Quality Care Consultant

Location

Pittsburgh, PA | United States

Job description

Preferred Primary Care Physicians (PPCP) is looking to hire a full-time Quality Care Consultant to work primarily out of our physician office located at 1050 Bower Hill Rd, Suite 202, Pittsburgh, PA 15243. After training and upon director approval, the candidate will have flexibility and an opportunity for a hybrid position, with several days per week spent onsite at assigned PPCP office location or PPCP Central Southpointe office location, as well as several days working remotely.

Position offers a great Monday-Friday day schedule and is eligible for fantastic benefits including medical, dental, vision, company-matched 401k retirement plan, as well as many more ancillary benefits.

General Purpose of the Quality Care Consultant Position:

The Quality Care Consultant works collaboratively with the Director, Value Based Care, Quality staff and practice staff to fulfill the role of lead quality representative at the practice location. Assists with identification of high risk, chronic disease and high-cost patients in need of assistance in coordination of care. Provides patient education and self-management support.

Schedule: Position works Monday - Friday, daylight hours, and additional time as needed to complete work.

Location: Position will be scheduled to report to PPCP Office located at 1050 Bower Hill Rd, Suite 202, Pittsburgh, PA 15243

Quality Care Consultant Essential Duties and Responsibilities :

• Analyzes internal and external quality reports to identify opportunities for improvement and assist with identification of select patient population in need of coordination of care or outreach.
• Actively supports and institutes within the practice any quality program initiatives and processes as outlined by the Quality Committee.
• Educates practice staff in quality initiatives.
• Collaborates with Director, Value Based Care, Quality staff, office staff and providers to improve patient adherence to evidence based guidelines, implement programs aligned with guidelines, and develop strategies to overcome barriers limiting success in achieving best practice parameters. Educates patients and families about managing their health conditions.
• Provides educational materials and information on available community resources to patients.
• Collaborates with patients and families to establish and work toward appropriate self-management goals.
• Work with external community or support agencies in procuring resources for patient populations requiring additional help in achieving positive outcomes.
• Utilize reporting tools such as Enli Central Worklist to track, manage, and assist patient population in being compliant in partnering with practice to manage their disease states.
• Participate in development of processes to improve quality outcomes.
• Fulfill the role of lead quality representative at the practice site by educating staff and supporting quality initiatives as determined by the Quality Committee and staff.
• Identify and assist patients in need of coordination with managing their chronic disease, transition of care, ED usage and Medication Adherence.
• Work with office staff to help identify patient population requiring more in-depth management.
• Participate in monthly Quality Care Meeting to standardize quality care management / care coordination in the organization.
• Educate patients and families on managing their health conditions.
• Identify and address barriers to achieving positive outcomes.
• Educate and use non-physician staff to manage patient care.
• Track patient outcomes for revisions in strategies.
• Utilize evidence-based guidelines to help promote office staff commitment and understanding of care directives.
• Utilize standing orders for ordering medication refills, ordering tests and routine preventive services and arranging follow-up appointments, etc.
• Assist with patients' navigation through the health care continuum.
• Work collaboratively with all Quality staff to optimize the clinical management of select patient population.

Qualifications:

Education: High School Diploma or GED is required.

Experience/On the Job Training:

• Minimum3-5 years clinical experience
• Minimum1-year Quality or Case Management experience
• Excellent health assessment and communication skills
• Independent and creative thinker
• Ability to problem solve
• 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 trending reports to revise goal setting, strategies, etc.

Credentials: RN, LPN or Certified Medical Assistant preferred.

About Us:

At Preferred Primary Care Physicians, preferred health care is simply our standard. Our practice was established in 1995 when a group of dedicated physicians in the South Hills came together for one common purpose: to provide the highest quality care to their patients. Their ingenuity and expertise laid the foundation for our independently owned practice, which now operates out of more than 20 locations in the greater Pittsburgh area. Our elevated level of service is supported by our team-based approach, comprehensive clinical programs, and state-of-the-art outpatient centers. From providing general primary care to managing chronic conditions, we give all of our patients the preferential treatment they deserve.

Come join the team and enjoy a very competitive employee benefit package including medical , dental , vision , company paid life insurance , and 401k with competitive match.

Please visit our website for more info about our company.

EOE

Job tags

Salary