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Quality Review Coordinator Home Care LVN, PTA

2 months ago

Pasadena, United States Kaiser Permanente Full time

Job Summary: Receiving oversight from the Quality Coordinator, and reporting directly to the Assistant Area Administrator, the Quality Program Analyst-Care at Home maintains ongoing quality and performance improvement projects. Participates in risk management and identification of patterns and trends in patient care problems. Monitors compliance with Quality Improvement requirements. Assists with design and implementation of solutions to quality management issues. Integrates several data reporting systems to develop and maintain a variety of statistical reports in a format which enables clinicians, leaders, and applicable groups to see variations in practice patterns. Essential Responsibilities:

Participates in Risk Management and identification of patterns and trends in patient care problems.

Assists with the development of Policies and Procedures to reduce organizational risks.

Monitors compliance with Quality Improvement requirements.

Assists with design and implementation of solutions to quality management issues.

Under the direction of the Quality Coordinator, maintains ongoing quality and performance improvement projects.

Integrates several data reporting systems to develop and maintain a variety of statistical reports in a format which enables clinicians, leaders, and applicable groups to see variations in practice patterns.

Obtains required consensus needed for revision or termination of reports.

Coordinates and maintains the sampling and editing procedure of data collection in collaboration with KP Care at Home service line data partners.

Participates in the development of quality control and improvement indicators, including establishing data sources and methods for collection, display, and analysis.

Ensures team members are on target with scheduled activities and meet deadlines of the reporting calendars.

Identifies trends and patterns within a multidisciplinary review.

Prepares and assists with presentation data and activities of multidisciplinary reviews, team meetings and Quality performance improvement projects.

Works closely with leadership team to compile clinician specific and team specific data to support leaders awareness of individual and team strengths/weaknesses to aide in identification of opportunities for recognition and for coaching/education to drive improvements.

In collaboration with the Quality Coordinator, conducts concurrent and retrospective reviews utilizing approved indicators within scope.

Assures that activities related to the quality improvement process will meet the federal, state, and local standards and requirements.

Coordinates the development of meaningful quality improvement indicators that comply with organizational guidelines and regulatory requirements.

Performs other duties as assigned.

Basic Qualifications:

Experience

Minimum two (2) years of experience in either direct patient care delivery or a medical support, clinical support or quality improvement function.

Education High School Diploma or General Education Development (GED) required. License, Certification, Registration

N/A Additional Requirements: Strong consultative, communication and management skills, strong judgement, self-motivation and the ability to work effectively with teams Strong ability to apply critical thinking skills. Pursues self-development and effective relationships with others by sharing resources, information, and knowledge with team members; listening, responding to, and seeking performance feedback; acknowledging strengths and weaknesses and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback. Significant knowledge of TJC, Title 22, NCQA and CMA standards and requirements, TQM and tools for indicator development and display. Broad working knowledge of medical care practice and procedures including familiarity with medical records and chart review. Strong statistical and data management skills. Ability to analyze and summarize complex clinical situations. Proficient with software used in the department. Must be able to work in a Labor/Management Partnership environment. Preferred Qualifications: LVN, ART, or RRA preferred. Experience in Home Care, Home health, Palliative Care, or Hospice. Knowledge of performance improvement methods, such as PDSA, Six Sigma, Lean concepts. Experience navigating Electronic Medical Records, Epic experience is a plus. Experience working for a large healthcare system. Certified Medical Staff Coordinator preferred. Medical Terminology certification. Bachelors or masters degree in a data analytics or health related field preferred.

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