clinical quality coordinator

Summit Health

<div><h1 class="jobSectionHeader"><b>About Our Company</b></h1><p>
We&rsquo;re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.</p><p></p><p>
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.</p><p></p><p>
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.</p><p></p><p><b>
Please Note: </b>We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.</p><p></p><h1 class="jobSectionHeader"><b>
Job Description</b></h1><div><div><p>
Summit Health is seeking a Clinical Quality Coordinator, Licensed Practical Nurse (LPN) to join the <b>Internal Medicine</b><b> </b>department.</p></div><p></p><div><p><b><br>
Overview:</b></p></div><div><ul><li><p>
Coordinates compliance with Clinical Quality Requirements required for ACO/PCMH at Summit Health in conjunction with the Director of Clinical Operations.</p></li></ul></div><div><ul><li><p>
Actively participates in concurrent and retrospective case review to assure that evidence based best practices are implemented timely for patients.</p></li></ul></div><div><ul><li><p>
Tracks compliance of quality measures and provides physician and staff education relating to the externally reported measurements.</p></li></ul></div><div><ul><li><p>
Assists in the planning and implementation of interventions to ensure evidence-based practices are followed (i.e. Preventive Measures for colorectal and breast screening, vaccinations, Disease Management for Diabetes, Hypertension and Hyperlipidemia, and any other identified Gap in care).</p></li></ul></div><div><ul><li><p>
Works closely with providers, support staff and other members of the organization by demonstrating effective communications, teaching and negotiating skills.</p></li></ul></div><div><ul><li><p>
Is accountable for quality assessment and efficient coordinated care.</p></li></ul></div><div><ul><li><p>
Coordinates the day-to-day review of patient flow as part of a healthcare team by assisting in planning and implementing care interventions while promoting high quality patient care in a professional, efficient and safe manner.</p></li></ul></div><div><ul><li><p>
Directs the team member as needed in order to support and maintain high-quality patient care. Leads team huddles regarding patient care.</p></li></ul></div><div><ul><li><p>
Provides assistance with referrals to Palliative Medicine and Case Management as well as site specific injection schedules.</p></li></ul></div><div><ul><li><p>
Expected to keep relevant knowledge up-to-date and apply it to everyday practice.</p></li></ul></div><div><ul><li><p>
Effectively communicates with all team members to support a cohesive work environment.</p></li></ul></div><p></p><div><p><b><br>
Essential Functions and Job Responsibilities:</b></p></div><div><ul><li><p>
Based on Dashboard Metrics, reviews each patient's plan of care to ensure that all quality metrics are being met, including those related to Preventive Measures, Disease Management, Gaps in care, medications, diagnostic testing, education, and other areas.</p></li></ul></div><div><ul><li><p>
Routinely coordinates interdisciplinary care rounds with physicians, mid-level providers, support staff, case managers, respiratory therapists, pharmacists, dietitians, and other appropriate Summit Health personnel.</p></li></ul></div><div><ul><li><p>
Serve as liaison to physician: Serves as the &quot;point person&quot; who communicates and assists with understanding of dashboard metrics and opportunities to improve patient care, internal processes and work flows to the physician and also rounds with physicians to discuss the patient's clinical status and ensure that critical information is shared.</p></li></ul></div><div><ul><li><p>
Facilitate quality improvement, including identification and dissemination of best practices: Reviews data and trends from reports generated by Summit Health to determine system performance related to patient outcomes and then suggest areas for improvement. For example, review adherence with ACO, NCQA and contractual reporting requirements compared with the EMR. Identifies education, workflow, process or documentation/template enhancements. The coordinator meets with RN Clinical Manager, and/or Director of Clinical Operations to discuss individual nurse performance issues and/or determine whether a system-wide performance improvement initiative is warranted. Clinical Coordinator also identifies best practices for implementation.</p></li></ul></div></div><div><div><ul><li><p>
Mentor and coach support staff: Clinical coordinator orients all new clinical staff to ACO, PCMH requirements, provides ongoing mentoring, coaching, and education to all clinical support staff members. They also conduct site-wide training and education related to topics such as Medicare Wellness, Disease Specific Competencies, Emmi, peak flow, Asthma Action plans and all other department wide performance improvement initiatives.</p></li></ul></div><div><ul><li><p>
Communicate with patient/family: to review outlier metrics and assist the facilitation of scheduling follow-up as appropriate, convey any patient and family concerns to physicians.</p></li></ul></div><div><ul><li><p>
Office Visit &ndash; Provides routine office visit care, follow up, charting, desktop management, clerical support, care coordination and patient satisfaction as needed in order to maintain optimal patient care and throughput.</p></li></ul></div><div><ul><li><p>
Other &ndash; duties as assigned.</p></li></ul></div><p></p><div><p><b><br>
GENERAL QUALIFICATION STANDARDS &amp; JOB REQUIREMENTS:</b>
</p></div><div><ul><li><p>LPN NYS license</p></li></ul></div><div><ul><li><p>
BLS certified upon hire</p></li></ul></div><div><ul><li><p>
Strong computer skills</p></li></ul></div><div><ul><li><p>
Strong organizational skills, able to multitask in fast paced environment</p></li></ul></div><div><ul><li><p>
Excellent communication skills; both written and verbal</p></li></ul></div><div><ul><li><p>
Excellent time management skills</p></li></ul></div><div><ul><li><p>
Able to identify knowledge deficits of staff/physicians regarding Dashboards and Metrics</p></li></ul></div><div><ul><li><p>
Ability to prioritize, organize and manage multiple activities with limited supervision</p></li></ul></div><div><ul><li><p>
Ability to work both independently and as part of a team</p></li></ul></div><div><ul><li><p>
Ability to think critically, motivate staff to meet department quality goals, and work with minimal supervision in a stressful environment</p></li></ul></div><div><ul><li><p>
Experience with EMR preferred</p></li></ul></div></div><br>
<p></p>
Pay Range: $33.99 - $42.50 Hourly
<p>The provided compensation range is based on industry standards and salary determinations will be made based on numerous factors including but not limited to years of experience and location of position.</p><p></p><h1 class="jobSectionHeader"><b><br>
About Our Commitment</b></h1><h2 class="jobSectionHeader"><b>
Total Rewards at VillageMD</b></h2><p>
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD&rsquo;s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.</p><p></p><h2 class="jobSectionHeader"><b>
Equal Opportunity Employer</b></h2><p>
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.</p><p></p><h2 class="jobSectionHeader"><b>
Safety Disclaimer</b></h2><p>
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.</p></div>

