Quality Improvement Specialist

Responsibilities:

·         Gathers, reviews, evaluates, and reports clinical data including patients’ medical records

·         Applies quality assurance criteria and nursing documentation standards

·         Analyzes data for patterns and trends in care delivery

·         Participates in root cause analysis and intervention development.

·         Trains and educates staff to promote good quality care and ensure compliance with applicable laws and regulations

·         Works with leadership and staff to create policies and procedures the ensure good quality care and minimize harm to the patient

·         Keeps up to date with applicable federal and state laws and regulations

·         Confirms charge documentation is provided to external billing source(s) in a timely manner

·         Performs chart audits to include appropriateness of charges is supported by documentation

Qualifications:

·         Current RN or LPN license from the State of Oklahoma Board of Nursing; Emergency Department experience preferred

·         Minimum of three (3) years demonstrated clinical expertise to effectively facilitate evaluation of quality care

·         Experience in Inpatient and Outpatient documentation requirements, including state regulations and guidance regarding nursing documentation

• Knowledge of concurrent and retrospective chart review
• Knowledge of and experience in Electronic Health Records
• General understanding and ability to research Centers of Medicare and Medicaid Services regulations
• Skills in data management as well as the ability to collect, analyze, and present data to groups and individuals
• Demonstrated ability to develop, organize, facilitate, and lead special projects
• Ability to work collaboratively with providers, hospital staff, and external organizations
• Demonstrated oral and written communication skills
• Intermediate computer skills
• Ability to read, write, and follow English verbal and written instructions

·         Perform other job related duties as assigned

Note:   This is a full time position with flexibility in hours required in order to meet deadline submission at end of month and/or on weekends.