Clinical Outcomes Specialist
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Job Description
At Houston Methodist the Clinical Outcomes Specialist is responsible for supporting regulatory and/or accreditation quality reporting requirements internal quality initiatives clinical outcomes processes and clinical benchmarking endeavors of the entity. This includes concurrent and/or retrospective data abstraction data management data analysis report generation results presentation and dissemination and education of medical staff entity staff and management.
- Communicates and disseminates timely data analysis and findings to management and appropriate entity and/or medical staff committees.
- Communicates timely and relevant feedback to team management entity and/or medical staff as it pertains to assignment errors in coding performance/process improvement initiatives ongoing projects and other related issues; followsup on and closes the loop of each communication to ensure timely resolution or escalation if necessary.
- Adheres to agreed upon escalation process for communication within the department entity and/or medical staff.
SERVICE ESSENTIAL FUNCTIONS
- Supports Department with data abstraction for regulatory and/or accreditation requirements and performance/process improvement projects.
- Interprets and analyzes data to determine trends identify potential causative factors and opportunities for improvement. Incorporates analyses into routine monthly or ad hoc reports using statistical tools/graphic models appropriate for data and intended audience. Presents the information to various committee or performance improvement teams.
- Serves as a resource consultant and expert for assigned registry or measure sets for the Department entity leadership and staff.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Accurately abstracts data through concurrent and/or retrospective medical record review; organizes and inputs data into appropriate database in accordance with specifications manual or coding instructions; adheres to volume requirement and submission deadlines; if required meets registry volume requirement for followup phone calls to clinics patients or families within the required time frame.
- Clarifies interpretation of specifications manual/coding instructions/abstraction guidelines with appropriate registry or measure set support team and disseminates information to team entity and/or medical staff as needed.
- Reviews and validates accuracy and completeness of abstracted data on an established and agreed upon schedule and prior to submission; adheres to established department internal and external validation process to ensure quality accuracy and integrity of data.
- Supports RCAA/FMEA process as requested when patient outcomes suggest possible system failures.
FINANCE ESSENTIAL FUNCTIONS
- Manages department resources and assignment effectively and efficiently as evidenced by prudent use of office supplies timely data abstraction data entry and data submission.
- Reports case reviews with incorrect diagnosis or procedure code and refers cases to Coding team for review and recoding as appropriate.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Maintains knowledge of guidelines governing data abstraction regulatory and accreditation requirements; stays current with clinical knowledge for specialty area by participating in internal or external educational opportunities.
- Makes recommendations to team department or entity committees on how to improve processes and performance based on registry or clinical guidelines.
This job description is not intended to be allinclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
- Bachelor of Science in Nursing required
WORK EXPERIENCE
- Three years of direct patient care in acute care hospital or ambulatory environment required
- Previous performance improvement experience preferred
- RN Registered Nurse Texas State Licensure and/or Compact State Licensure within 60 days OR
- RNTemp Registered Nurse Temporary State Licensure within 60 days
LICENSES AND CERTIFICATIONS PREFERRED
- CPHQ Certified Professional in Healthcare Quality (NAHQ)
- Demonstrates the skills and competencies necessary to safely perform the assigned job determined through ongoing skills competency assessments and performance evaluations
- Sufficient proficiency in speaking reading and writing the English language necessary to perform the essential functions of this job especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients physicians family members and coworkers in a manner consistent with a customer service focus and application of positive language principles
- Ability to review medical information from multiple computer sources abstract pertinent information and assimilate findings based upon defined measurement guidelines
- Detail oriented
- Intermediate computer and analytical skills
- Skill in general use of Excel spreadsheet relational database presentation and wordprocessing software and the Internet; proficiency with MS Word Excel PowerPoint and Outlook essential for success in this position
- Excellent time management and organizational skills
- Ability to work independently and with teams
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform No
- Scrubs No
- Business professional Yes
- Other (department approved) No
ONCALL*
*Note that employees may be required to be oncall during emergencies (ie. DIsaster Severe Weather Events etc) regardless of selection below.
- On Call* No
TRAVEL**
**Travel specifications may vary by department**
- May require travel within the Houston Metropolitan area No
- May require travel outside Houston Metropolitan area Yes
Company Profile:
Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas (twoway tie) and one of Americas Best Hospitals. As a fullservice acutecare hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist it has evolved into one of the nations largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodists primary academic affiliates are among the nations leading health care organizations: Weill Cornell Medicine and New YorkPresbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. With 948 operating beds 85 operating rooms and more than 8400 employees Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.
Houston Methodist is an equal opportunity employer inclusive of women minorities disabled persons and veterans.
Equal Employment Opportunity
Houston Methodist is an Equal Opportunity Employer.
Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race color religion sex sexual orientation gender identity national origin age disability status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor priority referral Protected Veterans requested.
Employment Type
Full Time
Key Skills