Clinical Quality Coordinator - LPN

Blue Shield of California

<div>
 <strong>
  Job Description
  <br/>
  <br/>
 </strong>
 <strong>
  Your Role
  <br/>
  <br/>
 </strong>
 The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator, Entry will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work.
 <br/>
 <br/>
 Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow &ndash; personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
 <br/>
 <br/>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 <strong>
  Your Work
  <br/>
  <br/>
 </strong>
 <strong>
  In this role, you will:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Initiate outbound calls to members and providers to collect information and provide care coordination assistance in obtaining services (schedule appointments, provider appointment reminders, coordinate transportation, etc.)
  </li>
  <li>
   Educate members on missing care gaps and provide encouragement to obtain missing service.
  </li>
  <li>
   Request medical records from PCP/Specialists by fax, remote EMR access or scheduled site visits as needed
  </li>
  <li>
   Manage and maintain HEDIS files and medical records
  </li>
  <li>
   Provide administrative support, including generating correspondence, organize mass mailings, coordinator schedules and training
  </li>
  <li>
   Continued development of understanding of HEDIS hybrid measures and medical record requirements for HEDIS compliance
  </li>
  <li>
   Research member claims and encounters to identify accurate pursuit information for medical record retrieval
  </li>
  <li>
   Review medical records and identify elements for compliance
  </li>
  <li>
   Create and maintain detailed logs of member and provider interactions
  </li>
  <li>
   Ability to de-escalate situations
  </li>
  <li>
   Assist in onboarding contingent workforce for HEDIS and outreach projects
  </li>
  <li>
   EMR and vendor portal medical record retrieval
  </li>
  <li>
   Developing understanding of HEDIS pursuit processes relative to pursuit systems and tracking processes
  </li>
  <li>
   Developing understanding of outreach and pursuit project intake procedures, schedules, and reporting requirements
  </li>
  <li>
   Ability to work independently in a fast-paced environment with minimal errors
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <strong>
  Your Knowledge and Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Requires a high school diploma or equivalent
  </li>
  <li>
   Requires limited knowledge of systems and procedures
  </li>
  <li>
   Typically, has limited or no prior experience
  </li>
  <li>
   Communication and interpersonal skills
  </li>
  <li>
   Must be organized with the ability to keep accurate notes and records
  </li>
  <li>
   Customer service experience is preferred
  </li>
  <li>
   HEDIS knowledge strongly preferred
  </li>
  <li>
   Critical thinking skills
  </li>
  <li>
   Knowledge of computer applications including Microsoft Word, PowerPoint and Excel. Internet knowledge with the ability to complete searches
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Hybrid Virtual Work
  <br/>
  <br/>
 </strong>
 This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.
 <br/>
 <br/>
 <strong>
  About The Team
  <br/>
  <br/>
 </strong>
 <strong>
  About Blue Shield of California
  <br/>
  <br/>
 </strong>
 As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
 <br/>
 <br/>
 At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
 <br/>
 <br/>
 To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
 <br/>
 <br/>
 Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities &ndash; join us!
 <br/>
 <br/>
 <strong>
  Our Values:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
  </li>
  <li>
   Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
  </li>
  <li>
   Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Our Workplace Model
  <br/>
  <br/>
 </strong>
 We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
 <br/>
 <br/>
 <ul>
  <li>
   For most teams, this means coming into the office two days per week.
  </li>
  <li>
   Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
  </li>
  <li>
   For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
   <br/>
   <br/>
  </li>
 </ul>
 The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
 <br/>
 <br/>
 <strong>
  Physical Requirements:
  <br/>
  <br/>
 </strong>
 Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
 <br/>
 <br/>
 Please click here for further physical requirement detail.
 <br/>
 <br/>
 <strong>
  Equal Employment Opportunity:
  <br/>
  <br/>
 </strong>
 External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
</div>


