R.A.M. Healthcare Consulting Group is seeking an experienced Onsite HIM Clinical Effectiveness Consultant II in Los Banos, CA.
JOB RESPONSIBILITIES:
Performance Improvement
• Serves as primary support to clinical and operational leadership in monitoring and evaluating processes for outcomes management, performance improvement and peer review. Facilitates improvement activities for specific areas of responsibility.
• Promotes collaboration, decision making, and problem solving through effective interactions or facilitations with members of the ambulatory or hospital organization.
• Coordinates process improvement activities related to outcome measures defined through established quality and safety strategic goals which optimize clinical care and reduce waste and rework.
• Collects and retrieves data, designs and uses spreadsheets and databases for clinical and administrative decision making, and analyzes data for relationships to outcomes.
• Conducts basic analyses of performance on clinical processes and outcomes.
• Reviews, evaluates, interprets and develops reports, and provides end-user assistance, involving analysis, identification of problem needs, designing solutions, and identifying required system adaptations.
• Maintains and disseminates information on successful interventions and programs proven to be effective, as well as evidence-based practices.
• Acts as a departmental representative in meetings involving ambulatory or hospital policy issues surrounding performance improvement, decision support, and utilization of ambulatory or hospital resources.
• Prepares educational programs n performance improvement, evidence-based practice, or description of ongoing quality initiatives to physicians and clinical staff.
• In collaboration with the Manager/Director, assists in the development of an organization wide performance improvement plan (supplementary to the corporate performance improvement requirements) which integrates the medical staff / medical group structure and activities.
• Maintains knowledge of all applicable standards from accreditation and regulatory bodies.
Regulatory Compliance
• Organizes all on-site surveys managing the Survey Activation Plan. Works with affiliate and system content experts to develop and implement processes to assure regulatory compliance with complex requirements.
• Responsible for reviewing internally / externally reported measure performance including collaboration with the process owners to develop action plans to improve performance, identify need for interdisciplinary process improvement, and follow-up with physicians.
Public Quality Reports
• Proactively manages performance on public quality reports. Responsible for ensuring compliance with internal, as well as external regulatory, requirements.
• Completes submission under the supervision of the Quality and Patient Safety Manager/Director and approval of leadership.
• Directly supports the implementation of a systematic program for improving performance on public quality reports. Responsive to health plan, regulatory and other expectations for clinical quality outcomes.
Special Projects
• Assumes special assignments.
• Performance to be evaluated in terms of: accuracy, completion due date, adherence to instructions and cooperation.
EDUCATION: California RN License
REQUIRED EXPERIENCE:
2 years recent relevant experience.
SKILLS AND KNOWLEDGE:
• Demonstrated proficiency in Microsoft Office Suite, including Word, Power Point, and Excel. Ability to format tables, retrieve data via queries, and create presentations via PowerPoint. Ability to navigate an electronic health record required.
• Must demonstrate written/verbal interpersonal communication and problem-solving skills. ability to communicate effectively with a wide variety of personalities and departments, including medical staff members.
• Ability to manage own time and schedule own tasks. Must have initiative to work effectively without constant supervision and direction.
• Ability to work with diverse personalities at all levels of the organization. ability to work with and motive a diverse group of individuals working together on an initiative.
Please apply to this role by submitting your resume to bbridges@ramhcg.com.