Quality Performance Reviewer

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    "requisitionDescription": "\n    <link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.28.24/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\" />\n    <link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.28.24/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\" />\n\n    <div class=\"fr-view\">\n      <div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.28.24/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\"><span style=\"font-size: 16px;\"> <link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.28.24/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"></span><div class=\"fr-view\"><div><span style=\"font-size: 16px;\"><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.28.24/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;<link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.28.24/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"></span><div class=\"fr-view\"><p style='margin-top:0in;margin-right:0in;margin-bottom:11.25pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;background:white;' id=\"isPasted\"><span style=\"font-size: 16px; font-family: Tahoma, sans-serif; color: black;\">Founded in 1970, East Valley Community Health Center is a Federally Qualified Health Center (FQHC) who&#39;s services include providing personalized, affordable, high-quality medical, dental, vision and behavioral health care through a community-based network within the East San Gabriel Valley and Pomona Communities. Our staff practices patient-centered care by serving each patient with a personalized care plan that meets their individual needs. &nbsp;Our patients have access to support services that include, nutrition, health education, case management, pharmacy, lab, and x-ray at our health center locations. &nbsp;East Valley serves the health care needs of uninsured and underserved individuals and families throughout our 8 health center locations. &nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:11.25pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;background:white;'><span style=\"font-size: 16px; font-family: Tahoma, sans-serif; color: black;\">Our mission is to provide access to excellent health care while engaging and empowering our patients, employees, and partners to improve their well-being and the health of our communities.</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:11.25pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;background:white;'><span style=\"font-size: 16px; font-family: Tahoma, sans-serif; color: black;\">The Quality Performance Reviewer is responsible for conducting daily review of medical charts to monitor and evaluate all relevant core processes and quality measures for compliance in accordance with federal, state, and health plans guidelines. This will include HEDIS and Medicare Advantage Star measure specifications. The Reviewer will ensure that workflow practices meet the professional standards of East Valley through the review of clinical documentation for completeness, accuracy, and compliance. The Reviewer will complete reviews within established timeframe and provide education to clinician and staff for documentation and quality improvement. The Reviewer may assist in developing corrective action plans as needed. The position may require travel within the different clinic sites.</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;background:white;'><span style=\"font-size: 16px; font-family: Tahoma, sans-serif; color: black;\">&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:12.7pt;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;background:white;'><span style=\"font-size: 16px;\"><strong><em><u><span style=\"font-family: Tahoma, sans-serif; color: black;\">MAJOR POSITION RESPONSIBILITIES AND FUNCTIONS:</span></u></em></strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:12.7pt;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;background:white;'><span style=\"font-size: 16px;\"><strong><em><span style=\"font-family: Tahoma, sans-serif; color: black;\">&nbsp;</span></em></strong></span></p><ul type=\"disc\" style=\"margin-bottom:0in;\"><li style=\"margin: 0in 0in 8pt; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Conduct daily reviews of medical records to ensure all required elements are documented appropriately</span></li><li style=\"margin: 0in 0in 8pt; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Provide feedback to providers and care team members of incomplete or inaccurate documentation</span></li><li style=\"margin: 0in 0in 8pt; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Continuously monitor areas of deficiency are addressed appropriately and timely by providers and care team members to meet internal requirements and regulatory standards</span></li></ul><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\"><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Provide consistent and timely reporting of provider documentation issues to management</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Collects and enters confidential information ensuring the highest level of confidentiality in all areas</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Assist in the development of provider clinical education tools using chart findings to improve accuracy in documentation&nbsp;</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Assist in conducting mock audits in preparation for regulatory and health plan audits</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Maintain understanding and ability to interpret current regulatory agencies and health plans requirements related to medical record&nbsp;</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Ability