Clinic Quality Analyst RN or LPN

Clinic Quality Analyst

Job Summary: The Clinic Quality Analyst supports the Rural Health Clinic operations and quality improvement by driving care gap closures, improving patient outcomes, and ensuring compliance with performance metrics and payer incentive programs.

Shift Availability

Full time
Day shift

Benefits

• Medical/ Dental/ Vision Insurance
• Health Savings Account
• Flex Spending Account/Dependent Care Spending Account
• 403 (b) Retirement Plan - up to 4% employer contribution
• Earned Time Off
• Life Insurance - Employer Paid
• Long-Term Disability/ Short-Term Disability - Employer paid
• Free 24-hour fitness center
• Hospital Indemnity
• MASA - Medical Transportation Solutions

Essential Accountabilities

• Identify, track, and prioritize care gaps and quality measures through the Electronic Medical Record and payor data.
• Provide ongoing support to the clinic team by identifying and correcting documentation needs.
• Aid the clinic in identifying patient care opportunities for upcoming scheduled patients.
• Maintain, track, analyze, and correct data of care gap closures and quality measures.
• Concurrent chart auditing to identify opportunities, completeness and accuracy including but not limited to: documentation requirements for reimbursement, standards of care met, adherence to policies, procedures, order sets.
• Identify trends and opportunities to determine areas of needs including but not limited to provider educational needs, program development, EHR/documentation changes, revision or development of order sets, policies and/or standard procedures/guidelines, additional reimbursement opportunities.
• Review programs and patient care to ensure that medical care is effective, efficient, and in-line with the evidence-based standards of care.
• Work with billing department to review current billing processes and identify billing opportunities for additional charges as well as documentation needs for billing and develop and implement necessary actions.
• Monitor the effectiveness of changes that were implemented.
• Participate in quality improvement projects such as developing new methods for measuring quality, data entry, and identifying opportunities for improvement.
• Create reports summarizing findings and providing recommendations for improvements in care or procedures.
• Develop and implement quality improvement plans, track and report quality indicators, and participate in quality improvement initiatives.
• Enter opportunities/incidents into the Risk Management software as necessary.
• Report data and information to the appropriate leaders and/or committees.

Organization Accountabilities

• Completion of Healthstreams education by designated due date.
• Attends required staff/department/organization’s meetings.
• Demonstrates strong, clear communication skills.
• Upholds the C.A.R.E. Values of McPherson Center for Health.
• Exhibits professionalism at all times. Maintains confidentiality as required by HIPPA regulations.
• Participates in the professional development of self and team members.