Knowledge of chronic disease management and care coordination principles
Responsibilities
Support quality improvement initiatives to enhance clinical outcomes.
Ensure adherence to preventative care and clinical guidelines.
Identify and prioritize patients with care gaps using analytics and registries.
Execute proactive outreach to drive adherence to care protocols.
Track and analyze outreach outcomes to inform quality improvement.
Reinforce best practices in communication and patient education.
Identify high-risk patients and support care coordination to reduce avoidable use.
Benefits
Professional development opportunities
Collaborative work environment
Access to community resources for patient support
Ability to work closely with interdisciplinary teams
Impact on patient outcomes and clinical quality
Full Job Description
Summary of Position
The Quality Navigator serves as an embedded clinical quality resource within assigned provider practices to improve Medicare Stars, HEDIS, QARR, and value-based care performance outcomes. The role partners directly with providers, office leadership, care management teams, and interdisciplinary stakeholders to identify and close care gaps, optimize chronic disease management, improve patient engagement, support care transitions, and drive practice-level quality improvement initiatives. The Quality Navigator utilizes clinical expertise, analytics, and performance data to improve member outcomes, enhance patient experience, and achieve organizational quality goals
