Comprehensive Employee Benefits such as Educational Reimbursement
CREATION Health employee wellness and lifestyle programs
Positive working climate to support a work life balance
Work Hours/Shift:
Full-time Days, Monday-Friday
You Will Be Responsible For:
Reviews, analyzes, and interprets quality metrics and measures using a variety of data analysis techniques
Payor perception management- insurance portal management, value-based care
Designs, develops, implements, and maintains clinical quality reporting including the Quality Dashboard
Implements monitoring programs to provide feedback to providers on physician initiatives
Supports providers with physician initiatives, including closing care gaps, completing CDI forms, and assisting with PHSO measures up to and including patient calls to gather information
Responsible for successful completion of metrics teaming up with providers and staff to ensure the incentive metrics are met for specific insurance contract
Participates with Quality Management activities to improve processes and patient care
Works with all physicians and practice management to educate on policies/procedures and process workflows to ensure consistency with clinical information system functionality and quality programs
Works synergistically with all members of the Group and all department teams on various projects
Serves as Project Lead as appointed by AHMG Executive Leaders
Monitors and adjusts workflow to ensure all assignments are completed on time and by deadline
Assists in the assessment and evaluation of new processes related to computer systems, clinical documentation, and physician initiatives
Has frequent contact with others. May deal with delicate or controversial issues requiring diplomacy and high degree of tact. Must be able to communicate well with end users. Must always be able to exhibit courtesy and professionalism. May be responsible for communicating with leadership and administrative groups on a regular basis
Confidential information is processed or required to be used in the normal performance of the job. This may include responsibility of highly sensitive or high-risk information. The position may have to ensure various laws and/or regulatory requirements are met. Responsible for adhering to the Corporate Compliance Plan, to the rules and regulations of all applicable local, state and federal agencies and to the standards of accrediting bodies.
All other duties as assigned within the scope of existing credentials
Qualifications
What You Will Need:
· Associates degree in Healthcare related field
· Licensed Healthcare Professional (RN)
Licensed Healthcare Professional, with at least three years of clinical experience in a health care facility and experience with computerized clinical documentation.
Experience with electronic medical record systems and knowledgeable in MS Word, Excel, and PowerPoint applications.
Experience with Cerner or Epic system and Power Insight Preferred
Job Summary:
The Quality Analyst Nurse serves as an analyst to Advent Health Medical Group (AHMG); assisting with the development of process workflows, monitoring metrics/tools, developing policies and procedures, analyzing data, and supporting quality measures. This position is responsible for the implementation, support and monitoring of various physician related initiatives and information systems including the coordination and education of Quality Initiatives for our AHMG Physicians, both inpatient and/or outpatient services. The ideal candidate will have experience in physician practice offices and with electronic medical record systems
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.
