Quality Review Coordinator

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The Quality Management Review Coordinator is responsible for supporting the Quality Management Director with a variety of office functions such as ordering supplies, making pocket cards/posters/meeting packets, and taking meeting minutes. The QMRC abstracts charts for numerous projects which may include but is not limited to: quality, patient safety and CMS/Joint Commission functions such as Quality Review timelines, ORYX/Core Measures/Performance Measures and other pay for performance initiatives including but not limited to the Highmark BCBS Quality Blue Project, as well as related Quality Assurance/Performance Improvement projects using web-based data collector software and/or local data collection/reporting processes. The QMRC will create reports from abstracted data to be presented in a variety of formats including charts, graphs, and/or descriptive text.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor's degree in related field.

EXPERIENCE:

1. Three (3) years of healthcare experience.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. BS in a healthcare related field (BS in Healthcare Administration, Respiratory Therapist or a Radiologic Technologist with a BS )

EXPERIENCE:

1. Experience with data analysis

2. A background in Quality/Patient Safety

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Performs appropriate concurrent and retrospective Quality Review studies using methodologies that include, but are not limited to electronic and hard copy medical record review, data extraction and aggregation, computer input using web based data collection software, and simple calculations.

2. Performs Reviews for ORYX/CMS/Performance initiatives and maintains competency with vendor software for that purpose.

3. Interacts with medical staff to improve documentation for data extraction for required Core Measures and other performance/quality measures.

4. Orders and maintains office supplies for staff use

5. Participates with making pocket cards/posters/meeting packets as needed whether copying of existing documents or creation of new items as directed.

6. Takes/writes meeting minutes as delegated.

7. Collaborates with QM staff to cover department needs when other staff are off which may include their designated chart reviews and abstractions

8. Creates reports as needed from abstracted data for reporting to a variety of venues using excel, PowerPoints, and various related tools.

9. Provides education to staff and providers with changes in data requirements for CMS/TJC/Highmark Quality Blue projects as required.

10. Compiles data for decision support/reporting requests via internal and external resources (Premier, Epic, etc.)

11. Communicates with staff regarding concurrent documentation deficiencies to support opportunities for improvement.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must meet Department of Labor’s MEDIUM duty standard (MEDIUM WORK- exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly).

2. Able to bend, stoop, reach and be capable of normal rotation, standing and walking for an 8-10 hour shift.

3. Able to lift 40 pounds from floor to waist.

4. Able to tolerate working with and around noxious odors.

5. Able to sit using a computer for 8-10 hours per shift.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. May be scheduled to work various shifts based on departmental and patient needs.

2. May be required to travel between facilities/buildings.

3. May be exposed to virus, disease, and infection from patients and specimens in working environment.

4. May be exposed to traumatic situations including psychiatric crisis, physical injuries and death.

SKILLS AND ABILITIES:

1. Use a computer keyboard, monitor and mouse.

2. Able to answer telephones and transcribe messages.

3. Excellent ability to Communicate verbally, written and electronically with healthcare personnel, families and patients.

4. Excellent customer service skills necessary

5. Able to handle multiple projects simultaneously

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Varied (United States of America)

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

SRMC Summersville Regional Medical Center

Cost Center:

500 SRMC Administration

Address:

400 Fairview Heights Road

Summersville

West Virginia

Equal Opportunity Employer

 

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.