Clinical Quality Coordinator, Entry

<div><p><b>Your Role<br>
</b></p><p><br>
The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator, Entry will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work.<br>
</p><p><br>
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow &ndash; personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.</p></div>
<br><div><p><b>Your Work
</b></p><p><b>In this role, you will:
</b></p><ul><li>Initiate outbound calls to members and providers to collect information and provide care coordination assistance in obtaining services (schedule appointments, provider appointment reminders, coordinate transportation, etc.)
</li><li>Educate members on missing care gaps and provide encouragement to obtain missing service.
</li><li>Request medical records from PCP/Specialists by fax, remote EMR access or scheduled site visits as needed
</li><li>Manage and maintain HEDIS files and medical records
</li><li>Provide administrative support, including generating correspondence, organize mass mailings, coordinator schedules and training
</li><li>Continued development of understanding of HEDIS hybrid measures and medical record requirements for HEDIS compliance
</li><li>Research member claims and encounters to identify accurate pursuit information for medical record retrieval
</li><li>Review medical records and identify elements for compliance
</li><li>Create and maintain detailed logs of member and provider interactions
</li><li>Ability to de-escalate situations
</li><li>Assist in onboarding contingent workforce for HEDIS and outreach projects
</li><li>EMR and vendor portal medical record retrieval
</li><li>Developing understanding of HEDIS pursuit processes relative to pursuit systems and tracking processes
</li><li>Developing understanding of outreach and pursuit project intake procedures, schedules, and reporting requirements
</li><li>Ability to work independently in a fast-paced environment with minimal errors</li></ul></div>
<br><div><p><b>Your Knowledge and Experience
</b></p><ul><li>Requires a high school diploma or equivalent
</li><li>Requires limited knowledge of systems and procedures
</li><li>Typically, has limited or no prior experience
</li><li>Communication and interpersonal skills
</li><li>Must be organized with the ability to keep accurate notes and records
</li><li>Customer service experience is preferred
</li><li>HEDIS knowledge strongly preferred
</li><li>Critical thinking skills
</li>Knowledge of computer applications including Microsoft Word, PowerPoint and Excel. Internet knowledge with the ability to complete searches<br>
<li>
</li></ul><p></p><p><b>Hybrid Virtual Work
</b><br>
This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.</p></div>
<br><p></p><div><p><b>ABOUT THE TEAM<br>
About Blue Shield of California
</b></p><p>As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
</p><p>At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
</p><p>To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
</p><p>Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities &ndash; join us!
</p><p><b>Our Values:
</b></p><p></p><ul><li><b>Honest. </b>We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
</li><li><b>Human. </b>We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
</li><li><b>Courageous. </b>We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
</li></ul><div><p><b>Our Workplace Model
</b></p><p>We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
</p><ul><li><p>For most teams, this means coming into the office two days per week.
</p></li><li><p>Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
</p></li><li><p>For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
</p></li></ul><p>The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
</p></div><p></p><p><b>Physical Requirements:
</b></p><p>Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.</p><p><br>
</p><p><b>Equal Employment Opportunity:
</b></p><p>External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.</p></div>

