltime
Department : Quality Improvement / Quality Assurance
Position Reports to : Quality Improvement / Quality Assurance Director
Summary : Clinica Romero seeks a Quality Specialist to link patients to clinic and preventive health
services to support overall wellness and ensure continuous improvement in healthcare delivery. With
a focus on culturally and linguistically sensitive approaches, the incumbent will work towards
improving quality performance measures for our diverse patient population.
Seamlessly integrating the roles of a Patient Navigator and the ability to transition into the QI
Coordinator role as needed, this position is uniquely positioned to drive effective patient care
and operational excellence.
Duties and Responsibilities :
- Act as a vital liaison connecting patients with various healthcare providers.
- Conduct outreach via phone to CMOAR patients eligible for preventive services.
- Identify and address patient barriers to care, such as transportation, insurance, and language, by referring them to appropriate resources.
- Schedule appointments for follow up appointments, consults and support services within established service standards, including dietitians, physician, specialty departments, etc.
- Assist in helping patients arrive at scheduled appointments on time and coordinate transportation when needed.
- Prepare patient summaries for the care team's reference, documenting recommendations using standardized care protocols aligned with CMOAR guidelines.
- Compare health plan data with internal HEDIS data to ensure there are no data gaps
- Review EHR chart documentation and submit supplemental data into COZEVA when applicable
- Assists with the preparation and coordination of HEDIS medical record reviews
- Assist QI Coordinator in training of new staff
- Assist with projects aimed at improving patient healthcare outcomes and enhancing performance improvement metrics.
- Assist with the increase of performance improvement measures by assisting with QI ojects.
- Follow patients throughout the care continuum and collaborate with inpatient care management resources
- Deliver Weekly, Monthly & Quarterly reports that demonstrate outcomes and performance improvement activities.
- Adhere to established productivity benchmarks.
- Attend trainings and learning opportunities that expand content knowledge and best practices
- Responsible for outreach efforts to establish and maintain positive working relationships with key departments (physicians, office staff, diagnostic staff, nurses, community organizing, etc.)
- Gather comments / information from patients and document appropriately in EMR system
- Provide detailed updates or anecdotes regarding the program
- Other duties assigned
Qualifications / Requirements :
Education :
- High school diploma or GED is required.
- Medical Assistant certification or pre-med background is required
Technical Skills :
- Trained in EPIC or similar electronic health record platforms.
- Proficiency in Microsoft Office, especially Excel.
Soft Skills :
Strong problem-solving, decision-making, and critical thinking abilities.
- Exceptional organizational, written, and verbal communication skills.
- Outstanding interpersonal skills, including the ability to maintain strong relationships with
the healthcare team, other departments, and external stakeholders.
Demonstrated ability to maintain strict confidentiality.
Language :
Bilingual proficiency in English and Spanish.
Experience :
- 1-2 years of experience working with FQHCs / community health centers.
- Familiarity with HEDIS measures and UDS.