Preferred Health Systems Work Values

Daily Duties at Preferred Health Systems:

Quality Improvement Coordinator HEDIS Project Manager-Coordinate processes of the NCQA quality measurement tool to ensure accuracy, integrity, and compliance of data in accordance with regulatory standards. Support HEDIS clinical measures by data management, data analysis and report generation. Facilitate the HEDIS Medical Record Review Project. Maintain HEDIS data repository and conduct clinical validation following data loads. Perform medical record research to enhance rates. Conduct training for RN's on HEDIS measures, HEDIS data collection software, and data collection strategies. Supervise medical record over-reads in accordance with departmental procedures and audit standards. Complete requirements for HEDIS compliance audit. Coordinate assigned quality improvement activities, identify areas for process improvements, and perform appropriate interventions. Provider Oversight-Conduct on-site reviews to monitor patient safety, access to care, and adherence to regulatory guidelines. Perform medical record reviews to ensure documentation standards and clinical standards of care are met. Maintain database and generate reports to Credentialing Committee. Conduct provider education regarding identified areas for improvement. Trend and report outliers and/or serious quality issues to the Quality Improvement and Credentialing Committee.

What they like about Preferred Health Systems:

Working in an organization that is technologically advanced, creative, and innovative is critical in your assessment of hiring companies. Less important to you are stability of the organization, the length of time an organization has been in business, and the business' plans for the future. You prefer a fast-moving company that will take risks to achieve its goals and objectives. The length of time the company has been in business is irrelevant. Maintaining status quo is unnecessary. You thrive on change, uncertainty and the upside of potential business risks, especially those associated with innovation. Stability for the long haul is not nearly as important as is working in an atmosphere that is charged with a sense of urgency and constant change.

Tags

Quality Improvement, HEDIS, Coding, Legal Nurse Consulting, RN, Auditing, Project Manager, Audit

Skills

RN, CPC, Excel, Word

These are some of the questions we asked our climbers about their experiences with Preferred Health Systems: