Licensed Vocational Nurse (Quality Improvement)

Bienvivir All-Inclusive Senior Health is a community-based, patient-centered, comprehensive health care delivery system serving frail seniors in El Paso, Texas since 1987 through the Program of All-Inclusive Care for the Elderly (PACE). This full-time, regular position is based in El Paso, TX.

About the role

Under the supervision of the Quality Improvement Director, the Quality Improvement Data Analyst is responsible for the collection, reconciliation, trending, and statistical analysis of data for purposes of program evaluation, decision-making, clinical quality improvement, and regulatory compliance. The analyst works with the Quality Improvement team on data entry and maintenance, data analysis, report preparation, audits, and special projects, collaborating with employees and contractors to plan and implement initiatives that promote continuous improvement in quality care and participant safety.

Responsibilities

• Analyze quality and participant safety data to support quality improvement initiatives by providing actionable insights and recommendations that improve clinical and operational processes and reduce identified risk trends.
• Maintain an accurate and complete Falls and ED Utilization Database system to ensure compliance with regulatory requirements.
• Collaborate with Utilization Management and other departments (including Clinics, Medical Records, Accounting, etc.) to ensure accurate data entry and reporting.
• Assist with developing tools, metrics, dashboards, reports, and quality monitoring plans with a focus on the analytical and statistical perspective.
• Assist the Grievance Analysts and Quality Improvement RN with collecting and analyzing information required for case investigations and resolutions.
• Collect, reconcile, and analyze PACE Quality Falls and ED Utilization Data for quarterly submission to the Health Plan Management System (HPMS).
• Present PACE Quality Falls and ED Utilization Data during CMS Account Manager Quarterly Call as needed.
• Prepare and present PACE Quality Data Elements (key performance indicators) at the Grievance and Appeals Committee, Committee with Community Input, and other committees as required.
• Present PACE Quality Falls Data at the Falls Committee as needed.
• Assist with coordinating and administering the Integrated Satisfaction Measurement for PACE (I-SAT) Survey and Health Outcomes - Modified (HOS-M) Survey.
• Generate quantitative and qualitative reports, report key performance indicators, synthesize information to internal and external stakeholders, and provide recommendations based on the clinical review of incidents, quality of care concerns, and complaints.
• Provide training and direction to departments and contractors in developing procedures to comply with data reporting requirements.
• Support new employee orientation by assisting with the presentation and overview of the Quality Improvement Department, as needed.
• Perform other tasks as assigned.

Qualifications / Requirements

• Associate's degree from an accredited university with current LVN licensure in the state of Texas.
• Minimum of 3 years of clinical experience.
• Prior experience in the use of Excel for creating and maintaining databases.
• Knowledge in collection, measurement, trending, reconciliation, and analysis of data.
• Previous experience in quality assessment and/or improvement programs (preferred).
• Understanding of Six Sigma methodology (preferred).
• Bilingual (English/Spanish) verbal and written communication.

Required Skills

• Knowledge of Quality Improvement principles and methodologies.
• Skill in technical writing and oral communication.
• Skill in organization and project management.
• Skill in computer software, database, spreadsheets, and word processing (MS Word, Excel, and PowerPoint).
• Ability to collect and analyze data.
• Ability to plan, schedule, organize, and prioritize tasks.

Benefits

• 100% of medical monthly premiums paid for Employee Only coverage (for employees working 30+ hours per week).
• 100% of dental monthly premiums paid for Employee Only coverage.
• Affordable vision monthly premium for Employee + Family coverage.
• 100% of basic life insurance paid for a benefit amount of $10,000.
• Safe harbor matching contributions for 403(b) retirement savings account.
• Up to fifteen (15) days of paid time off based on paid hours per pay period.
• Eleven (11) company-observed paid holidays.
• Education and tuition reimbursement.
• Mileage reimbursement.