Clinical Integration Specialist

JOB DESCRIPTION

Employment Type : Full time

Full time

Shift : Day Shift

Day Shift

Description :

The purpose of the Clinical Integration Specialist is to assist and support the Director in quality and safety strategies, plans, and regulatory requirements that improve outcomes and reduce harm to patients.

The specialist works closely with ministry colleagues, providers, and leaders in implementing, monitoring, and evaluating quality and safety programs, structures and requirements that culminate in high reliability.

The specialist, under the direction of the Director, assists in achieving excellence in quality and safety work related to patient outcomes (process and outcome measures), performance improvement strategies and methodologies, culture of safety (TogetherSafe) initiatives, and patient safety organization (PSO) collaboration with risk management that ensures high quality and safe care.

The specialist reports directly to the Regional Director of Quality, Access and Growth for the Medical Group.

What You'll Do :

• Knows, understands, incorporates, and demonstrates the MercyOne Mission, Vision, Core Values, Actions and Promise in behaviors, practices, and decisions.
• Assists the manager in areas of oversight of quality, patient safety (inclusive of the culture of safety (TogetherSafe) work) and infection prevention across the ministry.
• Supports the work of quality and safety related to the quality assurance and performance improvement plan, local / region / system strategies, regulatory and accrediting body requirements (i.

e., Centers for Medicare and Medicaid Services (CMS), Iowa Department of Inspections and Appeals (IDIA), The Joint Commission (TJC),etc.

in conjunction with the hospital’s leaders, colleagues and providers.

• Identifies problem areas in need of focused attention and supports the manager to implement actions to drive improved outcomes.
• Assists the manager in achieving the best outcomes aligned to CMS, pay for performance programs (including those aligned to commercial carriers) and TJC in areas of quality measures and regulatory requirements.
• Promotes continuous improvement toward achieving excellent outcomes and recognition in regards to outside rating organizations, including (not all inclusive) CMS, Leapfrog, Healthgrades, and Blue Distinction etc.
• Collaborates with Medical Group executive leadership, providers, and leaders in meeting / exceeding standards of excellence and achieving national designations, certifications, and awards.
• Collaborates with colleagues in areas of accreditation, risk management, patient experience, clinical practice and performance excellence to provide identified and needed support for improvement.
• Serves as a resource for Clinic Operations and Clinical Leaders in the development, implementation, and evaluation of patient care programs and clinic practice standards, including policies, guidelines, procedures and professional practice models.
• Facilitates and supports the local market Medical Practice Committees.
• Assists with implementation of quality excellence systems that integrate LEAN and other methodologies as appropriate to create a data-driven quality improvement programming.
• Provides appropriate support, and / or consultative services (project design, selection of data required, development of documentation tools, etc.

to quality improvement teams.

• Works closely with colleagues in improving the organization's culture of safety - including the concept of a Just Culture and TogetherSafe .
• Supports opportunities for improvement on Cause Analyses (apparent cause, root cause, common cause), Healthcare Failure Modes and Effects Analysis (HFMEA), and Patient Safety Organization (PSO) initiatives.
• Assists the manager in ensuring accuracy of data in regulatory and accrediting quality databases (i.e., CMS HARP, TJC), registries, and dashboards / scorecards for internal and external customers.
• Promotes an environment of shared leadership, decision-making and accountability.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
• Supports organizational evidence-based practice, innovation and research.
• Assists the manager in the clinical contracting process, consistent with legal and regulatory requirements.
• Contributes to the quality process in evaluating provider performance, inclusive of the focused and ongoing professional practice evaluation review process.
• Maintain awareness of and respond to issues in areas including the following : Ethnic, cultural and diversity changes in the populationPolitical and social influencesFinancial and economic issuesThe aging of societyEthical issues related to healthcare

Perform other duties consistent with the purpose of the job as directed.

Minimum Qualifications

Bachelor’s degree in nursing, health administration or related field required.

Iowa licensure as a Registered Nurse. :

Member of a professional healthcare organization.

Demonstrated expertise in the use of performance improvement methodology / tools.

Must be able to use computers for documentation and other relevant activities. Demonstrates specific knowledge related to software programs such as event reporting systems, government reporting systems, and other appropriate software programs.

Experience with computer applications such as Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), HealthStream, Intranet, and use of reporting tools.

Helpful to have experience with PowerChart / EPIC or similar tool.

Requires a minimum of three (3) years in clinical setting (ambulatory setting preferred).

Benefits Start Day One!

• Medical Insurance with the option for Flexible Spending Accounts
• Dental Insurance
• Vision Insurance
• Basic Life and AD&D Insurance
• Supplemental Life Insurance
• Supplemental AD&D Insurance
• Dependent Life Insurance
• Short and Long-Term Disability / Income Protection
• Time Off regularly accrued PTO for full-time team members, 6 paid holidays, and additional personal days!
• Voluntary Benefits through FarmingtonAccident InsuranceAuto / Home insuranceCritical Illness InsuranceHospital Indemnity InsuranceIdentity / Theft InsuranceLegal ServicesPet InsurancePermanent Life Insurance
• Well-Being ResourcesAdoption AssistanceColleague Discounts through PerkspotSix free therapy sessions / coaching sessions per calendar year for Colleague and household members through Spring HealthStudent Loan Relief ServicesTuition ReimbursementWeight Management Reimbursement BenefitCommuter Benefits
30+ days ago