Clinical Quality Assurance Specialist

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Summary

This position is responsible for providing leadership to ensure validity of measurement, accuracy of data, patient safety and regulatory compliance with quality improvement, reporting, and regulatory initiatives. A clinical quality assurance specialist uses a combination of nursing, quality, and informatics knowledge to manage data, process, and information systems. Assists OBGYN dept with meeting our Women’s Health Improvement Collaborative goals for screening/treatment of depression, Social Drivers of Health, 5Ps, cervical cancer & breast cancer screenings. Assist with ambulatory projects to improve throughput, patient satisfaction, staff engagement/retention/satisfaction, and care quality. Assists with creating educational materials and being a liaison between inpatient & outpatient to ensure materials are of the highest quality, at the appropriate reading level and provided at optimal times in pregnancy/post-partum. Works to improve workflows for nursing / providers. Assists with standardizing phone triage responses to common questions and patient concerns to create more consistent & up to date triage advice, improve efficiency and make workflows smoother. Assists with Quality Improvement plan development and completion.

Work Schedule

This is a hybrid position - able to work remotely after fully trained when not needed in clinics

• On-site locations - Panther Creek in Cary or Weaver Crossing in Chapel Hill - primary location can be determined
• Schedule - 30 hours per week - flexible schedule TBD

Responsibilities

• Must be an active participant in staying current with all pay for performance programs, government regulations, and key health care system initiatives regarding medical record documentation and plan of care.
• Performs medical record abstraction for the purpose of quality improvement or reporting. Review and analyze healthcare data and records, validating accuracy and quality documentation to ensure compliance with program requirements. Ensures that medical records meet regulations. Consults with healthcare provider or quality initiative team regarding missing documentation and ensures that the correct data is entered.
• Presents results from data analysis to healthcare providers and staff, chairs, appropriate boards, and quality initiative teams.
• Promotes the improvement of patient care and clinical excellence in clinical information systems via effective collaboration with healthcare providers, business and quality analysts, and leaders of clinical programs and quality initiatives. Ensures that the health care system as an organization and clinical providers are following best practice care and are documenting in accordance with these clinical and quality initiatives.
• Provides education to healthcare providers and staff on best practice patient care as well as documentation, interpretation and compliance of the medical record. Collaborates with medical providers on the documentation for the elements of care for certain patient populations.
• Works with quality initiative teams to improve care delivery and documentation. Provides support to develop and utilize processes that improve clinical documentation to support patient care, efficient clinical processes, and analytics needs.

Preferences

• Women's Health experience strongly preferred
• Experience in QI processes
• Nurse triage experience in Women's Health
• Comfortable working in EPIC

Other Information

Education Requirements

• Bachelor's degree in Nursing (BSN) from a state-accredited school of professional nursing.

Licensure/Certification Requirements

• Licensed to practice as a Registered Nurse in the state of North Carolina.

Professional Experience Requirements

• Three (3) years of clinical experience in a healthcare setting.

Knowledge/Skills/and Abilities Requirements

Job Details

Legal Employer: STATE

Entity: UNC Faculty Physicians

Organization Unit: UNC OB-GYN at Panther Creek

Work Type: Full Time

Standard Hours Per Week: 30.00

Salary Range: $35.87 - $51.57 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Cary

Exempt From Overtime: Exempt: Yes

This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email View email address on jobradars.com if you need a reasonable accommodation to search and/or to apply for a career opportunity.