Quality Improvement Assistant
IMPERIAL BEACH AND NESTOR HEALTH CLINIC
Imperial Beach
06.2017 - 10.2020
- ER /Hospital Utilization
- Tracked ER/hospital notifications, maintaining accurate patient logs to support care coordination.
- Monitoring HIE for any new hospital /ER patients
- Refer patients with RN if patients were in ER 3 times in one month
- Reviewed HEDIS gap list for all payers to ensure patients met outreach measures, confirming successful follow-up.
- Acted as medical operator representative for PSR duties.
- Scheduling appointments for patients
- Checking insurances Tricare, Medical, Medicare, Molina, CHG, Care1st
- Program used All Script's as well as EMR