Clinical Quality Improvement Specialist Job – Northampton MA


Clinical Quality Improvement Specialist
Northampton
MA
CleanSlate Centers, LLC
Full Time (Hourly)
  • Bachelor’s Degree or actively working towards achieving a Bachelor’s Degree is required.
  • At least two (2) years’ experience in Quality and Regulatory Compliance is required.
  •  Above average communication, conflict resolution and problem solving skills.
  •  Ability to use computer applications and systems to communicate, track and monitor information that will affect provider enrollment;
  • Must possess superior verbal and written communication skills, as well as be detailed oriented;
  • Able to meet deadlines and perform tasks within assigned time frames;
  • Must be able to work with associates and providers with professionalism and courtesy.
•         Assumes responsibility for the clinical data audits of the medical record and reporting of clinical quality data. Performs clinical data analysis, ensuring variances are within acceptable standards. Works with Coding Operations Manager, Medical Directors, clinical Education Team and Credentialed providers when goals are not achieved; •        Participates in organizational quality, and service improvement teams identifying potential and actual areas for improvement. Exercises sound judgment and decision-making skills, related to areas of responsibility; •        Assist with the development and implementation of processes to: achieve and maintain full licensure and CARF accreditation.  In doing so, provides coordination for mock and actual surveys, conducts analysis of trends, and preparation of appropriate reports for leadership and governance; •         Responsible for leading and facilitating projects. Utilizes and instructs team members in use of various quality improvement tools to identify and improve clinical processes and outcomes; •        Conducts concurrent and retrospective review to retrieve data for physician quality profile activities and records pertinent data accurately in chronological order of event. Facilitates notification of appropriate personnel verbally and in writing.•        Creating, maintaining and educating clinical policies & procedures and generating standard operating procedures for clinical processes.   •        Maintain appropriate professional conduct and appearance •        Adhere to Company policies regarding confidentiality
Performs medical record audits to collect data to ensure optimal billing practices and appropriate clinical document in the electronic medical record.  Prepares analytic reports and works with the Coding Operations Manager, Eastern & Western Division Medical Directors, Clinical Education Team and Credentialed Providers to develop action plans to improve outcomes. Clinical QI Specialist is accountable for being an accreditation leader for clinical and administrative activities for CleanSlate Clinics to promote compliance with standards and coordination of key processes and performance improvement efforts to achieve and/or maintain full licensure and CARF accreditation.  Responsible for creating, maintaining and educating clinical policies & procedures and clinical standard operating procedures. Responsible for the assessing, planning, coordinating, monitoring the Clinical Quality Improvement projects.  
Thu, 29 Jun 2017 20:07:24 GMT

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Job Duties & Responsibilities

•         Assumes responsibility for the clinical data audits of the medical record and reporting of clinical quality data. Performs clinical data analysis, ensuring variances are within acceptable standards. Works with Coding Operations Manager, Medical Directors, clinical Education Team and Credentialed providers when goals are not achieved; •        Participates in organizational quality, and service improvement teams identifying potential and actual areas for improvement. Exercises sound judgment and decision-making skills, related to areas of responsibility; •        Assist with the development and implementation of processes to: achieve and maintain full licensure and CARF accreditation.  In doing so, provides coordination for mock and actual surveys, conducts analysis of trends, and preparation of appropriate reports for leadership and governance; •         Responsible for leading and facilitating projects. Utilizes and instructs team members in use of various quality improvement tools to identify and improve clinical processes and outcomes; •        Conducts concurrent and retrospective review to retrieve data for physician quality profile activities and records pertinent data accurately in chronological order of event. Facilitates notification of appropriate personnel verbally and in writing.•        Creating, maintaining and educating clinical policies & procedures and generating standard operating procedures for clinical processes.   •        Maintain appropriate professional conduct and appearance •        Adhere to Company policies regarding confidentiality

Qualifications

  • Bachelor’s Degree or actively working towards achieving a Bachelor’s Degree is required.
  • At least two (2) years’ experience in Quality and Regulatory Compliance is required.
  •  Above average communication, conflict resolution and problem solving skills.
  •  Ability to use computer applications and systems to communicate, track and monitor information that will affect provider enrollment;
  • Must possess superior verbal and written communication skills, as well as be detailed oriented;
  • Able to meet deadlines and perform tasks within assigned time frames;
  • Must be able to work with associates and providers with professionalism and courtesy.

Type: Full Time (Hourly)

Job ID: 10901