Quality Liaison LVN

Quality Liaison LVN

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.

The posted compensation range of $37.50 - $57.86 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job Summary and Responsibilities

As our Quality Liaison LVN, you will educate and support providers and practice sites in improving clinical quality measures and closing gaps in care. You can expect to travel to provider sites and clinics 50%-75% of the workweek.

Every day you will advise and educate providers and practice staff in clinical quality measures, medical record documentation, and coding guidelines. You will collect, summarize and trend provider performance data to identify opportunities for provider improvement and closing gaps-in-care.

To be successful in this role, you will have a deep understanding of HEDIS measures, exceptional communication skills, and a high level of attention to detail for chart reviews, data collection, data entry and reporting.

As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories.

This position will be work from home for residents of CA, ideally in Central Valley or Ventura regions due to onsite presence needed in the provider clinics.

• Advises and educates providers and practice staff in clinical quality measures, medical record documentation, and coding guidelines. Collects, summarizes and trends provider performance data to identify opportunities for provider improvement and closing gaps-in-care.
• Reports provider/clinic specific metrics. Identifies specific practice needs and barriers to clinical quality improvement. Develops action plans to address the needs and barriers in collaboration with providers.
• Performs medical record review or audits as needed. Document provider, clinic staff, member, and/or health plan encounters.
• Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education. Provides resources on clinical quality measures to support providers and clinic staff.
• Update data and maintain data integrity in the population health platforms and EHR systems.

Job Requirements

Required

• Two (2) years related HEDIS record collection and measures improvement with analytical review/evaluation and / or Quality Improvement
• Experience in data and chart reviews to provide consultation and education to providers and provider staff
• Clear and current CA Licensed Vocational Nurse (LVN) license
• Demonstrated skills in the areas of written and verbal communication, judgment, problem-solving, presentation and public relations

Preferred

• Knowledge of front and back office workflows in provider offices preferred
• Associates degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field preferred
• 1 year of experience in Managed Care preferred

One Community. One Mission. One California

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.