Quality Specialist

Brooks Rehabilitation; Jacksonville (FL); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Competitive Pay

Comprehensive Benefits package

Vacation/Paid Time Off

Retirement Plan and Match

Educational Assistance

Professional Development Programs

Job summary

Brooks Rehabilitation is seeking a Quality Analyst to monitor clinical documentation accuracy in an inpatient rehabilitation setting. You will interact with providers to modify documentation and promote accurate severity coding for case mix.

You will educate teams on disease complexity and coordinate action plans for improvement across units. Ideal candidates have a nursing background, 5+ years acute care/rehab, and familiarity with lean/six sigma.

Qualifications

• Bachelor’s degree in Nursing from an accredited college or university.
• Florida RN license with a minimum of 5 years’ acute care or inpatient rehabilitation experience.
• Quality certification (CPHQ, Lean, Six Sigma) preferred or ability to acquire.
• Proven analytical and problem-solving abilities.
• Proven documentation skills.
• Ability to prioritize and execute tasks in a high-pressure environment.

Responsibilities

• Reviews and facilitates modifications to clinical documentation through concurrent interaction with providers.
• Promotes capture of clinical severity to coded data supporting inpatient rehabilitation levels.
• Communicates with the interdisciplinary team regarding missing or unclear documentation.
• Educates providers to identify disease processes reflecting complexity and acuity.
• Analyzes quality trends and develops action plans for process improvements.
• Gathers information to support performance improvement for transfers/readmissions.
• Assists with public metrics, surveys, and action planning with leadership.
• Evaluates workflow using lean strategies to identify efficiencies.

Skills

Analytical skills

Documentation skills

Prioritization

Communication skills

Self-motivation

Attention to detail

Team collaboration

Education

Bachelor's degree in Nursing

Florida RN license

Tools

Lean

Six Sigma

Quality certifications (CPHQ preferred)

Job description

Position Summary: Under the direction of the System Director for Quality & Patient Safety, the Quality Analyst will monitor clinical documentation accuracy and apply performance improvement and quality principles to outcome and process measures within the Inpatient Rehabilitation care setting.Job Responsibilities:Reviews and facilitates modifications to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team. Promotes capture of clinical severity to coded data by HIM team that supports the inpatient rehabilitation levels of service and complexity.Communicates with the interdisciplinary team either through discussion or in writing (e.g., formal queries) regarding missing, unclear, or conflicting health record documentation, and clarifies the information as warranted.Educates providers about identification of disease processes that reflect complexity and acuity in order to facilitate accurate application of code sets.Demonstrates an understanding of complications, comorbidities tiers, RICs, IGC, case mix group on the billed record, as well as the ability to impart this knowledge to providers and other members of the healthcare team.Gathers and analyzes information pertinent to documentation findings and outcomes, and uses this information to develop action plans for process improvements.Analyzes quality trends and collaboratively creates action plans for performance improvement surrounding acute care transfers/hospital readmissions with consideration at the hospital, unit and patient specific trend levels.Patient safety indicators including falls, healthcare associated pressure injuries, infectionsFunctional improvement outcomesOther quality measures as identified or regulatedProvides analysis and guidance for improving and maintaining quality components for USNWR/Newsweek publicly reported metrics to achieve best in class rankings.Assists with the annual AHRQ Survey of Patient Safety Culture process and facilitates results review, reporting and action planning with leadership for improved performance.Identifies performance improvement opportunities and develops processes, procedures, and policy to support these initiatives.Evaluates workflow processes utilizing lean strategies, process mapping, and performance improvement principles to identify opportunities and efficiencies.Job Qualifications:Bachelor’s degree in Nursing from an accredited college or university requiredFlorida RN license with a minimum 5 years’ acute care or inpatient rehabilitation clinical expertise requiredQuality certification (CPHQ, Lean, Six Sigma) preferred; or ability to acquireProven analytical and problem-solving abilitiesProven documentation skillsAbility to effectively prioritize and execute tasks in a high-pressure environmentGood written, oral, and interpersonal communication skillsHighly motivated and self-directedKeen attention to detailTeam-oriented and skilled in working within a collaborative environmentThriving in a culture that you can be proud of, you will also receive many employee benefits such as the following:Competitive PayComprehensive Benefits packageVacation/Paid Time OffRetirement Plan and MatchEmployee Discount ProgramEducational AssistanceProfessional Development Programs