Employment Type:

Full time

Shift:

Description:

Position Summary:

Responsible for 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 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.
• 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.

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.

Our Commitment to Diversity and Inclusion
 

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.