Hospital Unit Support Specialist, AM (BayPointe)
The following responsibilities and qualifications for this role.
General Responsibilities
Assist in the implementation, coordination, and enhancement of the Health Center’s quality improvement/quality assurance (QI/QA) program to ensure delivery of high‑quality, patient‑centered care while maintaining patient confidentiality.
Collaborate with clinical teams, administrative staff, and payors to develop, monitor, and evaluate quality goals, dashboards, and outcome reports.
Recommend and implement quality improvement initiatives based on data analysis, performance metrics, and identified clinic needs.
Provide ongoing monitoring and support for patients through outreach, reminder calls, and coordination of preventive and chronic care services.
Assist clinical teams in identifying and engaging patients in need of follow‑up or additional care management services to address gaps in care.
Manage payer data and clinic rosters to support care gap closure and population health management.
Generate and analyze provider/clinic performance reports to monitor progress toward QI/QA goals.
Utilize healthcare analytics and external data sources to identify, track, and close care gaps (e.g., cancer screenings, immunizations, chronic disease management).
Support data integrity, accuracy, and completeness through data validation and hygiene activities.
Support patient satisfaction efforts, including data collection, trend analysis, and follow‑up and corrective actions on patient feedback and grievances.
Assist in preparing for and participating in compliance and accreditation surveys, including HRSA Operational Site Visits, Joint Commission reviews, and payer audits.
Additional Duties
Seek supervision and consultation as needed.
Accept and employ suggestions for improvement and actively work to enhance skills.
Treat patients with care, dignity, and compassion and respect privacy and confidentiality.
Actively participate in AltaPointe committees as required, follow policies and procedures, and attend training and workshops.
Minimum Qualifications
Bachelor’s degree in social services/behavioral health, nursing, or equivalent healthcare degree with at least two (2) years of related experience.
Knowledge of and experience with quality/performance improvement in a healthcare setting preferred.
Must be computer proficient; experience preferred in healthcare software applications, including Microsoft Office and reporting tools.
Must possess excellent analytical and critical thinking skills; detail‑oriented; strong communication, planning, and time‑management skills.
Knowledge below to be attained within three months of employment:
Medicaid, Medicare and third‑party payment systems; managed care principles; value‑based payor incentive programs.
Federally Qualified Health Center/FQHC Program compliance and operations, including Federal Tort Claims Act (FTCA) program requirements.
Joint Commission standards, including Ambulatory Care Accreditation and Patient Centered Medical Home Certification/PCMH.
Care Management models and integrated care concepts.