Clinical Improvement Consultant

GENERAL SUMMARY:

Responsible for planning, development, implementation, and ongoing use of health care information programs and data technology which support clinical quality needs, effective and efficient delivery of health care, and achievement of strategic, clinical, and operational goals. Facilitates ongoing compliance with government, clinical, and operational performance measures/objectives and programs. Highly visible, collaborates regularly with all levels of leadership, physicians, and front line staff across Bryan Health.

PRINCIPAL JOB FUNCTIONS:

1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2. *Becomes a subject matter expert in areas of Government, Insurance Payer and Health System regulatory, compliance and payer quality/cost efficiency programs.

3. *Collaborates in the selection of and evaluation of the organization's ability to meet selected clinical and quality performance measures/objectives.

4. *Develops, implements, and monitors the ongoing process of meeting clinical, operational, and governmental performance measures/objectives and value-based programs.

5. *Provides training and on-going education of clinical users on features, operation, and usage of clinical systems. Selects appropriate training methodology, develops training plan, designs training materials, and trains end users to support the transition into new systems and processes for clinical staff and physicians

6. *Coordinates the design and generates routine and specialized reports that provide accurate, timely, and effective communication of the impact of clinical systems, quality of care, and clinical performance while assisting with interpretation and meaning of that data as needed.

7. *Maintains ongoing, positive, solution-driven relationships by frequently working with clinical staff and physicians at the point of care to foster collaboration, engagement, improved adoption/consistency, and optimization of patient care delivery systems.

8. *Collaborates with the Health System Information Technology department on system design and configuration to support efficient and effective clinician workflow, while enabling the capture of clinical data required for outcomes analysis, process improvement initiatives, regulatory reporting, and clinical operations management.

9. Provides coaching to physicians and clinical support staff on clinical documentation improvement opportunities as well as opportunities involving coding and reimbursement.

10. Leverages clinical knowledge of processes, workflows, and evidence-based practice to improve the efficiency and effectiveness of clinic systems and operations.

11. Proactively identifies and addresses knowledge deficits and serves as a facilitator of projects to solicit interdisciplinary end user input for analysis of current state, identification of process gaps, design of future state, incorporation of clinical best practices, and ongoing enhancement of clinical system processes.

12. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

13. Participates in meetings, committees and department projects as assigned.

14. Performs other related projects and duties as assigned.

(Essential Job functions are marked with an asterisk "*").

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

1. Knowledge of government, clinical, and operational quality and performance measures/objectives and value-based programs including but not limited to PQRS (Physician Quality Reporting System), VBM (Value-Based Modifier), MU (Meaningful Use), HIE (Health Information Exchange), and MIPS (Merit-based Incentive Payment System).

2. Knowledge of payer reimbursement methodologies and quality incentive programs.

3. Knowledge of certified electronic health record technology (CEHRT), third party data depositories, and government reporting applications.

4. Knowledge of and competency in mapping clinical practices to technology applications.

5. Knowledge of process improvement and change management principles within the healthcare environment.

6. Knowledge of computer hardware equipment and software applications relevant to principal job functions.

7. Strong analytical skills.

8. Ability to incorporate diverse teaching strategies for documentation requirements relating to quality management, clinical, and operational goals.

9. Ability to facilitate change and manage projects through analysis, key end user engagement, and consensus building within an interdisciplinary environment.

10. Ability to communicate effectively both verbally and in writing.

11. Ability to effectively organize and prioritize work projects and manage time.

12. Ability to assess, plan, implement and evaluate the clinical theoretical processes as they relate to patient care and technology.

13. Ability to problem solve and engage independent critical thinking skills

14. Ability to work independently, take direction and work collaboratively with others.

15. Ability to network and develop effective working relationships with all co-workers, clinical and non-clinical colleagues.

16. Ability to travel regularly between sites, most within a 90-mile radius, approximately 3-5 days per week, including night and early morning meetings as needed.

17. Ability to maintain confidentiality relevant to sensitive information.

18. Ability to maintain regular and punctual attendance.

EDUCATION AND EXPERIENCE:

Bachelor's of Science degree with three (3) years of work-related experience or Master's of Science degree with one (1) year of work-related experience required. Licensure in a medical or allied health area of study or professional certification preferred. Experience in nursing, allied health, healthcare administration, public health, clinical quality, or informatics preferred. Experience with certified electronic health record technology (CEHRT) preferred.

OTHER CREDENTIALS / CERTIFICATIONS:

Valid driver's license required. Verification and maintenance of responsible driving record per facility standards required.

PHYSICAL REQUIREMENTS:

(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)

(DOT) Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects.