RN Clinical Education / Quality Auditor - AHN Home Infusion - TRAVEL REQUIRED

Highmark Health; United States; Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated Clinical Quality Specialist to enhance patient outcomes through meticulous review of clinical documentation and adherence to best practices. This role involves collaboration with various stakeholders to support quality initiatives, ensuring compliance with protocols and improving overall healthcare delivery. The ideal candidate will possess a strong nursing background, a keen eye for detail, and a passion for quality improvement. Join this forward-thinking organization to make a significant impact in healthcare quality and patient safety.

Qualifications

• Bachelor’s degree in Nursing or relevant experience.
• 1-3 years of acute care nursing experience required.

Responsibilities

• Review clinical documentation for compliance and outcomes.
• Support quality team through audits and data analysis.
• Collaborate with HIM and Compliance teams on patient safety.

Skills

Clinical Documentation Review

Data Analysis

Quality Improvement

Collaboration

Education

Bachelor's Degree in Nursing

RN License in Pennsylvania

Acute Care Nursing Experience

Job description

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW:

Responsible for reviewing clinical documentation and related processes to assess for appropriate treatment, documentation, adherence to protocols, and overall outcomes. Based upon findings, this position collaborates with key stakeholders to improve outcomes and spread best practices.

ESSENTIAL RESPONSIBILITIES:

1. Review clinical documentation to assess compliance with best practices, proper documentation, protocol adherence, and outcomes. (20%)
2. Support the needs of the quality team, including infection prevention, regulatory, and patient safety, through audits, process reviews, data aggregation, and trending. (20%)
3. Analyze review findings and data to identify trends and best practices. (15%)
4. Collaborate with HIM and Compliance teams to review and act upon patient safety indicators (PSI) and hospital-associated conditions (HAC). Daily evaluation and intervention required. (15%)
5. Facilitate improvement in outcomes through meetings, observations, audits, research, and collaboration with stakeholders on quality initiatives. (15%)
6. Work with clinical departments to ensure protocol compliance and implementation of evidence-based practices. (15%)
7. Perform other duties as assigned or required.

QUALIFICATIONS:

Minimum

• Bachelor’s degree in Nursing or relevant experience/education as determined by the company in lieu of a degree
• RN license in Pennsylvania
• 1-3 years of acute care nursing experience
• 0-1 years of experience in quality development or large quality initiatives

Preferred

• Experience performing Home Infusion RN duties for evaluation and training
• Knowledge of Joint Commission Compliance
• Experience managing Quality/Nursing Education Programs, Pharmacy Stars

Disclaimer: This description outlines the general nature and essential duties of the role. It may not include all responsibilities and qualifications.

Compliance: This role adheres to ethical, legal, and behavioral standards as per company policies, including HIPAA and data security guidelines. Employees must comply with the company's Code of Business Conduct and applicable laws.

Highmark Health and affiliates prohibit discrimination based on protected categories and are committed to accessibility. For assistance, contact HR Services Online at [e-mail].