Clinical Quality Assurance Specialist

Job Description

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary:

This position is responsible for providing leadership to ensure the validity of measurement, accuracy of data, patient safety, and regulatory compliance with quality improvement, reporting, and regulatory initiatives. A Clinical Quality Assurance Specialist uses a combination of nursing, quality, and informatics knowledge to manage data, processes, and information systems. In this role, the objectives include improving clinical care, clinical documentation, and reporting for treatment, prevention, drug administration regimens, recordkeeping practices, workflow procedures, medical decision-making, and pay-for-performance programs.

This position is based at UNC Health Chatham and follows a hybrid work schedule, with an expectation of working onsite two days per week. At this time, the role is dedicated exclusively to supporting UNC Health Chatham and does not include travel to or coverage of other UNC Health entities.

In addition to supporting quality and regulatory initiatives, this role offers the opportunity to become a trained Kaizen Coach (if not already certified). The incumbent may lead and coach continuous improvement initiatives, facilitate Kaizen events, and assist with the delivery of onsite Yellow Belt training to support a culture of continuous improvement across UNC Health Chatham.

Responsibilities:

1. Must be an active participant in staying current with all pay for performance programs, government regulations, and key health care system initiatives regarding medical record documentation and plan of care.

2. Performs medical record abstraction for the purpose of quality improvement or reporting. Review and analyze healthcare data and records, validating accuracy and quality documentation to ensure compliance with program requirements. Acts as primary resource and consultant for healthcare providers in regard to a complete and accurate medical record. Ensures that medical records meet regulations. Consults with healthcare provider or quality initiative team regarding missing documentation and ensures that the correct data is entered.

3. Presents results from data analysis to healthcare providers, chairs, appropriate boards, and quality initiative teams. Also presents at conferences, meetings, etc. on regulations and standards for documentation in medical records.

4. Promotes the improvement of patient care and clinical excellence in clinical information systems via effective collaboration with healthcare providers, business and quality analysts, and leaders of clinical programs and quality initiatives. Ensures that the health care system as an organization and clinical providers are following best practice care and are documenting in accordance with these clinical and quality initiatives.

5. Provides education to healthcare providers on best practice patient care as well as documentation, interpretation and compliance of the medical record. Collaborates with medical providers on the documentation for the elements of care for certain patient populations.

6. Works with quality initiative teams to improve care delivery and documentation. Provides support to develop and utilize processes that improve clinical documentation to support patient care, efficient clinical processes, and analytics needs.

Other Information

Education Requirements:

• Bachelor's degree in Nursing (BSN) from a state-accredited school of professional nursing

Licensure/Certification Requirements:

• Licensed to practice as a Registered Nurse in the state of North Carolina.

Professional Experience Requirements:

• Three (3) years of clinical experience in a healthcare setting.

Knowledge, Skills, and Abilities Requirements:

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Unified Quality Chatham SES

Work Type: Full Time

Standard Hours Per Week: 32.00

Salary Range: $35.87 - $51.57 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Siler City

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.