Clinical Quality Documentation Specialist

Benefits

• Paid time off and Holiday pay
• $1,000 Professional Development per year ($500 part-time)
• $6,000 Student Loan Repayment ($3,000 part-time)
• $10,000 Tuition Reimbursement per year ($5,700 part-time)
• Annual Employee Merit Increase and Incentive Bonus
• $250 Wellbeing Fund per year($125 for part-time)

Description

The Clinical Quality Doc Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Responsibilities:

• Presents updates to operational and medical leadership, attending and resident physicians and interdisciplinary quality committees.
• Participates in concurrent performance improvement activities and on-going review activities.
• Partners with operational and medical leadership in a given service line to identify, develop and implement successful communication and education, to engage physicians and improve processes and outcomes.
• Rounds daily with physician and mid-level providers in assigned service line(s) to ensure appropriate and accurate documentation in the medical record.
• Fosters an environment to execute a shared vision in creating a model of best practice in the accurate reporting of patient diagnoses, comorbid conditions and treatment rendered.
• Applies knowledge of professional nursing standards, best practices, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign.
• Participates on departmental and hospital committees and task-forces as assigned.
• Collaborates with the Clinical Quality Team and the Clinical Quality Medical Directors to model, teach and improve upon the culture of safety with shared improvement in all venues.
• Ensures the level of services and acuity of care will accurately be reflected in quality outcomes.
• Performs data collection activities to identify documentation issues, quality issues, and opportunities for improvement in patient care and services.
• Complies with Northwestern Memorial Hospital policies on patient confidentiality including HIPAA requirements and Personal Rules of Conduct.
• Performs other job related duties as requested.
• Professional Development and Education, Masters evidence and literature in relevant clinical area, discipline, and improvement science, including clinical quality improvement, patient safety, human factors, failure modes, root cause analysis, and related performance and safety resources.
• Analyzes quality and patient safety data to identify patterns in the management of patient care and services using reported 1.) Hospital acquired conditions, 2) Patient safety indicators, 3) Case Mix index, and 4) Expected mortality.
• Performs daily medical record reviews in assigned service line(s).
• Communicates effectively and collaborates with the Clinical Coding Team.

AA/EOE.

Qualifications

Required:

• Licensed Registered Nurse (R.N.) in the State of Illinois.
• Strong interpersonal, communication, conflict management, diplomacy and negotiation skills.
• Must possess and consistently demonstrate:
  • Strong interpersonal, communication, conflict management, diplomacy and negotiation skills.
  • Proven leadership to affect positive clinical quality outcomes.
  • Analytical skills necessary to independently collect analyze and interpret clinical data.
  • Basic computer skills and willingness to learn computer applications relative to this position.
• Basic computer skills and willingness to learn computer applications relative to this position.
• Demonstration of advanced clinical expertise
• Analytical skills necessary to independently collect analyze and interpret clinical data.
• Proven leadership to affect positive clinical quality outcomes.
• Bachelors of Science Degree in Nursing

Preferred:

• Five years experience in medical/ surgical, critical care, intensive care or emergency care

Equal Opportunity

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.