Job Description
This position is remote with a clear and current CA LVN license. The Clinical Quality Liaison educates and supports providers and practice sites in improving clinical quality measures and closing gaps in care. The Clinical Quality Liaison provides education and acts as a resource for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting compliance to meet State and Federal standards for HEDIS.
Responsibilities may include advising and educating providers and practice staff in clinical quality measures, medical record documentation, and coding guidelines. The role involves collecting and trending provider performance data, supporting practices in coordinating gaps in care, and reporting provider/clinic specific metrics. It also includes performing medical record reviews, documenting encounters, and partnering with physicians to encourage member participation in wellness and education. Communicating with external data sources and maintaining data integrity in population health platforms and EHR systems is also a key aspect.
About Dignity Health
Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers.