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Quality Management Clinical Analyst
4 months ago
Quality Management Clinical Analyst 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #11964 Monday, May 13, 2024 Quality Management Clinical Analyst Duties and Responsibilities + Incident reporting: logging, investigation, ensures written report on file, assists clinical managers with written reports, collates information on a quarterly basis. Provides education to clinical staff regarding risk management and incident reporting. + Medicare expedited appeals. Review case, writes detailed notice, ensures all information is sent to the QIO. + Conducts quarterly utilization review including the preparation of the UR report for UR Committee and Professional Advisory Committee (PAC) presentation. + Infection reporting and infection control: Investigation, record review, writing infection reports, collating and reporting data to PAC. + Medical record requests: oversight of QM Assistant with processing medical record requests to ensure timely distribution, audit of the record prior to distribution to the requestor. + Potentially Avoidable Events (PAE): review OASIS PAE reports and conducts record audit of patient experiencing potentially avoidable events to determine agency risk in the event occurrence; prepares PAE report for PAC presentation. Provides feedback to clinical management on deficiencies found. + Focused record audits related to problem prone areas, performance improvement projects and plans of correction on an as needed basis. Provides feedback to clinical management on deficiencies. + Assists QM Director/Compliance Officer with complaint and other investigations as requested including review of patient record. + Vendor Management: conducts personnel file audits and policy review of new vendors to ensure that vendor meet Agency standards. Job Qualifications Required + At least 2 years’ CHHA experience preferably in a quality assurance role. Education, Knowledge, Skills and Abilities Preferred + RN, BSN preferred. + Word, Excel, Power Point Job Type: Full-time Other details+ Pay Type Salary + Min Hiring Rate $100,000.00 + Max Hiring Rate $120,000.00 Apply Now+ 75 Vanderbilt Ave, Staten Island, NY 10304, USA
