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Clinical Outcomes Specialist (RN)

Houston Methodist

This is a Full-time position in Houston, TX posted May 14, 2022.

JOB SUMMARY
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.

PRIMARY JOB RESPONSIBILITIES
Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE – 20%

  1. Communicates and disseminates timely data analysis and findings to management and appropriate entity and/or medical staff committees. (EF)
  2. 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. (EF)
  3. Adheres to agreed upon escalation process for communication within the department, entity and/or medical staff. (EF)

SERVICE – 20%

  1. Supports Department with data abstraction for regulatory and/or accreditation requirements and performance/process improvement projects. (EF)
  2. 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. (EF)
  3. Serves as a resource, consultant, and expert for assigned registry or measure sets for the Department, entity leadership, and staff. (EF)

QUALITY/SAFETY – 40%

  1. 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 timeframe. (EF)
  2. 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. (EF)
  3. 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. (EF)
  4. Supports RCAA/FMEA process as requested when patient outcomes suggest possible system failures. (EF)

FINANCE – 10%

  1. Manages department resources and assignment effectively and efficiently as evidenced by prudent use of office supplies, timely data abstraction, data entry, and data submission. (EF)
  2. Reports case reviews with incorrect diagnosis or procedure code and refers cases to Coding team for review and re-coding as appropriate. (EF)

GROWTH/INNOVATION – 10%

  1. 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. (EF)
  2. Makes recommendations to team, department, or entity committees on how to improve processes and performance based on registry or clinical guidelines. (EF)

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 REQUIREMENTS

  • Bachelor of Science in Nursing required

EXPERIENCE REQUIREMENTS

  • Three years of direct patient care in acute care hospital or ambulatory environment required
  • Previous performance improvement experience preferred

CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED

  • Texas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirements.
  • Certified Professional in Healthcare Quality (CPHQ) desired

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

  • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
  • Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
  • Ability to effectively communicate with patients, physicians, family members, and co-workers in a manner consistent with a customer service focus and application of positive language principles
  • Ability to review medical information from multiple computer sources, abstract pertinent information, and assimilate findings based upon defined measurement guidelines
  • Detail oriented
  • Intermediate computer and analytical skills
  • Skill in general use of Excel spreadsheet, relational database, presentation and word-processing software and the Internet; proficiency with MS Word, Excel, PowerPoint, and Outlook essential for success in this position
  • Excellent time management and organizational skills
  • Ability to work independently and with teams

SUPPLEMENTAL REQUIREMENTS

Work Attire Yes/No
Uniform No
Scrubs No
Business professional Yes
Other (dept approved) No

On-Call*

No (for Non-Exempt or Exempt jobs)

*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Event, etc) regardless of selection above.

Travel**

May require travel within No
Houston Metropolitan area  

May require travel outside Yes
of Houston Metropolitan area  

**Travel specifications may vary by department.

Please note any other special considerations to this job: __________________________

Company Profile:

Since its founding in 1919, Houston Methodist Hospital has earned worldwide recognition. Houston Methodist Hospital is affiliated with the Weill Medical College of Cornell University and New York-Presbyterian Hospital, one of the nation’s leading centers for medical education and research. In 2020, U.S. News & World Report named Houston Methodist Hospital to its top ranked Honor Roll for the fourth time and second consecutive year. 2020 also marked the ninth year in a row Houston Methodist Hospital has been named the No. 1 hospital in Texas. Houston Methodist Hospital directs millions of research dollars into patient care and offers the latest innovations in medical, surgical and diagnostic techniques. With 952 operating beds, 85 operating rooms and over 8,000 employees, Houston Methodist offers complete care for patients from around the world.

The same high-quality care for which Houston Methodist is known is available at several Emergency Care Centers in Houston and the surrounding areas. These Emergency Care Centers house exam rooms, full digital radiography suite, low radiation dose 16-slice CT scan, ultrasound and a full on-site stat chemistry lab.

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