Performance Improvement Analyst FT ROC

South Texas Health System; McAllen (TX); On-site; USD 65,000 - 95,000; Full time

Job summary

South Texas Health System seeks a professional to support its system-wide Performance Improvement program. You will participate in six sigma quality projects, conduct CMS core measure data collection, and develop action plans with stakeholders.

You will prepare core measure reports, conduct reviews, and communicate results to committees. The role includes training staff, supporting meetings, and promoting continuous improvement across facilities.

Qualifications

• Bachelor or Associate degree in nursing or related field, or 5+ years in Quality.
• Texas license or compact state license for RN; BLS on hire.
• Strong written and verbal communication; willing to travel between facilities.
• Commitment to Compliance Program and Code of Conduct.

Responsibilities

• Coordinate system-wide Performance Improvement program.
• Participate in six sigma quality projects and QC functions.
• Collect CMS core measure data across STHS facilities.
• Analyze data and create action plans with stakeholders.
• Generate monthly core measure reports for improvement tracking.
• One-to-one contacts with nursing staff and physicians in areas of improvement.
• Assist with meeting prep, presentations, and material assembly.
• Perform mortality reviews and other focus reviews as assigned.
• Promote PI activities and coach continuous improvement across the system.
• Understand scorecards and linkages to quality studies.

Skills

MS Office

Communication skills

Compliance awareness

Travel willingness

Education

Bachelor or Associate degree in Nursing

Bachelor in Computer Science / Business / Health-related field

Master's degree preferred

Tools

MS Office Suite

Job description

Position Summary

Assist in facilitating the coordination of a systematic organization-wide Performance Improvement program, Participate in six sigma quality projects and quality control functions for the STHS. Perform concurrent reviews for data collection of the CMS required core measure indicators at all STHS facilities. Analyze and create action plans in coordination with stakeholders of the core measure data . Generate core measure reports monthly to identify successes and areas for improvement. Perform one-to-one contact with nursing staff and/or physicians associated with the areas for improvement. Assist with meeting preparations such as power point presentations, packet copying/assembly. Perform mortality reviews, quality data check reviews, “never event” reviews and other focus reviews as assigned. Be knowledgeable about the results and able to explain the results to committee members. Compose business letters to physicians and other correspondence as it pertains to core measure indicators. Promote the Quality Improvement activities throughout the system by facilitating and coaching continuous improvement activities. Foster the PI process of focus/assess the need, plan/do, measure the success, and evaluate the outcome. Understand the UHS Scorecard and it’s linkages to quality studies and measurement.

Qualifications

• Must have current computer knowledge in word, excel, access, power point; other software specialty knowledge a plus.
• Strong proficiency in oral and written communication skills (grammar and spelling) necessary for communication with employees, physicians, and guests of the hospital.
• Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.
• Able to travel to other STHS facilities.

Education / Licensure

• Bachelor or Associate degree in Nursing, Bachelor in Computer Science, business, health-related field, or a minimum of 5 years experience in Quality. Master preferred.
• If bachelor’s or Associate in nursing, currently licensed in the State of Texas, or part of a compact state license, or has a valid temporary RN license for the State of Texas while waiting to receive the permanent one.
• RN will have BLS upon hire (and maintain through employment).

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Authorized by

Corporate Human Resources