Quality Assurance Coordinator

Trinity Health • Muskegon, MI

112d

About The Position

The Quality Assurance Coordinator's responsibilities include clinical data collection, analysis, and reporting. Identifies process improvement opportunities based on clinical information, auditing, and data analysis. Interprets and implements quality assurance standards throughout the organization to ensure quality of care for patients. Reviews quality assurance standards, studies existing hospital policies and procedures, and conducts quality audits and evaluates effectiveness of the quality assurance program. Reviews medical records for quality assurance and evidence based medicine requirements. Conducts concurrent quality assurance reviews and works directly with physicians and clinical staff on process improvement initiatives. Enters clinical indicators and data into appropriate software tools for analysis, reporting, and process improvement. Reviews and validates clinical data/indicators according to evidence based medicine, CMS, the Joint Commission, and insurance payers. Works with multidisciplinary teams to improve organizational performance. Supports physicians and clinical staff for data collection & QI efforts. Coordinates data collection and analysis in support of organizational wide quality initiatives.

Requirements

• Licensed to practice as a Registered Nurse in the State of Michigan required.
• A minimum of 3-5 years of nursing in an acute care setting.
• Experience collecting, analyzing, and managing clinical data and information.
• Knowledge of process improvement tools and techniques.
• Familiar with medical records documentation requirements and medical terminology.
• Proven skills in report writing and report development.
• A minimum of 3-5 years' experience managing clinical quality, core measures, and Joint Commission requirements.
• Understanding for CMS, Joint Commission, and payer abstracting and reporting requirements.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to use business intelligence query tools, computer spreadsheet (Excel), and Access database and other statistical tools at an advanced level.

Responsibilities

• Conducts concurrent quality assurance reviews – reviews clinical data and compiles, trends, and reports clinical quality data and information to support organizational process improvement requirements.
• Responsible for managing quality assessments and process improvement activities under the direction of the Director Quality and in accordance with hospital policies, Joint Commission standards, CMS, and state/federal laws.
• Conducts routine/daily medical records reviews of patient clinical information – coordinates with appropriate clinical staff and physicians with quality-of-care concerns.
• Interacts with Case Management and Medical Records/Coders to ensure all evidence-based medicine is appropriately provided to patients.
• Reviews, audits, and monitors compliance with required CMS, Joint Commission requirements.
• Identifies variances in the quality of care – trends, analyzes, and interprets clinical performance data - provides appropriate feedback to clinical staff and physicians.
• Responsible for data abstraction, analysis, collection reporting, and outcomes measures – provides oversight of the statistical analysis, interpretation, and monitoring of clinical data, and in the design and development of performance improvement reports.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees