Primary Care Network Quality & Value Clinical Specialist

All the benefits and perks you need for you and your family:

• Benefits from Day One

• Paid Days Off from Day One

• Career Development

• Whole Person Wellbeing Resources

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind, and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Monday - Friday

Shift : Days

Location : 900 HOPE WAY, Altamonte Springs, 32714

The community you'll be caring for:

• Join a team that provides exceptional patient-based care.
• Collaborative teams that work together for a common goal
• Compassionate and supportive leaders ensure work life balance for team members and providers without compromising patient care.

The role you'll contribute:

The Quality & Value Clinical Specialist will focus their efforts on planning for upcoming patient appointments to improve quality of medication adherence for primary care providers. They will identify patient populations for pre-visit planning with an emphasis on medication adherence. The QVCS will partner with health plans, primary care practices, and collaborate with multidisciplinary teams across AdventHealth to support key strategic improvement activities that drive whole-person care.

The value you'll bring to the team:

• Utilizes data from multiple sources to identify patients with upcoming appointments and conducts a thorough chart review to determine patient specific opportunities around open orders, care gaps, coding, medication management, and annual wellness visits.

• Outreaches patients to complete health risk assessments, follows up on open orders, reviews medications, assesses SDOH, schedules/reschedules appointments as needed, and attempts to obtain any outside records for care gap closure and continuity.

• Documents in the upcoming patient encounter all necessary information relevant to the appointment including suspect conditions, screenings, specific care gaps to be addressed at the visit, initiates orders as needed, updates health maintenance topics, and provides any other key information obtained in the pre-visit planning stage.

• Addresses barriers to care and assists as needed to connect patients and practices to additional internal and external resources including pharmacy, care management, health plan, and other available programs.

• Answers patient questions within scope and relays other questions and pertinent information by taking accurate messages and routing to appropriate clinical staff.

• Understands strategy to meet program objectives, helps identify performance improvement opportunities, and ensures practices are equipped with pertinent information and tactics to meet goals.

Qualifications
The expertise and experiences you'll need to succeed:

Minimum Qualifications Required:

• Graduate of a nursing or medical assisting program

• 3 years of healthcare experience

• Epic or other EMR experience

Preferred Qualifications:

• Knowledge and understanding of CDI, RAF and HCC coding

• Knowledge and understanding of HEDIS and CMS Star rating measures

• Advanced degree in healthcare and/or medical billing coding

• Greater than 3 years of healthcare experience

• Primary care office experience

• Quality programs experience

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