Description
GJ24074
Quality Assurance Analyst
San Francisco, CA
4 Months
Experience Requirements: Recent experience as a quality analyst, or similar position, in health care preferred
Position Summary:
Assists clinical support services and hospital ambulatory and health plan committees with patient care review and reporting requirements. Ensures accurate data collection, organization and tracking of medical staff departmental chart reviews, generation of computerized reports and maintenance of all data files.
Education/License/Certification:
High School diploma and computer experience. Some college level courses preferred.
Duties:
Conducts concurrent and retrospective clinical studies by performing review using screening criteria as prescribed by the medical staff. Performs variance screening and tracking by reviewing Clinical Pathway documentation to monitor quality of care issues. Aggregates data and refers all cases not meeting established criteria to Departmental Quality Assurance. Enters QA/RM/UM variances from care paths, screening indicators, utilization focused studies and Medicare admission necessity and continued stay reviews into the department computer database. Prepares statistical reports based on information retrieved from MIDAS, EZ-QA, PARRS, and/or CABS/ADT systems and manual record review and data aggregation. Enters unusual occurrence and other information into the department database. Creates and runs reports for departments and the Committees. Prepares worksheets, distributes charts, and completes applicable portions of the physician peer review forms and monitors their completion by the medical staff. Maintains confidentiality of all data. Organizes and maintains the data to assure integrity and reliability for future reporting.
Qualifications:
Recent experience as a quality analyst, or similar position, in health care preferred. Working knowledge of medical terminology preferred. Skills in medical record reading & review preferred. (Higher education can be substituted for experience.) Must be able to work in a Labor/Management Partnership environment.
Top 3 skills needed to succeed in this position:
1. knowledge of medical terminology
2. Skills in medical record reading & review
3. generation of computerized reports and maintenance of all data files