Call Center Representative Quality Coordinator

Website ManpowerWest Manpower San Diego

Jobs in San Diego and surroundings areas

Job Id: 258368

Job Title: Call Center Representative Quality Coordinator

Location: San Ysidro CA 92173 (onsite with the possibility of hybrid after training)
Schedule: Monday to Friday 8am – 5 pm

Duration: 20 Weeks
Pay: $24 – $26 per hour

 

Position Summary:
The Call Center Representative Quality Coordinator will place a high volume of outbound calls to assist in all activities related to the organization’s quality management program. This includes assisting with organizational adherence to federal state and other regulatory requirements; monitoring and maintaining compliance with NCQA PCMH recognition standards; TJC ambulatory accreditations standards; and facilitating a state of continuous clinic audit readiness.

 

Responsibilities:

  • Place a high volume of outbound calls on the phone to do outreach.

  • Handling excel spreadsheets.

  • Scheduling appointments.

  • Track and support as directed by the Quality Manager continuous audit readiness activities.

  • Support care team training activities to improve clinical quality performance and adherence to regulatory health plan and other program participation requirements.

  • Coordinate peer review activities by maintaining an annual calendar preparing records for review and collecting data for review.

  • Provider administrative support for quality improvement studies addressing areas of opportunities. Maintain and update departmental project work plans as needed.

  • Participate in departmental PCMH and CQI meeting for alignment and tracking of active projects.

  • Facilitate project milestones by coordinating follow-up activities internally and cross departmentally.

  • Provides support in capturing and updating policies procedures practice guidelines and clinic protocols that impact clinical quality.

  • Keep abreast of PCMH and TJC program requirements and updates.

  • Assist in gathering data for quality related reports for regulatory submission and as requested by the board Executive and Department leadership.

  • Adheres to the company and department’s attendance and punctuality policies and practices.

  • Perform other duties as assigned.

  • Enhance professional growth and development through participation in educational programs current literature in-service meetings and workshops.

  • Attend meetings as required and participate in committees as directed.

Qualifications:

Education Required (Minimum level of education):

High School Diploma

 

Training/Certification:

Valid California driver’s license with appropriate insurance.

 

Experience Required (Minimum level of experience):

  • Call Center experience in a health related setting is a plus.

  • Two years’ experience in healthcare or a closely related field; familiarity with the PCMH model of care the continuum of care transitions of care and quality improvement processes.

  • Must have EPIC experience

  • Must be Bilingual (English/Spanish)

  • Health related call center experience is a plus

  • Must have minimum 2 years’ experience

  • Track key performance indicators related to regulatory clinic compliance audits surveys and studies by health plans federal and state agencies.

  • Experience in chart review and medical record documentation.

  • Excellent oral and written communication skills required.

  • Proficient in Microsoft Excel Power Point and Word and attention to detail.

  • Working Conditions and Physical Requirements: Prolonged periods of sitting and standing driving within the country to travel between clinic locations and to occasional community partner meetings.

  • May be required to work evenings and/or weekends.

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