What are the responsibilities and job description for the Clinical Quality Improvement Specialist position at MetroPlusHealth?
Position Overview
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
Under the direct supervision of the MLTC Clinical Quality Manager, the Clinical Quality Improvement Specialist is responsible to review the Uniform Assessment System-NY (UAS-NY) assessments performed by the Assessment Nurses and UAS-NY vendors, ensuring quality and accuracy on documentation and compliance with
Job Description
- Review clinical documentation in order to ensure that all components of the UAS assessment meets quality standards and accuracy following MetroPlusHealth policies and NYS regulations
- Compare UAS and Tasking Tool to ensure correlation
- Upload the UAS to Lenavi and Develop Task Based tool for members
- Assist Assessment Registered Nurses, as needed, to determine areas that require immediate remediation and assist in resolving inconsistencies
- Prepare various reports and correspondences as well as provide summary reports to highlight key findings for implementation of performance improvement plans
- Maintain a tracking tool that will log unacceptable / inconsistent errors observed during quality reviews
- Communicate inconsistences / identified changes to Assessment Nurses and vendors
- Work with management team to identify areas of continuing education for Assessment Nurses and vendors including MetroPlusHealth policies & procedures for UAS and Tasking Tool assessments
- Assess current quality metrics and identify areas for quality improvement including identification of inter-rater reliability scales and examination of intra-rater reliability upon analysis of the UAS-NY data
- Provide feedback to the management team regarding Assessment Nurse documentation
- Prepare technical guides on Assessment Nurse documentation expectations and improvement
- Assist with special projects as assigned to meet departmental goals and policies
- Oversee vendor dashboards for quality initiatives
- Report weekly to management on UAS reviews
- Other duties as assigned
Minimum Qualifications
Licensure and / or Certification Required
Professional Competencies
Salary : $108,000 - $108,815
