What are the responsibilities and job description for the BMS CLINICAL IMPROVEMENT ASSISTANT - AMBULATORY position at Independence Health System - Westmoreland Area?
Job Details
Description
The CIA works collaboratively with the medical and clinical staff to improve quality, efficiency and patient experience by managing and utilizing data to drive improvements. Interpret payer and BMP data reports to identify opportunities for improvement and maximize value-based improvements. Efficiently communicate practice level data to BMP offices as well as interaction with patients and staff to help drive improvement in those opportunities.
Essential Job Functions
Actively participate on BMP and system committees, as assigned.
Attend Physician meeting, as assigned.
Attend workshops and may be asked to demonstrate or present new strategies and/or workflows within EHR.
Attend departmental and/or office meetings of assigned offices.
Effectively communicate all quality initiatives and updates, along with corporate quality goals and metrics.
Relay physician concerns and recommendations to the appropriate personnel.
Actively participate in BMP quality activities.
Receive and review data and reports such as Highmark and UPMC Gap reports, Corporate Quality Scorecard and TruePerformance Reports.
Identify trends and patterns for improvement as assigned.
Participate in BMP workgroups related to quality issues.
Responsible for key clinical quality projects and initiatives, as assigned.
Assist BMP administration in managing scorecard and benchmarking projects.
Support performance improvement initiatives related to Quality within the physician practices.
Assist in data collection.
Incorporate into practice performance improvement initiatives that have been implemented.
Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level.
Achieves thoroughness and accuracy when accomplishing an essential or specialty function of the job.
Ability to think and concentrate for an entire shift.
Other duties as assigned.
Required Qualifications
High School Diploma or GED.
Strong leadership ability, good organizational skills, independent and critical thinking skills, and sound judgment.
Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience.
PA Act 34 Pennsylvania Access to Criminal History Clearance.
Preferred Qualifications
2-3 years’ experience in a medical/surgical outpatient practice. Previous experience with analyzing quality data.
License, Certification & Clearances
Supervisory Responsibilities
This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department.
Regular, consistent, on-site and timely attendance.
Travel expected locally between BMP locations.
LEAN
Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Independence Health's missions, vision and values.
AAP/EEO
Independence Health is an Equal Opportunity Employer. It is the policy of Independence Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Independence Health will conform to the spirit as well as the letter of all applicable laws and regulations.
Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines
The following frequency definitions apply to all Physical Requirements unless otherwise noted:
Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr)
Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr)
Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr)
NOTE: An asterisk (*) indicates that the item is an essential function.
Non-Material Handling
Standing- Remaining on one's feet in an upright position remaining stationary - OCCASIONAL
Walking- Remaining upright on one's feet, and moving about - OCCASIONAL
Sitting*- Body remains in a seated position - CONSTANT
Stooping- To bend the body downward and forward by bending the spine at the waist - OCCASIONAL
Bending- To flex the upper body forward - OCCASIONAL
Twisting- To rotate the upper body forward - OCCASIONAL
Climbing- To move the body in any direction on equipment or structures that do not include stairs or ladders -OCCASIONAL
Ladders- To ascend and descend ladders - OCCASIONAL
Stairs- To ascend and descend stairs - OCCASIONAL
Kneeling- To move the body downwards and come to rest on both hands and both knees - N/A
Squatting- To move the body downwards by bending both knees - OCCASIONAL
Crouching- To bend the body forward and downward by bending the spine and the legs - OCCASIONAL
Crawling- To move the body forward or backwards on hands and knees - N/A
Reaching Horizontal- To extend the arms and hands outward, remaining under shoulder height - OCCASIONAL
Reaching Overhead - To extend the arms and hands up and out over shoulder height - OCCASIONAL
Grasping- Using functional gripping of the hand to handle an object - OCCASIONAL
Finger Manipulation*- To manipulate objects with the use of fingers - CONSTANT
Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT
Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT
Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time -CONSTANT
Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A
Material Handling
Pushing - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person
OCCASIONAL - Up to 20#
Pulling - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towardsthe person
OCCASIONAL- Up to 20#
Lift - Floor to Waist
OCCASIONAL - Up to 20#
Lift - Waist to shoulder
OCCASIONAL - Up to 20#
Lift - Shoulder to overhead
OCCASIONAL - Up to 20#
Carrying - To transport an object or article using the arms or hands (> 10 feet)
FREQUENT - Up to 20#
Environmental Factors
Working alone- OCCASIONAL
Working in cramped quarters - N/A
Constant interruptions - OCCASIONAL
Working with hands in water - N/A
Use of power tools - N/A
Working on ladders/scaffolding - N/A
Exposure to vibration - N/A
Exposure to dust - N/A
Exposure to noise (constant) - N/A
Exposure to electrical energy (outlets, etc) - N/A
Exposure to temperature changes (heat, cold, humidity), that require special clothing - OCCASIONAL
Exposure to slippery walking surfaces - OCCASIONAL
Exposure to solvents, grease, oils - N/A
Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - CONSTANT
Working with bloodborne pathogens - OCCASIONAL
Description
The CIA works collaboratively with the medical and clinical staff to improve quality, efficiency and patient experience by managing and utilizing data to drive improvements. Interpret payer and BMP data reports to identify opportunities for improvement and maximize value-based improvements. Efficiently communicate practice level data to BMP offices as well as interaction with patients and staff to help drive improvement in those opportunities.
