Job Description
Note: The job is a remote job and is open to candidates in USA. Community Health Systems is seeking a compassionate and organized Transition of Care Clinical Support team member to support patients as they move from hospital to home. In this role, you will conduct post-discharge phone interviews to assess patient needs and help schedule timely follow-up appointments to reduce hospital readmissions. Responsibilities • Implements and monitors quality improvement initiatives to ensure adherence to best practices, policies, and regulatory requirements. • Supports teams as a subject matter expert on quality-related workflows, ensuring staff adherence to established procedures. • Coordinates and tracks patient outreach efforts to close gaps in care, ensuring timely follow-up on quality attribution reports. • Optimizes provider schedules by ensuring appointments address preventive care and chronic disease management gaps. • Monitors and analyzes key performance indicators (KPIs) related to quality measures, providing feedback and accountability to stakeholders. • Conducts regular rounding with providers and staff to reinforce best practices and identify workflow improvement opportunities. • Assists in medical record audits, ensuring compliance with payer requirements and timely submission of quality-related documentation. • Facilitates training sessions and provides ongoing support to enhance staff competency in quality care initiatives. • Collaborates with data analytics and population health teams to ensure accurate reporting and performance tracking. • Maintains compliance with all payer-specific quality programs, ensuring proper documentation and adherence to incentive program requirements. • Performs other duties as assigned. • Complies with all policies and standards. Skills • Associate Degree in Healthcare Administration, Nursing, Public Health, or a related field • 2-4 years of experience in quality improvement, population health, or clinical operations within a healthcare setting • Bachelor's Degree in Nursing or a related field • Experience in working with payer quality programs and regulatory reporting • Certified Medical Assistant (CMA)-AAMA • LPN - Licensed Practical Nurse - State Licensure • RN - Registered Nurse - State Licensure and/or Compact State Licensure • CPHQ - Certified Professional in Healthcare Quality Company Overview • Community Health Systems is one of the nation’s leading healthcare providers. It was founded in 1985, and is headquartered in Franklin, Tennessee, USA, with a workforce of 10001+ employees. Its website is Apply tot his job