The RN Quality assists physicians and staff to achieve concurrent compliance with core measures, quality initiative requirements and performance improvement projects. Collects, aggregates, analyzes, and reviews data for improvement opportunities.
Assists with performance improvement processes as directed. Provides just in time and formal education programs on quality measures to the organization. Performs concurrent clinical chart reviews based on quality indicators.
Works collaboratively through daily rounds with physicians, nursing, case managers and other ancillary services to facilitate care management to achieve compliance in core measures and improve quality outcomes. Tracks compliance of measures by abstracting, compiling and analyzing performace data. Presents, trends, and educates on quality measure performance to the organization.
Works with performance improvement teams to assist in planning and implementation of interventions to ensure best practices are implemented for quality measures such as AMI, Stroke, VTE, Sepsis and newly added measures as available. Manages the Sepsis program.
EDUCATION: Current AL Nursing license
EXPERIENCE: Basic Knowledge of ICD-10, CPT-4, and DRG coding, healthcare quality initiatives ; The Joint Commission accreditation requirements and CMS regulation.
Critical thinking skills, Ability to work well independently, Microsoft office experience, Excellent communication skills required, accurancy and attention to detail required. Minimum of 5 years Clinical Exp as RN. Previous experience using CPSI.