About Us
McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.
Quality Review Analyst II
Position Summary:
Supports effective operations of the quality improvement and organizational excellence in areas by assisting with performing quality and compliance related activities, supporting abstraction process based on CMS and The Joint Commission (TJC) standards and other related activities. May coordinate medical staff quality and appropriateness review activity.
Essential Functions and Responsibilities:
- Manages concurrent and/or retrospective review of medical record data according to established criteria.
- Abstracts and analyzes clinical and health data elements from multiple sources.
- Coordinates timely collection of data from multiple internal data sources.
- Participates in data collection and reporting through internal and external authorities (e.g., CMS, TJC).
- Initiates collaboration with personnel in other departments to improve data accuracy, collections, and completeness to achieve quality metrics set by various regulatory groups.
- Develops, coordinates, and applies statistical analysis when producing periodic documents or presentations according to reporting requirements and schedule.
- Updates reports based on changes to quality and regulatory reporting.
- Engages appropriate resources to troubleshoot and resolve data issues. Monitors and implements changes to improve data validity.
- Communicate directly with vendors, develops and maintains database, installs and tests software upgrades.
- Serves as an expert in the implementation of new and existing policies, procedures, parties, and standards.
Qualifications:
Required
- Associate's degree in nursing, healthcare administration, business administration, health information management/technology, or related field from an accredited educational institution.
- Experience related to healthcare data quality for three (3) years.
Preferred:
- Bachelor’s degree in nursing, healthcare administration, business administration, technical/analytical field, or related field from an accredited educational institution.
- Certification in Quality Improvement/ Patient Safety (i.e., CPHQ, ASQ, CQIA, Team STEPPS Master Trainer, Project Management).
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