Essential Job Functions
Actively participate on BMP and system committees, as assigned.
Attend Physician meeting, as assigned.
Attend workshops and may be asked to demonstrate or present new strategies and/or workflows within EHR.
Attend departmental and/or office meetings of assigned offices.
Effectively communicate all quality initiatives and updates, along with corporate quality goals and metrics.
Relay physician concerns and recommendations to the appropriate personnel.
Actively participate in BMP quality activities.
Receive and review data and reports such as Highmark and UPMC Gap reports, Corporate Quality Scorecard and TruePerformance Reports.
Identify trends and patterns for improvement as assigned.
Participate in BMP workgroups related to quality issues.
Responsible for key clinical quality projects and initiatives, as assigned.
Assist BMP administration in managing scorecard and benchmarking projects.
Support performance improvement initiatives related to Quality within the physician practices.
Assist in data collection.
Incorporate into practice performance improvement initiatives that have been implemented.
Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level.
Achieves thoroughness and accuracy when accomplishing an essential or specialty function of the job.
Ability to think and concentrate for an entire shift.
Other duties as assigned.
Required Qualifications
High School Diploma or GED.
Strong leadership ability, good organizational skills, independent and critical thinking skills, and sound judgment.
Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience.
PA Act 34 Pennsylvania Access to Criminal History Clearance.
Preferred Qualifications
2-3 years’ experience in a medical/surgical outpatient practice. Previous experience with analyzing quality data.
License, Certification & Clearances
Supervisory Responsibilities
This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department.
Regular, consistent, on-site and timely attendance.
Travel expected locally between BMP locations.
LEAN
Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Independence Health's missions, vision and values.
AAP/EEO
Independence Health is an Equal Opportunity Employer. It is the policy of Independence Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Independence Health will conform to the spirit as well as the letter of all applicable laws and regulations.
Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines
The following frequency definitions apply to all Physical Requirements unless otherwise noted:
Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr)
Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr)
Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr)
NOTE: An asterisk (*) indicates that the item is an essential function.
Non-Material Handling
Standing- Remaining on one's feet in an upright position remaining stationary - OCCASIONAL
Walking- Remaining upright on one's feet, and moving about - OCCASIONAL
Sitting*- Body remains in a seated position - CONSTANT
Stooping- To bend the body downward and forward by bending the spine at the waist - OCCASIONAL
Bending- To flex the upper body forward - OCCASIONAL
Twisting- To rotate the upper body forward - OCCASIONAL
Climbing- To move the body in any direction on equipment or structures that do not include stairs or ladders -OCCASIONAL
Ladders- To ascend and descend ladders - OCCASIONAL
Stairs- To ascend and descend stairs - OCCASIONAL
Kneeling- To move the body downwards and come to rest on both hands and both knees - N/A
Squatting- To move the body downwards by bending both knees - OCCASIONAL
Crouching- To bend the body forward and downward by bending the spine and the legs - OCCASIONAL
Crawling- To move the body forward or backwards on hands and knees - N/A
Reaching Horizontal- To extend the arms and hands outward, remaining under shoulder height - OCCASIONAL
Reaching Overhead - To extend the arms and hands up and out over shoulder height - OCCASIONAL
Grasping- Using functional gripping of the hand to handle an object - OCCASIONAL
Finger Manipulation*- To manipulate objects with the use of fingers - CONSTANT
Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT
Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT
Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time -CONSTANT
Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A
Material Handling
Pushing - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person
OCCASIONAL - Up to 20#
Pulling - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towardsthe person
OCCASIONAL- Up to 20#
Lift - Floor to Waist
OCCASIONAL - Up to 20#
Lift - Waist to shoulder
OCCASIONAL - Up to 20#
Lift - Shoulder to overhead
OCCASIONAL - Up to 20#
Carrying - To transport an object or article using the arms or hands (> 10 feet)
FREQUENT - Up to 20#
Environmental Factors
Working alone- OCCASIONAL
Working in cramped quarters - N/A
Constant interruptions - OCCASIONAL
Working with hands in water - N/A
Use of power tools - N/A
Working on ladders/scaffolding - N/A
Exposure to vibration - N/A
Exposure to dust - N/A
Exposure to noise (constant) - N/A
Exposure to electrical energy (outlets, etc) - N/A
Exposure to temperature changes (heat, cold, humidity), that require special clothing - OCCASIONAL
Exposure to slippery walking surfaces - OCCASIONAL
Exposure to solvents, grease, oils - N/A
Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - CONSTANT
Working with bloodborne pathogens - OCCASIONAL
