LVN Quality Improvement Data Analyst

Job Description

Bienvivir All-Inclusive Senior Health (“Bienvivir”) is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly (“PACE”).

PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible.

BENEFITS for Full and Part-time employees who work 30 or more hours per week:

We pay 100% of the MEDICAL monthly premiums for Employee Only coverage.

We pay 100% of the DENTAL monthly premiums for Employee Only coverage.

We provide an affordable VISION monthly premium for Employee + Family coverage.

We pay 100% of BASIC LIFE for a benefit amount of $10,000.

We offer safe harbor matching contributions for the 403(B) RETIREMENT SAVINGS account.

We offer up to fifteen (15) days of PAID TIME OFF based on paid hours per pay period.

We offer eleven (11) company-observed PAID HOLIDAYS.

We offer education and TUITION REIMBURSEMENT.

We offer MILEAGE REIMBURSEMENT.

Bienvivir is currently accepting applications for the following position:

LVN - QUALITY IMPROVEMENT DATA ANALYST

Under the supervision of the Quality Improvement Director, the Quality Improvement Data Analyst is responsible for the collection, reconciliation, trending, and statistical analysis of data for purposes of program evaluation, decision-making, clinical quality improvement, and regulatory compliance. The Quality Improvement Data Analyst will work with the rest of the Quality Improvement team in the areas of data entry and maintenance, data analysis, report preparation, audits, and other special projects and assignments, and will work collaboratively with employees and contractors to plan and implement initiatives that promote continuous improvement in quality care and participant safety.

RESPONSIBILITIES:

1. Analyze quality and participant safety data to support quality improvement initiatives by providing actionable insights and recommendations that improve clinical and operational processes and reduce identified risk trends.
2. Maintain an accurate and complete Falls and ED Utilization Database system to ensure compliance with regulatory requirements.
3. Collaborates with Utilization Management and other departments (including Clinics, Medical Records, Accounting, etc.) to ensure accurate data entry and reporting.
4. Assist with developing tools, metrics, dashboards, reports, and quality monitoring plans with a focus on the analytical and statistical perspective.
5. Assist the Grievance Analysts and Quality Improvement RN with collecting and analyzing information required for case investigations and resolutions.
6. Collect, reconcile, and analyze PACE Quality Falls and ED Utilization Data for quarterly submission to the Health Plan Management System (HPMS).
7. Present PACE Quality Falls and ED Utilization Data during CMS Account Manager Quarterly Call as needed.
8. Prepare and present PACE Quality Data Elements (key performance indicators) at the Grievance and Appeals Committee, Committee with Community Input, and other committees as required.
9. Present PACE Quality Falls Data at the Falls Committee as needed.
10. Assist with coordinating and administering the Integrated Satisfaction Measurement for PACE (I-SAT)…