Quality specialist

Full job description

Primary City/State:

Tucson, Arizona

Department Name:

Burn/Trauma Admin

Work Shift:

Day

Job Category:

Risk, Quality and Safety

Nursing careers are better at Banner Health. We’ve built smarter processes to help nurses focus on what really matters. If you want to make a difference in people’s lives - this could be the opportunity you’ve been waiting for.

The Banner University Medical Center-Tucson Campus has a great opportunity for a passionate and dedicated Burn and Trauma Quality Improvement Specialist .

In this position you will support and the Burn and Trauma program in Southern Arizona.

Southern Arizona Burn Care Program

You will influence the quality of patient outcomes and clinical care. You will collaborate with staff to integrate quality and cost improvements in clinical care. Day to day responsibilities include but are not limited to responding to burn consults with the team, providing burn education to patients; ensuring patients and families understand the plan of care; burn education for staff including nurses and residents; Burn unit oversight including dressing change coordination, maintaining communication (being a liaison) between nurses, APPs, residents and attendings.

For this position, a successful candidate will have an RN license, require a Bachelor’s degree or equivalent in behavioral health, social services or other healthcare related field or equivalent experience and a proficiency level typically attained with two years of experience in behavioral health, case management, or quality management. Work experience in ED, Burn, ICU and/or Trauma is required.

Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits.

Should you have any questions, please contact Donna Dioses at or call .

Banner - University Medical Center Tucson is nationally recognized for providing exceptional patient care, teaching future health-care professionals and conducting groundbreaking research. Also located on the campus is Diamond Children's - recognized for its specialized pediatric services including neonatal and intensive care, emergency medicine and cancer therapies. Banner - University Medical Center Tucson is a Level 1 Trauma Center, meaning we care for the most critically injured patients. The hospital is consistently listed among the nation's top hospitals in the prestigious Best Hospitals ranking by U.S. News & World Report. The academic medical center has earned Magnet Recognition becoming the only hospital in southern Arizona to meet the rigorous standards of the American Nurses Credentialing Center’s Magnet Recognition Program® for nursing excellence. The hospital's physicians are full-time faculty of the University of Arizona College of Medicine - Tucson. Our specialty services include comprehensive heart and cancer care, advanced neuroscience techniques and a multi-organ transplant program.

POSITION SUMMARY
This position plans, coordinates, implements and evaluates clinic quality/performance improvements, patient safety programs, and/or coordinates compliance and regulatory programs for preparedness and accreditation requirements. Reviews and audits medical records to ensure that the documentation justifies the data billed on encounters and supports performance indicators required in the system of care. This position uses established methodology in determining omissions, correctness errors and measures of timeliness for encounter submissions and performance indicators set by Arizona Department of Health Services (ADHS) and the Regional Behavioral Health Authority (RHBA). Provides verbal and technical assistance to staff in order to resolve identified errors.


CORE FUNCTIONS
1. Monitors and evaluates the overall quality of behavioral health services provided by Whole Health Clinic and its contracted service providers to ensure compliance with Regional Behavioral Health Authority (RHBA) contracts, state legislation, Arizona Health Care Cost Containment System (AHCCCS), and Arizona Department of Health Services (ADHS) and Division of Behavioral Health Services (DBHS) regulations.


2. Coordinates investigation, analysis, and responds to quality/patient safety issues, events, significant care issues or trends. Leads and/or facilitate root cause analysis, failure modes and effects analysis, and process improvement.


3. Develops and analyzes data for administrative and clinical decision making, as well as regulatory requirements. Coordinates implementation of data collection processes: provide analysis, summary, research and benchmarking. Prepares and present reports for appropriate facility, system, and other external agencies. Provides oversight to projects including data abstracting and data entry as appropriate.


4. Coordinates, prepares and assists with internal and external audits.


5. Investigates critical incidents and prepares reports of findings and provides recommendations for corrective action implementation.


6. Tracks, monitors and implements improvement actions and evaluates success.


7. Supports implementation of quality and patient safety goals, policies, procedures, and activities designed to meet the requirements of regulatory and accrediting agencies.


8. Completes all training required by licensing agency and funding source.

9. Has freedom to determine how best to accomplish functions within established procedures and best practices.The position will require communication and coordination with Banner Risk Management, ADHS, the RBHA, internal and external providers, courts, and other county, state, and governmental agencies. Responsibilities cross all levels of internal and external customers including but not limited to the medical staff, the community, regulatory bodies and state agencies.


MINIMUM QUALIFICATIONS


Requires Bachelor’s degree or equivalent in behavioral health, social services or other healthcare related field or equivalent experience.


Requires a proficiency level typically attained with two years of experience in behavioral health, case management, or quality management. Requires ability to perform complex statistical analysis and highly developed problem solving skills. Requires the ability to manage programs and projects. Requires demonstrated excellence in interpersonal and written communication skills.


Knowledge of CPT, ICD-10, HCPC and DSM coding.

Employees working at BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

PREFERRED QUALIFICATIONS
Knowledge of behavioral health case management principles and practices.


Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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