Quality Analyst

Job Details

Description

MAIN DUTIES AND RESPONSIBILITIES:

Quality Improvement Process/Data Management

Quality Analyst will complete all tasks outlined below for their assigned regions:

• Coordinate process improvement task forces and assist the Quality Improvement Supervisor in management of process improvement projects.
• Collect and analyze data for quality measurements at Caron.
• Manage and/or conduct measurements related to patient care improvement and medical record documentation improvements. (Example: Open Chart Reviews, Closed Chart Reviews, Patient Satisfaction.)
• Complete timely and accurate quality reports, rending grids and graphical displays when requested.
• Ensure all data collected is reliable, valid, complete, accurate and useful.
• Coordinate and conduct benchmarking measurement including collaborating on national benchmarking with other addiction treatment facilities on a regular basis.
• Meet with department and clinical directors quarterly to ensure performance indicators, measures and outcomes are being completed as required and to provide measure results to directors.
• Document and communicate quality trends and issues to the Quality Improvement Supervisor.
• Investigate and respond to all grievances submitted to the Quality Department.
• Conduct medical record chart reviews for significant incidents or as requested by the Quality Improvement Supervisor.
• Assist in conducting “Lessons Learned” for significant incidents or process issues.
• Effectively track and monitor data for outcomes measurements.
• Conduct process improvement evaluations for departments and clinical units at the Wernersville campus.
  
  

Policy & Procedure Management

Quality Analyst will assist in the management and oversight of the Policy Management System for his/her assigned region including:

• Assisting Clinical Services, Medical Services and Nursing Services with the creation or revision of policies and procedures including providing guidance on appropriate CARF standard references.
• Ensuring all departments complete their annual review of all policies.
• Ensuring department directors follow Caron’s standardized process for new policy creation.
• Providing assistance to policy department owners and general users when requested including contacting the policy management system vendor for assistance when needed.
  
  

This job description reflects management’s assignment of essential functions; it does not prescribe or restrict the duties or tasks that may be required or assigned.

Physical Requirements

The physical and mental demands described here are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to work extended hours.
• Light lifting up to 20 pounds (manuals, notebook computers, LCD, etc.)
• Able to travel (when required).
  
  

Education, Experience And Qualifications

• Must possess a Bachelor’s degree.
• 3 years’ experience in quality improvement preferred.
• Experience in the collection and analyzation of data required.
• If in recovery, 1 year current and continuous sobriety preferred.
  
  

Knowledge / Skills / Abilities

• Ability to operate autonomously and deal with extremely confidential information.
• Excellent written and oral communication skills.
• Working knowledge of Microsoft office products.
• Must possess the ability to follow directions well and make independent sound decisions when necessary.
• Organizational skills, self-motivated.
• Able to handle multiple tasks at one time.
• Ability to work well with all levels of employees.
• Demonstrate versatility and flexibility in a busy environment.