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Quality Improvement Specialist , Care Coordination in Tampa, FL at HSAG

Date Posted: 9/21/2018

Job Snapshot

Job Description

SUMMARY

 

Reducing unnecessary readmissions is a key component to reducing costs, increasing efficiency and reforming the healthcare system. As part of a nationwide effort to reduce avoidable hospital readmissions, you will work closely with hospital staff and community based organizations to improve the transitions of care for Medicare beneficiaries.

 

Under general supervision, this position assists the Program Director in performing the day-to-day operations of the Quality Improvement Organization (QIO) contract, which is designed to make care safer, promote effective coordination of care, promote preventive care, and help communities support better health, reduce costs of care through continual improvement, and promote person- and family-centered care. This position is responsible for coordinating and implementing a broad range of collaborative and community activities among private and public entities to improve health and health care for all Medicare beneficiaries. This position is also responsible for coordinating project activities including planning, budgeting, preparing and finalizing reports, and meeting project timelines and deliverables. 

 

ESSENTIAL COMPETENCIES, DUTIES AND RESPONSIBILITIES

  • Responsible for building, leading, and transitioning providers within a geographic region for the purpose of working together as a community to improve transitions of care for all Medicare fee-for-service patients’ discharges and enhance care coordination. 
  • Manages all efforts of establishing community coalitions consisting of hospitals, nursing homes, home health, various community-based organizations, and other influencers to reduce hospital readmissions statewide and at the community level. 
  • Serves as the liaison between all coalition members providing technical assistance to improve overall quality of care and reduce hospital readmissions. This may include advising organizations through the root cause analysis process, identification of possible interventions and guiding them throughout the implementation and data collection processes. 
  • Communicates/consults with health care providers and communities on a regular basis to assist with advancing their quality improvement objectives and provides technical assistance and recommendations as needed. 
  • Assesses current health care environment, provider and community processes, support systems, and barriers. Based upon assessment findings—and in collaboration with providers, partners, and stakeholders—recommend appropriate interventions. 
  • Works with community and hospital leaders to identify and standardize best practices and evidence-based solutions for transitions in care to reduce avoidable readmissions, reduce adverse drug events, and connects with other Tasks per the Quality Improvement Network (QIN) contract that have overlap or related pertinence to care coordination. 
  • Works closely with interdisciplinary quality improvement team within assigned territories to implement tools and programs to reduce avoidable readmissions. This can include assistance in improving the discharge process, patient and caregiver education, patient follow up, transfers to home or nursing home and linkages to various community and social service partners. 
  • Communicates and works well on tasks with ancillary and ad-hoc team members, community partners, and stakeholders to plan, facilitate, and execute activities. 
  • Utilizes clinical expertise, problem-solving techniques, flow diagrams, statistical process control charts, cause-and-effect diagrams, root cause analysis, and other quality improvement methods to demonstrate to collaborative and community participants how to reengineer existing processes or design new ones to improve performance. 
  • Provides necessary education and materials and directs providers to resources that will assist them with understanding and utilizing problem-solving and quality-improvement techniques. 
  • Assists in the development, promotion and implementation of training programs and the provision of technical assistance to providers, partners, stakeholders, and community members, as well as participates in educational presentations as required. 
  • Possesses the ability to discuss complex health care issues during face-to-face meetings, teleconferences, and through written correspondence with providers and stakeholders. Refers questions to appropriate HSAG associates and Centers for Medicare & Medicaid Services (CMS) contractors as needed. 
  • Remains current and knowledgeable about new initiatives, activities, opportunities, tools, and techniques through research, training, education, and a variety of nationally recognized sources. 
  • Routinely documents and reports on project status, on-site visit activities, provider activities, and barriers/solutions using appropriate HSAG and/or CMS reporting tools and databases. 
  • Develops written reports, proposals, and project budgets as requested. Assures contract tasks meet customer and budget requirements. 
  • Willing to travel throughout the state to work with providers and occasionally in other QIN states (if needed) in order to achieve contract goals. 
  • Maintains current QIN contract knowledge, the contract metrics and conducts the activities needed that must be met in order to satisfy the contract terms. 
  • Participates in contract related webinars and trainings. 
  • Assist with conference planning and other educational workshops by assisting in the program content, expert speaker research, securing continuing education units for participants and other similar tasks as requested.

Job Requirements



EDUCATION AND/OR EXPERIENCE

 

  • The ideal candidate will be an experienced health care professional with a bachelor's degree or higher in appropriate science or related discipline.

 

  • Degree in nursing, health education or related health care areas of study preferred - Registered Nurse, Certification in HealthCare Quality (CPHQ) or Case Management (CCM).

 

  • Three or more years of health care experience in a hospital and/or skilled nursing facility environment.

 

 

OTHER QUALIFICATIONS

 

  • Working knowledge of discharge process and planning and appropriateness of post-acute services. 
  • Experience in community transitions, readmissions, hospital flow and process improvement. 
  • Knowledge of and experience with root cause analysis, quality improvement tools and techniques, evidence-based interventions, customer service, and culture-change concepts. 
  • Successful experience with meeting planning, group facilitation, coalition building, and establishment of community-focused learning and action networks. 
  • Familiar with federal and state regulatory standards for hospitals and other care providers that are in the communities we are working with. 
  • Possess general understanding of the changing health care environment. 
  • Proficient in Microsoft Office preferred- Word, Excel, Outlook, Project and Power Point. 
  • Proficient in oral and written communication and interpersonal skills. 
  • Grant writing skills a plus. 
  • Experience within the hospital system and of the discharge process preferred. 
  • Familiarity with Project RED (Re-Engineered Discharge), Project BOOST (Better Outcomes for Older adults through Safe Transitions), CTI (Care Transitions Intervention), INTERACT II (Interventions to Reduce Acute Care Transfers) and/or other evidence-based health promotion interventions. 
  • Understanding of Community-Based Care Transitions Program (CCTP) a plus. 

 

WORK ENVIRONMENT

 

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

 

DISCLAIMER

 

This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments). 

HSAG is an EEO Employer of Veterans protected under Section 4212. 

If you have special needs and require assistance completing our employment application process, please feel free to contact us.

EOE M/F/Disability/Veteran

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