Value-based Care | Quality Improvement Nurse (3/4 time)
Job Category: Quality Improvement
Requisition Number: QUALI003693
Posted: September 24, 2024
Employment Type: Full-Time
Work Location: On-site at Gritman Medical Center, 700 S Main St., Moscow, ID 83843, USA
Job Responsibilities
- Remind patients of upcoming preventive services and recommended screenings.
- Facilitate a collaborative approach with the healthcare team to identify and close care gaps.
- Perform chart abstraction of medical records and diagnostic imaging to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation.
- Request and review medical records for data collection, data entry, and quality monitoring.
- Collaborate with leadership, providers, and staff to identify trends and strategies for improvement.
- Navigate Electronic Medical Records (EMR) systems to obtain medical records that support HEDIS measures.
- Foster a team approach with patients, families, and healthcare teams to coordinate services.
- Serve as a resource for evidence-based practices and clinical guidelines.
- Work collaboratively with physicians and staff to provide improved care quality while reducing unnecessary tests, procedures, and costs.
- Analyze data metrics to determine patient healthcare, educational, and psychosocial needs.
- Facilitate care for high-risk patients using appropriate physician services and community support.
- Participate in patient outreach initiatives, health fairs, and promotions.
- Submit files and documentation for quality assurance and review purposes.
- Perform other related duties as assigned.
Job Requirements
Required Education:
- Associate’s Degree in Nursing (AS Nursing)
Required Licenses and/or Certifications:
- Licensed Practical Nurse (LPN) or Registered Nurse (RN) in Idaho or compact state
- Basic Life Support (BLS) certification
Required Work Experience:
- Minimum of six months of experience in urgent care, primary care, or direct patient care.
- Experience with Electronic Medical Records (EMR) and healthcare terminology.
Required Knowledge, Skills, and Abilities:
- Effective organizational skills with the ability to maintain accurate records.
- Knowledge of medical terminology and healthcare systems.
- Proficiency in using electronic health records software.
- Ability to analyze and present information effectively, respond to questions from various stakeholders, and apply logical thinking to solve problems.
- Computer proficiency in Microsoft Outlook, Word, PowerPoint, Excel, health IT programs, and web-based databases.
Preferred Qualifications:
- Experience with health IT systems and data reports.
- Familiarity with mobilizing community resources, patient navigation through the healthcare continuum, and working with diverse populations.
- Knowledge of HEDIS measures, MIPS, and statistics/data management.
- Ability to speak a second language is preferred.
Functional Demands
Population(s) Served: Serves neonatal, pediatric, adolescent, adult, and geriatric populations, including individuals of all genders, races, ethnicities, and backgrounds.
Physical Demands: Requires prolonged sitting, extensive computer use, and repetitive hand/wrist motions. Visual and manual dexterity required.
Environmental Conditions: Typically works in an office environment. Weekday hours, with potential for some remote work depending on the schedule.
Organizational Expectations
- Promotes a positive and professional representation of the organization.
- Adheres to a culture of safety for patients and staff through proper identification and prevention.
- Maintains competency and knowledge of current standards and participates in quality improvement activities.
- Complies with organizational policies, protocols, and confidentiality regulations.
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