RN Clinical Quality Analyst - Hospice
Description Job Summary: The RN Clinical Quality Analyst supports clinical business decisions, operational processes, and internal process improvements initiatives to improve reliability of care and outcomes for the organization. This position will incorporate clinical best practices by interpreting data, producing both long term and short-term activities to drive measurable solutions. The RN Clinical Quality Analyst creates analytical tools using an in-depth understanding of healthcare data such as patient, claims, financial and provider data.
Assists and/or leads peer reviews by preparing case summaries, data collection, and submission of clinical data to appropriate governing agencies. This position collaborates with the Interdisciplinary team to plan, identify, act, and evaluate the educational needs of the organization in relevance to the federal and state rules and regulations __________________________________________________________________________________ Accountability: Reports to the Director of Quality, Compliance & Education FLSA Status: Exempt/Salary __________________________________________________________________________________ Requirements Job Duties and Responsibilities: Specific to Job Functions: Maintains up to date knowledge of Federal and State hospice rules and regulations, LCD Guidelines, CHAP Standards of Excellence, Nevada Medicaid rules and regulations and CMS Conditions of Participation Supports systems and policies as well as procedures for analysis of performance measurement data Collects and analyzes data to identify trends, collaborating with the clinical teams on root cause analysis.
Assists with facility and interdisciplinary projects and audits (i.e., technical, and clinical audits) Coordinates and/or leads action plans for improvement including follow up evaluation of data and organizational performance in meeting or exceeding quality benchmarks to ensure consistent improvement Coordinates the completion of annual agency-wide systematic review and annual policy review Gathers data from unusual occurrences and complaints and summarizes trending at designated time frames for reporting in line with regulatory requirements Completes HIS/HOPE admission and discharges Monitors and tracks hospice consents to ensure compliance Assists and ensures compliance with live discharges Supports action plans under the guidance of the Director of Quality, Compliance & Education for improvement including follow-up evaluation of data and organizational performance Monitors and assists with cost reduction strategies for supply ordering Collaborates educational opportunities and activities for the development of quality and regulatory educational programs Reviews claims and ensures staff compliance in completing and closing out patient visits in a timely manner Serves as a superuser of EHR system and assists with EHR quality and compliance education for clinical and non-clinical staff Complies with all documentation policies/procedures and completes appropriate documentation in a legible and timely manner Performs special projects as assigned by the Director of Quality and Compliance Other duties as assigned __________________________________________________________________________________ Education and Training Functions: Coordinates staff completion of BLS and ACLS certifications Manages the equipment/tools and skills stations needed Assists in coordination of clinical rotations and student orientation packet completion Trains staff in new hire orientation (departmental) and assists in general facility orientation Assists with staff training in QI certification and other required training Coordinates preceptor program Facilitates the implementation of all new competencies and equipment Organizes, plans, and manages time effectively to complete assignments Completes mandatory training and courses required by completion date Ensures staff completes regulatory compliance orientation and refresher training Provi