Nurse Navigation Quality Assurance Specialist

2 weeks ago


The Colony Texas, United States Global Medical Response Full time
Job Title: Nurse Navigation Quality Assurance Specialist

At Global Medical Response, we are seeking a highly skilled Nurse Navigation Quality Assurance Specialist to join our team. As a key member of our quality assurance team, you will play a critical role in ensuring that our patient interactions meet the highest standards of quality and excellence.

Job Summary

The Nurse Navigation Quality Assurance Specialist will be responsible for monitoring patient and provider interactions to ensure that services are in line with our organizational objectives. This includes optimizing quality assurance processes to increase nurse navigators' efficiency through behavior modification, enhanced quality service to patients and customers, and improved clinical and operational outcomes.

Key Responsibilities
  • Perform quality checks by scoring call recordings and listening to live calls to offer immediate feedback.
  • Ensure that patient interactions meet quality standards by establishing and maintaining quality control systems and processes.
  • Identify and resolve quality issues in department processes and work with team leaders on strategies to improve them.
  • Monitor and resolve customer feedback and complaints in a timely manner.
  • Participate as an internal consultant to the Quality Assurance Manager on issues including clinical metrics, staff performance, and trends affecting customers.
  • Work in tandem with the Nurse Navigation Clinical leadership to measure, evaluate, and adjust clinical protocols for ongoing quality improvement.
  • Assist in the continuous review and improvement of evaluation programs.
  • Participate in quality calibration sessions.
  • Facilitate coaching of staff for improvement opportunities.
  • Recognize when coaching attempts are not successful and need to move to counseling.
  • Work with the Quality Assurance Manager to develop processes to monitor clinical adoption of internal and external protocols and standards.
  • Interpret data to provide formal reporting of outcomes, recommendations, and solutions, utilizing evidence-based criteria.
  • Assist in developing annual quality performance plans to include all lines of departmental business, patient safety measures, transportation measures, and patient satisfaction.
  • Assist clinical and operational leaders in accreditation processes and maintain documentation of all standards for compliance.
  • Participate in regularly scheduled internal and external Quality Committee meetings.
  • Together with Clinical and Operational leaders, perform workflow analysis, provide consulting on workflow changes that need to occur with the implementation of new functionality solutions, and validate post-go-live to resolve gaps or outstanding issues.
  • Process, investigate, and resolve complaints and grievances received by clients, patients, and providers. Produce resolution reports to applicable internal and external stakeholders.
  • Participate in interviewing and hiring new staff members as needed.
  • Participate in call taking as needed.
  • Adhere to all company policies and procedures.
  • Perform other duties as assigned.
Requirements
  • Active Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), or Registered Nurse (RN) is required. Must have the ability to obtain compact and non-compact nursing licenses across the United States.
  • 2-4 years of demonstrated clinical quality/consulting experience in acute/non-acute settings preferred.
Why Choose Global Medical Response?

At Global Medical Response, we are committed to delivering compassionate, quality medical care to our patients. Our team of dedicated professionals is passionate about providing exceptional care and making a difference in the lives of those we serve. If you share our commitment to excellence and are passionate about delivering high-quality patient care, we encourage you to apply for this exciting opportunity.



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