Description
We will clearly indicate in the job posting if the position is open to H1B sponsorship, should we have additional opportunities available for international candidates. POSITION SUMMARY
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The Clinical Quality Analyst role is responsible for abstraction and validation of clinical data elements to ensure compliance with established nationally recognized quality patient outcomes, serves as a resource regarding accreditation standards, and may coordinate accreditation activities on behalf of Cuyuna Regional Medical Center.
The Clinical Quality Analyst trains and educates nursing and medical staff in the areas of data base requirements. They will assist in the planning and implementation of interventions to ensure best practices are implemented for database compliance. They will work with appropriate departments in the areas of compliance, process improvement and member/provider satisfaction. The Clinical Quality Analyst will review, research and respond to customer concerns related to quality of medical care and service.
- Education and Experience:
- A degree in RHIT, healthcare informatics, computer sciences, data sciences, nursing, or other healthcare degree required. Bachelor's degree preferred. Experience in a healthcare setting or a degree in a healthcare field is required. A minimum of 1 year of prior project management experience, leadership, or project oversight required. Experience with Epic/Excellian, QualityNet, MHA, and other database reporting preferred.
- License/Certificates:
- Certification in clinical informatics, project/program management, and/or Lean Six Sigma certification preferred.
- Special Skills and Aptitudes:
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- Self-direction with good organizational, analytical and interpersonal skills.
- Knowledge and compliance of state and federal accrediting agencies.
- Excellent verbal and written communication skills.
- Must be able to communicate with all levels of leadership, medical and nursing staff related to problem identification, action plan implementation, ongoing monitoring and problem resolution.
- Demonstrated computer literacy and knowledge of information systems and comparative data bases. Working knowledge of Microsoft Office (Word, Excel, Access, PowerPoint, etc.).
- Well developed, analytical and problem solving skills with the ability to understand and interpret clinical data.
- Ability to successfully complete multiple projects simultaneously.
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- 1. Data Abstraction
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- Abstract clinical data elements accurately and timely.
- Report, manage, document and track data and trends.
- Assist in the improvement process by verifying for accuracy of abstracted data, minimizing data calculation and aggregation errors.
- Train and educate nursing and medical staff in the areas of data base requirements.
- Create reports/queries/and programs to support the data gathering and monitoring process.
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- 2. Process Improvement
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- Develop and manage process improvement initiatives to include detailed data analysis, process analysis, report generation and documentation.
- Conduct concurrent/retrospective reviews for the purpose of identifying opportunities for improvement in the delivery of patient care.
- Provide support to clinical staff and other departments to ensure compliance with federal, state, local and accrediting agency regulatory requirements.
- Complete the Plan, Do, Study, Act cycle.
- Recommend and/or implement process improvement related to the potential of quality medical care and service.
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- 3. Patient Representative
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- Thoroughly review and research, and respond timely to customer complaints related to quality of medical care and service.
- Work closely with leadership to assure processes are in place for timely resolution.
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- 4. Quality Liaison
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- Serve as a resource regarding accreditation standards and coordinate accreditation activities on behalf of the organization when necessary
- Act as an internal quality subject matter expert and as a quality liaison with multiple departments
- Successfully organize and lead performance improvement teams.
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- 5. Regulatory Compliance
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- Monitor change, correction and clarification in applicable regulatory/accrediting body requirements and recommend adjustments to the quality plan.
- Take a pro-active approach to prevent any violations to policies and regulations established by the medical center, local, state, and federal government.
- Conduct data analysis within regulatory monitoring programs to ensure compliance with established nationally recognized quality patient outcomes as required by TJC, CMS, QIO's, other state and federal agencies, and other national data registries through concurrent review and retrospective abstraction.
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- 6. Team Support
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- Complete projects as assigned.
- Provide backup support to the quality team including infection preventionist, quality coordinator, and data analyst.
- Provide backup support to Employee Health.
- Provide backup support to other positions as assigned.
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- 7. Demonstrate Standards of Excellence when other duties are assigned.
Location: Cuyuna Regional Medical Center · Quality Management
Schedule: Full Time, Professional
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