to use independent judgement related to medical record review</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Other duties as assigned</span></li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;background:white;'><span style=\"font-size: 16px; font-family: Tahoma, sans-serif; color: black;\">&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:12.7pt;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;background:white;'><span style=\"font-size: 16px;\"><strong><em><u><span style=\"font-family: Tahoma, sans-serif; color: black;\">POSITION REQUIREMENTS AND QUALIFICATIONS:</span></u></em></strong></span></p><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\"><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Minimum 2 years&rsquo; experience with medical record review working in a health care setting</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Working knowledge of HEDIS and Medicare Advantage Star measures</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Experience with EMR systems, preferably NextGen</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Ability to be assertive and tactful when communicating with medical staff&nbsp;</span></li></ul><ul type=\"disc\" style=\"margin-bottom:0in;\"><li style=\"margin: 0in 0in 8pt; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Knowledge of all current Windows based programs.</span></li><li style=\"margin: 0in 0in 8pt; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">Ability to multi-task and prioritize daily workload</span></li><li style=\"margin: 0in 0in 8pt; line-height: normal; font-size: 16px; font-family: Calibri, sans-serif; background: white;\"><span style=\"font-family: Tahoma, sans-serif; color: black;\">High Level of verbal and written communication</span></li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:justify;background:white;'><span style=\"font-size: 16px; font-family: Tahoma, sans-serif; color: black;\"><br></span><span style=\"font-size: 16px;\"><br></span></p><p><span style=\"font-family: tahoma, sans-serif; font-size: 16px;\">East Valley offers a competitive salary, excellent benefits to include: medical, dental, vision, and 403b retirement plan. We match the first 6%of employee contributions, and full vesting starts immediately. You will also enjoy work-life balance with paid time off and paid holidays throughout the year</span><span style=\"color: rgb(65, 65, 65); font-family: tahoma, sans-serif; font-size: 16px; --tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">.&nbsp;</span></p><p><span style=\"color: rgb(65, 65, 65); font-family: tahoma, sans-serif; font-size: 16px; --tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">&nbsp;</span><span style=\"color: rgb(74, 74, 74); font-family: tahoma, sans-serif; font-size: 16px; --tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background: white; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">Please apply to this position with your current resume.</span><span style=\"color: rgb(65, 65, 65); font-family: tahoma, sans-serif; font-size: 16px; --tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\"><br style=\"--tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box;\">&nbsp;<br style=\"--tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box;\"></span><span style=\"color: rgb(74, 74, 74); font-family: tahoma, sans-serif; font-size: 16px; --tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background: white; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">Principals only. Recruiters, please do not contact this job posting.</span><span style=\"color: rgb(65, 65, 65); font-family: tahoma, sans-serif; font-size: 16px; --tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\"><br style=\"--tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box;\">&nbsp;<br style=\"--tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box;\"></span><span style=\"--tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box; orphans: 2; text-align: start; text-indent: 0px; widows: 2; background: white; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; font-size: 16px; font-family: tahoma, sans-serif;\">EOE is the Law. It is the stated policy of EVCHC to conform to all the laws, statutes, and regulations concerning equal employment opportunities and affirmative action. We strongly encourage women, minorities, individuals with disabilities and veterans to apply to all of our job openings. We are an equal opportunity employer,&nbsp;and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, or national origin, age, disability status, Genetic Information &amp; Testing, Family &amp; Medical Leave, protected veteran status, or any other characteristic protected by law. We prohibit Retaliation against individuals who bring forth any complaint, orally or in writing, to the employer or the government, or against any individuals who assist or participate in the investigation of any complaint or otherwise oppose discrimination.</span><span style=\"color: rgb(65, 65, 65); font-family: tahoma, sans-serif; font-size: 16px; --tw-shadow: 0 0 transparent; --tw-ring-inset: var(--tw-empty,/*!*/ /*!*/); --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,0.5); --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-shadow: 0 0 transparent; box-sizing: border-box; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">&nbsp;</span><span style=\"font-size: 16px;\"><br></span></p><p><span style=\"font-size: 14px; font-family: Tahoma, sans-serif; color: black;\"><br></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:107%;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size: 14px;\">&nbsp;</span></p></div></div></div></div>\n    </div>\n  \n",
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