Quality Specialist

• Perform outbound patient calls regarding clinical programs, medication adherence, and closing gaps in care for value-based contracted patients
• Partner with quality, population health, and pharmacy teams to deliver wrap-around care
• Call patients to ensure timely refills of chronic disease medications for diabetes, blood pressure, and cholesterol
• Serve as liaison between patients, clinics, and pharmacies to minimize missed time between refills
• Interpret patient medical history and communicate providers’ plans to patients
• Navigate different Electronic Medical Record platforms to review patient information
• Document patient care activities accurately and comprehensively in electronic records
• Perform medication reconciliation by comparing patient medication use with medical records and pharmacy fills
• Request medication refills according to clinic policy and protocol
• Assist patients with medication access difficulties caused by cost or other barriers
• Identify patients needing referrals to clinical pharmacists, pharmacy medication programs, care management, clinicians, or Village at Home
• Follow up persistently with patients, providers, and pharmacies to ensure medications are picked up and taken as directed
• Coordinate patient care before and after primary care visits
• Schedule appointments and testing and order screenings according to standardized protocols
• Maintain current knowledge of quality measure requirements
• Assist other quality departments as needed per quarter
• Demonstrate kindness and compassion in patient interactions
• Participate as a member of the healthcare team to promote positive health outcomes
• Coordinate with pharmacy staff, primary care office staff, and providers to ensure referrals, orders, and tests are in place
• Contribute to increasing clinic quality ratings
• Identify opportunities for continuous process improvement