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Providence · 17 hours ago

Senior Quality Analyst - Clinical Quality Investigation

Seattle, WA

Full-time

Onsite

Senior Level

$47.05/hr - $73.04/hr

5+ years exp

Providence is a comprehensive health care organization dedicated to improving the health and wellbeing of each patient. The Senior Quality Analyst will be responsible for managing clinical quality grievances, ensuring compliance with regulatory agencies, and providing education on effective management of such grievances.

Hospital & Health Care

Responsibilities

Ensure that clinical care grievances are responded to and documented in compliance with Swedish Medical Center policy and in accordance with requirements of external regulatory agencies

Perform a preliminary review of the medical record to identify any potential deficiencies in care when external regulatory agencies request a patient's medical record

Analyze and report common causes of clinical care grievances, advising clinical leaders of patterns and opportunities for improvement

Provide education to and direct all levels of the organization regarding appropriate and effective management of clinical care grievances

Evaluate the standard of care and complex clinical concerns that have been initiated by the patient or their advocate

Investigate, interpret and clearly communicate to the patient complex clinical and other findings using clinical expertise and effective analytic and communication skills

Interface with Risk Management to assess situations for hospital liability and develop appropriate responses

Interface with the Accreditation Department for concerns triggering non-compliance with regulatory standards

Interface with the Quality Department for needs related to root cause analysis and patient safety

Collaborate with Security and law enforcement agencies as necessary to ensure safety of self, colleagues, patients, and visitors

Qualification

Clinical quality investigationHealthcare management experienceEffective verbal communicationWritten communication skillsQuality improvement initiativesManaging upwardReview of medical documentsInterpersonal skills

Required

5 years as a clinician in a healthcare setting with at least two of those years being in management, education, or related to clinical quality; or a graduate degree and at least 10 years of experience in a quality investigation position considered in lieu of no clinical education

Working with individuals in distress and in developing quality improvement initiatives in healthcare

Investigation, including review of medical documents and interpersonal interactions

Managing upward and accomplishing desired results

Experience in effective verbal communication both in large groups and one to one settings

Documented experience in composing clear written communication with grammatical accuracy and appropriate, professional tone