Outcomes Analyst Full Time

Kindred Hospitals Resource Overhead; Louisville (KY); On-site; USD 70,000 - 100,000; Full time

Job summary

ScionHealth is seeking an Outcomes Analyst to review medical record documentation and educate clinicians to meet CMS Quality Reporting requirements. The role monitors outcome benchmarks for inpatient populations and improves documentation accuracy through audits, analytics, and collaboration with the interdisciplinary team.

Confidentiality is essential. The candidate will collaborate with hospital leadership to provide onsite education on quality reporting and patient safety documentation.

Qualifications

• Requires RN licensure and BSN preferred; or equivalent.
• Experience with data coordination, analytics in LTACH hospital a plus.
• Knowledge of CMS Quality Reporting Program and CARE Data Set is desirable.

Responsibilities

• Lead or assist CMS Quality Reporting Program activities across facilities.
• Educate clinicians and staff on quality reporting requirements.
• Audit medical records and documentation to ensure CMS compliance.
• Monitor QRP thresholds and assist facilities with data-driven action plans.
• Coordinate with Clinical Informatics on EMR updates and testing.
• Support confidentiality and data integrity across systems.

Skills

Critical thinking

Leadership

Communication

English fluency

Attendance

Influence without authority

Conflict resolution

Travel readiness

Education

BSN (Bachelor of Science in Nursing)

Associate degree in Nursing

Nursing Diploma

High school diploma

Job description

Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

The Outcomes Analyst reviews medical record documentation and provides education to clinicians to meet requirements of mandatory quality programs such as ScionHealth's National Quality Program and Centers for Medicare and Medicaid Services (CMS) Quality Reporting Programs for the ScionHealth Hospital Division. This position will assist in the ongoing monitoring of identified outcome benchmarks for the inpatient population. This position will improve the quality and accuracy of documentation standards by auditing, analyzing data, educating, and supporting the interdisciplinary team members on appropriate documentation and other drivers of quality outcomes. The Outcomes Analyst has access to confidential patient information and maintains all confidentiality of all information.

Essential Functions

Quality Outcomes

• Serve as subject matter expert for CMS Quality Reporting Program for all Specialty facilities.
• Stays current with how data interfaces between Hospital Division electronic systems and provides education as needed.
• Serves as a resource for Clinical Informatics team for needed updates/changes, testing and deletions of EMR. They will also serve as SME for any needed responses to EMR update questions.
• Monitors and reports QRP thresholds. Assist facilities not meeting threshold with analysis of data, action plans and follow up until compliant.
• Monitors the CMS Quality Reporting Program website for reporting announcements and FAQ updates.
• Acts as a backup submitter for the transmission of CARE Data Set records into the CMS national database upon request and approval from Senior Director, Quality Reporting and Outcomes.
• Completes chart audits and monitoring of documentation outputs from the medical record and other systems to ensure documentation compliance with quality standards of both CMS Quality Reporting Program and the ScionHealth National Quality Strategy as assigned.
• Acts as a resource for Director of Quality in conducting CARE Data Set record data integrity audits through comparison of medical record documentation to the LTRAX documentation.

Education

• Collaborate with hospital leaders to provide education support onsite in quality reporting or patient safety related documentation education to staff for facilities identified in quality reporting crisis.
• Creates tools and educates on CMS Quality Reporting Program

Other

• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
• Serves on Support Center committees upon request and approval from Senior Director Quality Reporting and Outcomes.
• Other duties as assigned.

Knowledge/Skills/Abilities/Expectations

• Demonstrates effective critical thinking skills
• Possesses leadership skills that help build and maintain a strong and collaborative team of individuals working toward the same goal
• Effective oral and written communication skills
• Travel up to 25% as assigned
• Ability to influence others without a direct reporting relationship
• Conflict resolution
• Must read, write and speak fluent English
• Must have good and regular attendance
• Performs other related duties as assigned

Qualifications

Education

• Graduation from an accredited Bachelor of Science in Nursing, or equivalent, preferred
• Graduation from an accredited Associate degree in Nursing or Nursing Diploma program, a plus
• High school diploma with 3 years data coordination aggregation, analytics in LTACH hospital

Licenses/Certifications

• Registered Nurse with current, unrestricted state license, preferred
• Licensed Vocational/Practice Nurse with current, unrestricted state license, a plus

Experience

• 3+ years of experience in the care of patients in the long-term acute hospital setting, required
• 3 years data coordination aggregation, analytics in LTACH hospital, a plus
• Long term care hospital regulatory compliance, quality, or operational experience, preferred