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Quality Clinical Review Coord-PRN

Company: Maria Parham Health
Location: Henderson
Posted on: September 19, 2023

Job Description:

Maria Parham HealthWho We Are:People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. With 205 licensed beds, Maria Parham Health is equipped for every health care need one can encounter. We are fully licensed by Joint Commission, the College of American Pathologists, and Rated Highest in Patient Safety from Leapfrog.Where We Are:Henderson offers a great outdoors, including the region's largest lake, providing endless hours of fun boating, fishing, skiing and camping. Throw in great golfing, hunting and two fantastic recreational organizations and you may find yourself having a hard time deciding what to do next!Why Choose Us:-- Health (Medical, Dental, Vision) and 401K Benefits for full-time employees-- Competitive Paid Time Off, PTO cash out, and PTO donation programs-- Employee Assistance Program - mental, physical, and financial wellness assistance-- Loan Repayment and Tuition Reimbursement/Assistance for qualified applicants-- Robust employee recognition and awards programs-- And much more---Position Summary:Conducts chart audits/reviews for clinical practice guidelines, death review, blood review, core measures and any other chart audits/reviews necessary.--Reports to: Total Quality DirectorEssential Functions of the Position

  • Employs techniques and tools associated with continuous Performance Improvement to assist teams in achieving goals for improvement.
  • Works extensively with physicians, pharmacists, nurses, and other hospital staff in achieving support for the practice of evidence-based medicine related to clinical care of sepsis patients.
  • Develops systems for evaluating outcomes for clinical departments and physician compliance.
  • Facilities Sepsis-related Teams/task forces/Committees and initiates and coordinates an in-depth analysis on near or actual misses in compliance in collaboration with risk and quality staff, and develops strategies to achieve the desired results of measure sets.
  • Adheres to abstraction rules of CMS, TJC when performing chart abstractions for these entities.
  • Performs clinical concurrent review, conducts team meetings, and coordinates internal reporting.
  • Maintains an in-depth knowledge of hospital systems, patient clinical data, EMR capabilities and reports, and external data bases used for public reporting and comparison.
  • Ensures the integrity of the data, and adheres to abstraction rules of CMS, TJC, DLP Outcomes Measurement, and Ethics and compliance policies.
  • Responsible for the chart abstraction and data collection for core measures.
  • May be required to perform other job duties as assigned.Minimum EducationAssociate's Degree in Nursing is required.Bachelor's Degree in Nursing is preferred.Licenses: North Carolina or Compact State active Registered Nursing LicenseMinimum Work ExperienceKnowledge of content of medical records and chart audits reviews.Excellent computer skills working with Electronic Medical Records/Documentation systems as well as Word, PowerPoint and Excel for data collection, documentation and presentation purposes.Required SkillsRequires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.Maria Parham Health is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, genetic information, gender, gender identity, national origin, race, religion, sexual orientation, or veteran status.Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

Keywords: Maria Parham Health, Durham , Quality Clinical Review Coord-PRN, Healthcare , Henderson, North Carolina

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