MCMC

<div><div><div><b>Ready for a Rewarding Career that Fits Your Lifestyle?</b>
</div></div><p></p><div><div>Imagine a job where you can keep your <b>clinical skills sharp</b>, tackle exciting challenges, AND work from the comfort of your own home. Sounds like the perfect mix, right?</div></div><p>
</p><p></p><div><div><b>MES</b> is looking for a <b>self-driven, high-performing Registered Nurse (RN) or Licensed Vocational Nurse (LVN)</b> to join our dynamic team as a <b>Clinical Quality Assurance Coordinator</b>. In this role, you&rsquo;ll ensure our <b>Peer Review case reports</b> are nothing short of exceptional&mdash;delivering top-notch quality and integrity, all while staying fully aligned with <b>client agreements</b>, <b>regulatory standards</b>, and <b>state and federal mandates</b>.</div></div><p>
</p><div><div>The position is <b>100% remote</b> with a schedule of<b> </b><b>Monday through Friday:</b></div></div><ul><li><div><b>
three days: 12-8:30PM EST
</b></div></li><li><div><b>two days: 8-4:30PM EST</b></div></li></ul><p>
</p><ul><li><div>Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.</div></li><li><div>
Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.</div></li><li><div>
Ensures that all client instructions and specifications have been followed and that all questions have been addressed.</div></li><li><div>
Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.</div></li><li><div>
Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.</div></li><li><div>
Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.</div></li><li><div>
Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.</div></li><li><div>
Ensures the provider credentials and signature are adhered to the final report.</div></li><li><div>
Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.</div></li><li><div>
Assists in resolution of customer complaints and quality assurance issues as needed.</div></li><li><div>
Ensures all federal ERISA and/or state mandates are adhered to at all times.</div></li><li><div>
Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.</div></li><li><div>
Promote effective and efficient utilization of company resources.</div></li><li><div>
Participate in various educational and or training activities as required.</div></li><li><div>
Perform other duties as assigned.</div></li></ul><p>
</p><div></div><div><div>If you&rsquo;re ready to make a real impact in healthcare, all while enjoying the flexibility of working remotely, we want to hear from you!
</div></div><p></p><ul><li><div>Active RN/LVN nursing license required.</div></li><li><div>
Must be a graduate of an accredited nursing program or related medical experience; bachelor's degree preferred.</div></li><li><div>
A minimum of two years clinical or related field experience; or equivalent combination of education and experience.
</div></li><li><div>Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.</div></li><li><div>
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.</div></li><li><div>
Must be a qualified typist with a minimum of 40 W.P.M</div></li><li><div>
Must be able to operate a general computer, fax, copier, scanner, and telephone.</div></li><li><div>
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.</div></li><li><div>
Must possess excellent skills in English usage, grammar, punctuation and style.</div></li><li><div>
Ability to follow instructions and respond to upper managements&rsquo; directions accurately.</div></li><li><div>
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.</div></li><li><div>
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.</div></li><li><div>
Must be able to work independently, prioritize work activities and use time efficiently.</div></li><li><div>
Must be able to maintain confidentiality.</div></li></ul><p>
</p><p></p><div><div><b>MES Solutions</b> is a premier provider of independent medical examination and peer review services to the insurance, corporate, legal, and government sectors. Members of our credentialed medical panel conduct physical examinations or medical record reviews, delivering reports that assist clients in the resolution of automotive, disability, liability, and workers' compensation claims. MES has been providing services nationally since 1978 in accordance with the industry's highest standards of operating excellence and regulatory compliance.</div></div><p>
</p><p></p><div><div>Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.</div></div><div><div><b>
Equal Opportunity Employer - Minorities/Females/Disabled/Veterans</b></div></div><div><div><b><i>
MES offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.</i></b></div></div></div>

