LVN - Quality Improvement Data Analyst

Location: El Paso, TX | Type: Full-Time/Regular | ID: 1142-374

About the role

Bienvivir All-Inclusive Senior Health is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the Program of All-Inclusive Care for the Elderly (PACE). PACE is a unique managed care benefit for frail seniors (participants) age 55 and older who are certified by the state as needing nursing home level care and reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so participants can remain independent and stay in their homes as long as safely possible.

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 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

For full- and part-time employees who work 30 or more hours per week:

• 100% of MEDICAL monthly premiums for Employee Only coverage paid by employer.
• 100% of DENTAL monthly premiums for Employee Only coverage paid by employer.
• Affordable VISION monthly premium for Employee + Family coverage.
• 100% of BASIC LIFE insurance for a benefit amount of $10,000 paid by employer.
• Safe harbor matching contributions for the 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.