Quality Review Analyst II
Job Posting for Quality Review Analyst II at McLaren Health Care
Position Summary:
Supports effective operations of the quality improvement and organizational excellence in areas by assisting with performing quality and compliance related activities, supporting abstraction process based on CMS and The Joint Commission (TJC) standards and other related activities. May coordinate medical staff quality and appropriateness review activity.
Essential Functions and Responsibilities:
Required
We are committed to encouraging and sustaining a work environment free of unlawful harassment, discrimination, and/or retaliation. We are an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual’s race, color, age, religion, sex/pregnancy (including pregnancy/childbirth or pregnancy/childbirth-related conditions), sexual orientation, gender identity, national origin, disability, veteran status, genetic information, or any other status prohibited by applicable laws. We also make good faith efforts to recruit, hire, and promote qualified women, minorities, individuals with disabilities, and veterans.
Additional Information
Supports effective operations of the quality improvement and organizational excellence in areas by assisting with performing quality and compliance related activities, supporting abstraction process based on CMS and The Joint Commission (TJC) standards and other related activities. May coordinate medical staff quality and appropriateness review activity.
Essential Functions and Responsibilities:
- Manages concurrent and/or retrospective review of medical record data according to established criteria.
- Abstracts and analyzes clinical and health data elements from multiple sources.
- Coordinates timely collection of data from multiple internal data sources.
- Participates in data collection and reporting through internal and external authorities (e.g., CMS, TJC).
- Initiates collaboration with personnel in other departments to improve data accuracy, collections, and completeness to achieve quality metrics set by various regulatory groups.
Required
- Associate degree in nursing, healthcare administration, business administration, information technology, or related field from an accredited educational institution.
- Three years’ experience related to healthcare data quality.
- Bachelor’s degree in nursing, healthcare administration, business administration, information technology or related field from an accredited educational institution.
- Five years of experience related to healthcare data quality, data analytics, business intelligence or related field
- Certified Professional in Healthcare Quality (CPHQ)
We are committed to encouraging and sustaining a work environment free of unlawful harassment, discrimination, and/or retaliation. We are an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual’s race, color, age, religion, sex/pregnancy (including pregnancy/childbirth or pregnancy/childbirth-related conditions), sexual orientation, gender identity, national origin, disability, veteran status, genetic information, or any other status prohibited by applicable laws. We also make good faith efforts to recruit, hire, and promote qualified women, minorities, individuals with disabilities, and veterans.
Additional Information
- Schedule: Full-time
- Requisition ID: 24001752
- Daily Work Times: Variable Day
- Hours Per Pay Period: 80
- On Call: No
- Weekends: No
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