Clinical Quality Assurance Coordinator

Orlando Health

<div>Position Summary:
<div><b>
Facility: South Lake Hospital</b></div><div><b>
Location: Clermont, FL</b></div><div><b>
Status: Full-Time</b></div><div><b>
Department: Clinical Quality</b></div><div><b>
Schedule: Days</b></div><div><b>
Title: Clinical Coordinator</b></div><div><b>
#LI-JM1</b></div><div></div><div><b><i><br>
&ldquo;Orlando Health Is Your Best Place to Work&rdquo; is not just something we say, it&rsquo;s our promise to you.&quot;</i></b></div><div></div><div><br>
Orlando Health <i>South Lake Hospital</i> is a comprehensive medical and surgical acute care facility serving the residents of Lake County as a trusted member of the community for over 75 years. Conveniently located in Clermont, the hospital&rsquo;s dedicated team of physicians, nurses, clinicians and medical professionals is committed to delivering expert and compassionate care. Our efforts have earned us recognition as a national leader.</div><div></div><div><b><br>
Click Here to Learn About: </b><b>South Lake Hospital</b></div><div></div><div><b><br>
ORLANDO HEALTH - BENEFITS &amp; PERKS:</b></div><div><b>
Competitive Pay</b></div><ul><li>
Evening, nights, and weekend shift differentials offered for qualifying positions.</li></ul><div><b>
All Inclusive Benefits (start day one)</b></div><ul><li>
Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.</li></ul><div><b>
Employee-centric</b></div><ul><li>
South Lake Hospital has been selected as one of the &ldquo;Best Places to Work in Healthcare&rdquo; by Modern Healthcare.</li></ul><div>
A <b>Clinical Coordinator</b> coordinates clinical operations and quality initiatives for the joint replacement program, collaborating with physicians and interdisciplinary teams to ensure evidence-based care, regulatory compliance, and optimal patient outcomes across the care continuum.</div>
Responsibilities:
<div><b>
Essential Functions</b></div><ul><li>
Collaborates with appropriate outlying facilities and agencies to ensure protocols are aligned with evidence based guidelines.</li><li>
Provides a safe and clean environment.</li><li>
Participates in budget preparations and committee functions as assigned.</li><li>
Practices effective problem identification and resolution utilizing evidenced based practice.</li><li>
Serves as a role model demonstrating appropriate knowledge and expertise in regard to patient care.</li><li>
Functions as a patient advocate while collaborating with the multidisciplinary team.</li><li>
Maintains focus on the educational growth of patients/families, team members and self.</li><li>
The clinical coordinator must be able to demonstrate knowledge of the principles of growth and development over the life span and implement interventions as appropriate while being sensitive to cultural needs.</li><li>
Promotes collaboration within the organization by participating in departmental and hospital programs, committees and special projects.</li><li>
Complies with all regulatory and accrediting requirements.</li><li>
Ensures that safety, health, and regulatory standards are attained in the practice of area of responsibility.</li><li>
Manages various human resources functions including hiring, work assignments, coaching plans, and performance counseling.</li><li>
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.</li><li>
Maintains compliance with all Orlando Health policies and procedures.</li></ul><div><b>
Other Related Functions</b></div><ul><li>
Plan and coordinates process improvement activities.</li><li>
Functions as the corporate liaison between Administration, medical staff and team members.</li><li>
Responsible for staff development, identification of risk management issues, policies, guidelines, safety and infection control issues and monitoring of staff attendance at mandatory meetings.</li><li>
Compiles, analyzes, and interprets data.</li><li>
Proficient in building interpersonal relationships through the use of excellent communication skills and team building strategies.</li><li>
The clinical coordinator is able to provide the care needed as described in the department&rsquo;s policies and procedures.</li></ul>
Qualifications:
<div><b>
Education/Training</b></div><ul><li>
Graduate from an approved school of nursing. BSN required.</li><li>
Assumes responsibility for professional development and continuing education.</li><li>
Meets all mandatory and developmental requirements and performance competencies for Orlando Health and unit/department.</li></ul><div><b>
Licensure/Certification</b></div><ul><li>
Current RN license in the State of Florida renewed every two years.</li><li>
Maintains current BLS/Healthcare Provider certification.</li></ul><div><b>
Experience</b></div><ul><li>
Experience Three (3) years experience in nursing, to include two years clinical experience.</li></ul></div>

