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Clinical Outcomes Specialist
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$61k-76k (estimate)
Full Time | Ambulatory Healthcare Services 3 Months Ago
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Houston Methodist is Hiring a Clinical Outcomes Specialist Near Houston, TX

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.

PEOPLE ESSENTIAL FUNCTIONS
  • 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; follows-up 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 follow-up 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 re-coding 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 all-inclusive; 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.
EDUCATION
  • 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

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$61k-76k (estimate)

POST DATE

02/25/2023

EXPIRATION DATE

06/06/2024

WEBSITE

houstonmethodist.org

HEADQUARTERS

CYPRESS, TX

SIZE

7,500 - 15,000

FOUNDED

2010

CEO

GABRIELA NICOLA

REVENUE

$5B - $10B

INDUSTRY

Ambulatory Healthcare Services

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