POSITION SUMMARY/RESPONSIBILITIES

Provides support for the Health System’s quality improvement functions through the analysis of data and indicators.  Responsible for identifying and monitoring ongoing quality improvement issues and opportunities.   Assists in the development of process metrics, data collection tools and presentations of resultant data throughout the Health System.  Serve as facilitator/leader of process improvement efforts.  Engages with Senior Leadership, Department Directors, Educators, and their staff and physician/provider leaders/representatives. Work collaboratively with all members of the healthcare team. Reviews patient information, screening the information through the appropriate review process for accurate and complete documentation of a patient’s care to meet quality guidelines and regulations.

EDUCATION/EXPERIENCE

Bachelor’s degree in nursing required. Three or more years of relevant clinical experience are required.  Experience with quality improvement methodology is highly preferred.  Work experience in documentation improvement, utilization review or hospital quality assurance is preferred. Knowledge and experience in data analysis is preferred. Certification in Health Care Quality (CPHQ) or Healthcare Accreditation Certification Program certification or equivalent is preferred.

LICENSURE/CERTIFICATION

Current RN licensure form the Board of Nurse Examiners of the State of Texas is required.