Ortho/Spine Clinical Coordinator, Full-Time Days

Heal Hub

<p><b>About Heal Hub Polyclinic LLC</b></p><p>Heal Hub is a leading Polyclinic in Dubai dedicated to holistic care for physical, mental, and emotional well-being. Our multidisciplinary team delivers services spanning physiotherapy, chiropractic, osteopathy, yoga, energy healing, and recovery. Driven by excellence, innovation, and a patient-centric philosophy, we are shaping the future of integrated healthcare in the UAE.</p><p><b>Role Overview</b></p><p>The Quality and Admin Coordinator supports both administrative and clinical operations to ensure compliance with organizational policies, regulatory requirements, and quality standards. The role involves monitoring processes, assisting with audits, identifying gaps, supporting corrective actions, and helping implement continuous improvement initiatives across the polyclinic.</p><p><b>Key Responsibilities</b></p><p><b>1. Quality Assurance &amp; Compliance</b></p><ul><li>Assist in conducting regular audits of clinical and administrative processes.</li><li>Identify operational gaps, risks, and non-compliance issues.</li><li>Support the implementation and tracking of corrective actions.</li><li>Maintain accurate records of audits, findings, and quality improvement initiatives.</li></ul><p><b>2. Quality Management System (QMS) Responsibilities</b></p><ul><li>Implement policies and ensure adherence across teams.</li><li>Facilitate training and awareness on QMS, compliance, and operational standards.</li><li>Collaborate with teams to improve workflows and operational efficiency.</li><li>Assist in updating SOPs based on audits, regulatory standards, and best practices.</li></ul><p><b>3. Administrative Support</b></p><ul><li>Assist with day-to-day administrative operations, including documentation, scheduling, and record-keeping.</li><li>Ensure proper filing, storage, and retrieval of clinical and administrative records.</li><li>Support HR, finance, and operational teams with data management for reporting and compliance purposes.</li></ul><p><b>Qualifications &amp; Skills</b></p><ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Nursing, Life Sciences, or related field.</li><li>1&ndash;4 years of experience in quality assurance, clinical administration, or healthcare operations.</li><li>Knowledge of audits, Quality Management System (QMS), gap analysis, Root Cause Analysis (RCA), corrective action planning, and process improvement.</li><li>Familiarity with regulatory standards such as DHA, MOHAP, etc., is an advantage.</li><li>JCI Accreditation experience is a plus.</li><li>Strong organizational, analytical, and problem-solving skills.</li><li>Proficient in Microsoft Office Suite and reporting tools.</li><li>Position open for UAE Nationals with a valid Family Book.</li></ul><p><b>Why Join Us</b></p><ul><li>Competitive salary with eligibility to apply for Nafis benefits.</li><li>Professional development and learning opportunities.</li><li>Dynamic, inclusive, and supportive work environment.</li></ul><p>Job Type: Full-time</p><p>Work Location: In person</p>

Quality and Admin Coordinator – (Emirati National)

Apicha Community Health Center

<div>Apicha Community Health Center aims to improve community health by providing access to comprehensive primary care, preventive health services, mental health, and supportive services. The center is dedicated to delivering high-quality, culturally competent services that enhance the quality of life. It also advocates for and offers a welcoming environment for underserved and vulnerable populations.<p></p><div><div><div><div><div><div><div><div><p><b><br>
Postion Summary:</b></p><p>
We are seeking an organized, detail-oriented, anaylitical <b>Quality Improvement Coordinator</b> who will be responsible for coordinating quality improvement activities related to Value Based and Clinical Quality Programs aligned with Apicha CHC&rsquo;s participation in incentive programs of Managed Care Organization (MCO) as well as independent Practice Associations (IPA)</p><p></p><p><b><br>
Qualifications:</b></p><ul><li>
Bachelor&rsquo;s degree in healthcare, human services related field required. Business Administration with work experience in the health care field may be considered</li><li>
3-5 years&rsquo; experience with an electronic health record preferred. (eClinicalWorks strongly preferred);</li><li>
Knowledge of medical terminology required</li><li>
Knowledge of HEDIS/QUARR and/or UDS Measures preferred</li><li>
Proficiency in MS Office, including Word, Excel, PowerPoint require</li><li>
Excellent verbal and written communication skills required</li><li>
Detail-oriented, problem solving and organizational skills</li><li>
Ability to stand, walk or sit for an extended period of time; Ability to see and hear within normal range</li>
Consistently working at a desk in front of a computer monitor, significant typing, and data entry<br>
<li>
</li></ul><p></p><br>
<p><b>Physical Demands:</b></p><ul><li>
Primarily sedentary work performed in an indoor office environment.</li><li>
Noise Level <b>is m</b>oderate; typical of a professional office.</li></ul><p></p><p><br>
At Apicha, we believe that serving the needs of our staff is just as important as serving the needs of underserved people of New York City as such we are proud to offer our team members a competitive employee benefits package which include 12 Paid Holidays, vacation and sick leave, Health Insurance Coverage, Flexible Spending Account, Life Insurance, Employee Assistant Program just to name a few.</p></div></div></div></div></div></div></div></div></div><p></p>

QUALITY IMPROVEMENT COORDINATOR

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Quality and Admin Coordinator – (Emirati National)

QUALITY IMPROVEMENT COORDINATOR