QUALITY ASSURANCE SPECIALIST

HIGHLAND-CLARKSBURG HOSPITAL INC•Clarksburg, WV

8d•Onsite

About The Position

The QA Specialist will have an active role in all aspects of quality review, inspections and audits to ensure ongoing implementation of quality improvement initiatives. This position will assist in preparing internal audit reports reflecting the results of the work performed. The position will assist with analyzing processes and problem data for trends and aid in making recommendations on possible corrections to processes and documentation. Assist the department as needed to ensure compliance with Joint Commission, OHFLAC, CMS, and all state and federal agencies. QA Analyst Specialist reports to CQO.

Requirements

To perform this job successfully, individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Bachelor’s degree required Masters degree preferred with a minimum of two (2) years of experience in a behavioral health setting. State licensure/certification in healthcare field preferred. Any combination of experience, education, licensure or training that would provide the level of knowledge, skill, and ability required would be considered.
Experience with Microsoft Word and Excel is preferred.
Knowledge of facility practices, policies/procedures, and regulatory agencies preferred.
Familiarity with electronic health records required.
Ability to read and interpret instructions, documents and follow procedures.
Excellent interpersonal communication and problem-solving skills.
Excellent communication skills, both oral and written.
Ability to solve practical problems and deal with a variety of variables as needed.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Strong organizational analytical skills.
Excellent organizational and time management skills required.

Nice To Haves

Previous auditing experience is preferred.
Previous clinical experience in a psychiatric setting is highly desirable.
Previous medical office experience preferred.

Responsibilities

Conduct regular quality of documentation audits and coordinate ongoing monitoring of documentation accuracy.
Perform quality assurance audits, inspections, monitoring procedures against hospital policy/procedure, regulations, and other guidance materials as applicable.
Reviews and identifies policy updates and revisions
Responsible for writing and reviewing quality assurance protocols.
Responsible for auditing and monitors current document both electronically and paper on hospital units to ensure completion of documents.
Identifies trends in Risk Management.
Positively influence hospital through successful contributions, active participation, and identification of compliance gaps.
Assists as directed with regulatory agencies to include The Joint Commission, OHFLAC, and CMS.
Acts as a liaison between leadership and regulatory bodies for survey purposes.
Responsible for analyzing and identifying quality of care issues. Responsible for monitoring performance improvement initiatives.
Reports audit results to regulatory agencies and PI Committee and Leadership for corrective measures for monitoring and implementation.
Assists with any corrective actions, as necessary.
Responsible for handling confidential information and materials and a high degree of attention
Oversees incident-reporting system to include outcome follow-up as appropriate and maintaining database for reporting and tracking purposes.
Provides educational and regulatory instruction to staff.
Collaboration with clinical areas, medical staff affairs, information technologies, education and training and other appropriate entities to ensure a timely and efficient training experience.
Conducts in-person training on a regular basis including Mock Code conduction.