Quality Measure Coordinator

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

$94,556.80 - $

40

Improves public reported data (CMS, NJDOH, Leapfrog) by ensuring its accuracy and integrity through data abstraction, analysis, and reporting. Provides close collaboration with clinical and administrative teams to fully understand the data elements reported and implement quality improvement projects to improve quality outcomes. Evaluates adherence to compliance standards and maintains documentation for regulatory auditing. Collaborates with internal departments to ensure data integrity and documentation accuracy.

Develops dashboards to track metrics.

• Education:
  
  Bachelor's degree. Master’s degree preferred. Related certification preferred.
• Experience:
  
  Three years of related healthcare experience required. Five years experience in a healthcare environment preferred. Experience with data analysis and management of clinical databases preferred.
• Other Credentials:
  Registered Nurse – NJ or Registered Nurse – NLC multi-state
• Knowledge and
  
  Skills:
  
  Possesses knowledge of PI tool, analytics and data management. Excellent coaching, organizational, interpersonal, verbal and written communication skills. Ability to effectively manage multiple projects simultaneously and ability to respond quickly in a fast-paced environment.
• Special Training:
  Intermediate to advanced computer skills.

Usual Work Day: 8 Hours

Does this position formally supervise employees? No

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

• Maintains current knowledge of regulatory measures, applicable clinical practice guidelines, and their impact on quality outcomes and public reporting.
• Maintains a comprehensive “inventory” of publicly reported measures/program, including deadlines, measure specification and keeps current on program updates/changes (Measure specifications, program changes, Proposed and Final Rules).
• Educates providers and team members on their impact on reported measures to improve compliance and outcomes.
• Identifies and manages the escalation and resolution of activity/process issues that impact public reporting.
• Serves as a resource for all activity/process related quality reporting questions and inquiries by the system.
• Coordinates, monitors, validates and reports performance/compliance status with regulatory measure objectives throughout the system.
• Analyzes, validates, and reviews reports to evaluate adherence to compliance standards and reporting.
• Partners with department leaders, providers and staff to review individual performance related to regulatory measure metrics.
• Coordinates and maintains supportive documentation to demonstrate evidence of compliance with regulatory requirements.
• Collaborates with the IT department and ancillaries to ensure processes for capturing data from electronic health record (EHR) supports attestation of the regulatory measure initiatives.
• Develops and analyzes system-generated reports on EHR system data and eCQMs.
• Effectively coordinates with IT staff to improve efficiencies and usability with the ER…