As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

Remote Work - New York, Albany, New York, United States of America, 12224

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

900398 URMC Accountable Care Network

Work Shift:

UR - Day (United States of America)

Range:

UR URCC 204 H

Compensation Range:

$19.08 - $25.77

Responsibilities:

Responsible for primary care population health management and performance improvement of clinical quality metrics such as breast cancer screening, colon cancer screening, diabetes management, hypertension management, pediatric well child checks, lead screenings, and immunizations. Provides ongoing data collection, tracking/monitoring, analysis, reporting and outreach on these key benchmarks. Offers data-driven support for operational efforts related to payer contracts, provider compensation incentives, and overall population health tied to improving these metrics. Collaborates with practice teams on quality and process improvement initiatives by compiling and reporting data trends on quality projects focused on moving these clinical care measures.

ESSENTIAL FUNCTIONS

• Independently analyzes several clinical metric dashboards and practice progress through identifying trends, patterns, or sudden compliance changes based on autonomous data interpretation and evaluation. Independently generates, maintains, and delivers clinical quality metric reports for provider’s quality metric performance. Exercises individual discretion by proactively reporting any data integrity issues noticed through ongoing chart reviews. Drives successful patient outcomes in alignment with valued based contracts. Supports provider performance for clinical quality metrics by maintaining accurate records, providing documentation and performing patient outreach through the gap closure management process. Propels accurate provider patient panel management by conducting direct outreach to active vs inactive patients to confirm if they still consider the practice their main provider and need to reestablish care after time away or determine if they now see other primary care providers necessitating documentation updates in their medical records for accurate reflection of their full care team across systems.
• Performs comprehensive pre-visit planning by independently reconciling individual patient charts in eRecord, utilizing various portals and databases to ensure charts are up-to-date before appointments, including identifying any missing test results, exams, or other clinical data and retrieving outstanding records to complete chart documentation. Leverages strong working knowledge of EMR and other systems to efficiently gather necessary pre-visit information. Autonomously supports providers by placing orders or referrals, to review and approve for the clinical quality metrics regarding preventive care and chronic care management. Serves as main liaison between specialty provider offices or imaging and the primary care providers regarding care coordination and follow-up care for patients. May independently coordinate or schedule primary care provider appointments for patients to receive medical services for preventive care and chronic care management based on individual assessment.
• Independently identifies gaps in care by proactively reviewing patient records to determine missing preventative, chronic, or follow up care across patient populations clinical quality metrics. Performs comprehensive outreach through various modalities, including but not limited to, phone calls, letters, and/or patient portal messages. Leverages analytical reports and dashboards to closely monitor outstanding quality health care metrics and measure progress. Serves as main driver of quality improvement/gap closure for patient population by taking accountability to improve benchmark metric performance.
• Maintains excellent record keeping of clinical quality metrics for the patients by populating records into the electronic medical record which aids in achieving goals set by incentivized payer contracts and supports provider compensation. Independently requests records from specialty provider offices or imaging facilities and follows data entry standards to ensure accurate record keeping for high-quality patient care.
• Takes ownership as co-lead for practice-based teams supporting annual NCQA renewal recognition with leadership, including independently attending meetings and providing necessary reports to complete renewal application. Proactively builds strong working relationships with all practice staff and providers through everyday collaborative interactions. Exercises autonomous judgment in working with staff/faculty to enable high-quality care. Identifies and executes best practice workflows, collaborating with the practice team to promote the achievement of high-quality health care metrics. Works in partnership with providers to determine action plans for performance improvement based on own data-driven recommendations.
Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

• Associate's degree or equivalent and 2 years of related experience, including at least 1 year clinical, operational, quality data collection and reporting experience required
Or equivalent combination of education and experience

KNOWLEDGE, SKILLS AND ABILITIES

• Excellent time management, interpersonal, communication, and organizational skills with attention to detail and ability to work independently required
• Ability to interface effectively with a broad array of individuals including but not limited to patients, providers, nurses, managers, and other staff required
• Effective verbal and written communications, regardless of work location required

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.