Employment Type:

Full time

Shift:

Day Shift

Description:

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.

What the Quality Assurance Coordinator will do:

Conducts concurrent quality assurance reviews – reviews clinical data and compiles, trends, and reports clinical quality data and information to support organizational process improvement requirements - reviews documentation and information to ensure standards of care and care plans are appropriate.
Responsible for managing quality assessments and process improvement activities under the direction of the Director QCT 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.
improvement principles and methodologies.

What the Quality Assurance Coordinator will need:

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 collecting, analyzing and managing clinical data and information. Knowledge of process improvement tools and techniques.
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.

Labor & Delivery experience and Electronic Fetal Monitoring Certification required.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Quality, RiskManagement& Compliance Jobs

Quality, Risk
Management
& Compliance Jobs