Livonia, Michigan, USA
2 days ago
Clinical Nurse Reviewer
Employment Type:Full timeShift:Day Shift

Description:

Here is the updated JD for the job req 00608661. The one in there says HMS and needs to state MSQC. Posting

Posting

The Clinical Nurse Reviewer’s chief responsibility is to collect and submit reliable data on eligible cases as required for participation in the Michigan Surgical Quality Collaborative (MSQC), a Blue Cross Blue Shield of Michigan-funded Collaborative Quality Initiative (CQI).  This is accomplished through high-quality clinical screening, data compilation, documentation and entry into the HMS database of all eligible cases for the hospital.  The Clinical Nurse Reviewer also works closely with the physician champion and appropriate hospital leadership to identify opportunities for clinical quality improvement and other special projects as may be identified.

 

PERFORMANCE DUTIES

Documenting Patient Care

Responsible for the identification of patients for inclusion in the program registry through the application of program inclusion/exclusion criteria.Responsible for independently managing the case load and reporting data to MSQC according to established standards and deadlines.  Data components will be obtained through the effective utilization of the hospital medical record system.Demonstrates applicability of the methodology and the reliability of definitions utilized by reviewers within the program.Responsible for identifying areas for streamlining and process improvement in the data collection process.Demonstrates appropriate utilization of resources necessary to obtain valid, reliable data for entry into the program.

 

Works Effectively with Patients, Families, and Staff

Establishes effective working relationships with members of the hospital community, especially staff in the Medicine, Nursing, Medical Records and the Information Systems Departments whose support is necessary for the management and success of the program.Contacts patients and/or families via telephone and/or written communications post-discharge for the purpose of identifying possible clinical concerns.Actively engages in MSQC activities and identifies opportunities to improve the quality of care in the inpatient setting by working with physicians, nurses, other clinicians, and administrators to develop strategies to improve performance.Serves as an educational resource for the MSQC CQI for internal and external audiences by developing educational material and delivering presentations.Maintains regular contact with the MSQC physician champion and other members of the team at the hospital.Attend pertinent hospital committee meetings as appropriate.

 

MSQC Participation

Attends consortium-wide meetings and sub-group meetings as a representative of the hospital.Prepares for and participates in site audits by the MSQC Coordinating Center, resolves data discrepancies, and responds to MSQC Coordinating Center requests in a timely fashion.Participates in teleconferences with other MSQC Clinical Nurse Reviewers.Attends national conferences pertaining to the program as requested.

 

 

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Confirmar seu email: Enviar Email