Community Wellness Advocate II Job at APN Software Services Inc, Costa Mesa, CA

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  • APN Software Services Inc
  • Costa Mesa, CA

Job Description

Job Summary :

The Community Wellness Advocate II (CWA II) is a member of Hoag Clinic's Quality Improvement team who is responsible for coordinating quality care gaps for Hoag Clinic's Senior and Managed Care members by scheduling their necessary annual health assessment visits, closing quality care gaps, and providing any available services to ensure compliance in quality and risk adjustment programs.

Job Responsibilities :

CWA II will be responsible for working on various projects aimed at closing quality care gaps for Hoag Clinic's Managed Care patient population which will include health plan special programs/initiatives.

Daily tasks will include coordinating delivery of quality services through patient outreach, appointment scheduling, chart abstractions at various clinics, engaging with provider clinics, point of care testing, and coordinating the closure of needed quality care gaps.

CWA II demonstrates high knowledge in departmental processes and procedures in addition to knowledge in measures from the National Committee for Quality Assurance (NCQA), and the Centers for Medicare & Medicaid Services (CMS), and other recognized agencies.

CWA II engages in education with clinic staff to provide feedback as needed.

The CWA II will act as an internal trainer and provides guidance to all team members.

This role will work alongside the other members of Hoag Clinic's Quality Improvement team to review data, prioritize outreach, and contribute to department and organizational goals.

The Community Wellness Advocate II demonstrates and practices a workstyle that reflects the mission, vision and values of the Hoag Clinic as well as Hoag Hospital.

Participates in the continuous Quality Improvement process, maintains a working knowledge of departmental standard operating procedures, including the use of specialized instrumentation, quality control requirements, and preventive maintenance.

Required Skills & Experience :

See Education Section for Required Experience.

Experience or familiarity with front-office or scheduling procedures in healthcare system environment.

Basic keyboarding skills at 35 WPM.

Basic knowledge of Microsoft Office Suite, including Outlook, Word, and Excel.

Preferred Skills & Experience :

Qualified bilingual or multilingual candidates.

Required Education :

Bachelor's degree.

OR

Three (3) to five (5) years in a healthcare system environment.

Preferred Certifications & Licensure :

Certification as a Medical Assistant by an accredited program.

Licensed Vocational Nurse by an accredited program.

BLS certification.

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