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Culture of Caring:

The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.

Department:

Job Description Summary:

Position Responsibilities Responsible for supporting the Wellness & Preventative Management Program (WPM): HEDIS, Annual Wellness Visits, Appointments, and other Care Coordination tasks. Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting, e.g. results of laboratory tests, verification of hypertension and the most recent blood pressure reading. Collect medical record data and identify needed improvements that impact HEDIS measures. Review noncompliant reports and flags patient's charts with the missing measures. Request quality data documentation from outside resources. Works closely with leadership to execute quality strategies. Manage the reports and monitors performance at group and providers level. Engages PCP and clinic staff in developing strategies to close quality gaps. Upload HEDIS data to medical records and send it to the health plan. Performs all other related duties as assigned Qualifications License/Registration/Certification Preferred Certified Medical Assistant or Registered Medical Assistant.

Education Required:

High School Diploma.

Preferred:

Bachelor of Sciences degree or in other related field, foreign medical graduate

Experience Preferred:

One year of experience in Care Coordination in outpatient setting or HMO, MSO or ACO.

Benefits:

We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs: Health benefits Life insurance Long-term disability coverage Healthcare spending accounts Retirement plan Paid time off Pet Insurance Tuition reimbursement Employee assistance program Wellness program On-site housing for select positions and more!

Degree Requirements:

Certification:

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Find & Apply For Clinical Analyst / Clinical Documentation and Improvement Specialist Jobs in Hialeah, Florida

Quality Specialist