Clinical Quality Specialist I

4 weeks ago

Fremont, United States Methodist Health System Full time
Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care - a culture that has and will continue to set us apart. It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:
Location: Methodist Fremont Health
Address: 450 E 23rd St. - Fremont, NE

Responsible for the reliable data collection of clinical quality data in accordance to the organizational performance improvement goals and regulatory standards. Major work responsibilities may include the abstraction of data from the EMR and various other software sources used by the Health System, trend observation, data visualization, and facilitation and support of quality improvement initiatives.

Responsibilities:

Essential Job Functions

Works with management and performance improvement personnel to identify & evaluate additional opportunities through the use of business intelligence.

Works with Data Management Analysts Improve abstraction, data gathering and reporting methodologies providing the most streamline process of compiling data from several different sources.

Performs data gathering and analysis of data and collaborates and communicates effectively on identifying opportunities and risks with program coordinators, project teams/leads, and other clinical staff as needed.
  • If assigned to Bariatrics Program, successfully completes Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) and National Surgical Quality Improvement Program (NSQIP) training.
Collaborates and communicates effectively with other members of the quality team to improve overall quality of care for health system patients.

Develops monthly reports containing aggregate results of each domain and collaborates with appropriate disciplines on improving clinical outcomes.

Audits various medical records and reports thru committee structures.

Provides support for quality improvement and safety indicators as identified through value based purchasing or other quality measures.

Develops/builds reports using Current Procedural Terminology (CPT) and International Classification of Disease (ICD) 10 codes as needed.

Analyzes, researches, and reports on quality improvement activities in order to meet established guidelines of the organizations quality improvement plan.

Completes quality audits on assessments, screens and other work products to improve outcomes and processes and to ensure adherence to policy and produce and applicable state and federal regulations.

Organizes and performs ad hoc quality-focused studies on assessments, screening, and other work products to identify trends, develop recommendations and guide quality improvement activities and customer consultation.

Monitors clinical decision making and performance to ensure quality outcomes, Provides appropriate feedback to management when concerns arrive.

Responsible for facilitating or supporting quality improvement or safety initiatives as the content expert.

Conducts regular quality training sessions with customers as needed.

Provides peer mentoring and feedback for onboarding as needed.

Schedule:

Mon - Fri 8am to 4:30pm

Job Description:

Job Requirements

Education
  • Successful completion of annual mandatory education requirements.
  • Bachelor's degree in Nursing (BSN) required.
Experience
  • Computer experience utilizing standard work applications (Microsoft Word, Excel, PowerPoint) required.
  • Minimum of two (2) years of healthcare experience and/or quality analysis and reporting required.
License/Certifications
  • Current valid Registered Nurse (RN) license, valid compact multistate license, or a temporary permit while awaiting licensure required.
  • Certified Professional Healthcare Quality (CPHQ) certification preferred.
Skills
  • Knowledge of word processing, spreadsheet, presentation, and relevant software.
  • Ability to utilize analytical thinking and identify, scrutinize, improve and streamline work processes.
  • Ability to plan, schedule, organize, communicate, and coordinate activities, processes, and people.
  • Skill in prioritizing, organizing and performing assigned work.
  • Ability to establish effective working relationships with coworkers, peers, physicians and among team members.
  • Ability to work independently with minimal day to day supervision.
  • Skill in presenting and expressing ideas and information clearly and concisely and in a manner appropriate to the audience in both oral and written formats.
  • Skills in change management on an organizational level.
Physical Requirements

Weight Demands
  • Light Work - Exerting up to 20 pounds of force.
Physical Activity
  • Not necessary for the position (0%):
    • Climbing
    • Crawling
    • Kneeling
  • Occasionally Performed (1%-33%):
    • Balancing
    • Carrying
    • Crouching
    • Distinguish colors
    • Grasping
    • Lifting
    • Pulling/Pushing
    • Standing
    • Stooping/bending
    • Twisting
    • Walking
  • Frequently Performed (34%-66%):
    • Keyboarding/typing
    • Reaching
    • Repetitive Motions
    • Sitting S
    • peaking/talking
  • Constantly Performed (67%-100%):
    • Hearing
    • Seeing/Visual
Job Hazards
  • Not Related:
    • Chemical agents (Toxic, Corrosive, Flammable, Latex)
    • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
    • Equipment/Machinery/Tools
    • Explosives (pressurized gas)
    • Electrical Shock/Static
    • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
    • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
    • Mechanical moving parts/vibrations
  • Rare (1-33%):
    • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.

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