Clinical Improvement Consultant

Summary

Responsible for planning, development, implementation, and ongoing use of health care information programs and data technology which support clinical quality needs, effective and efficient delivery of health care, and achievement of strategic, clinical, and operational goals. Facilitates ongoing compliance with government, clinical, and operational performance measures/objectives and programs. Highly visible, collaborates regularly with all levels of leadership, physicians, and front line staff across Bryan Health.

• * Commits to the mission, vision, beliefs and consistently demonstrates our core values.
• * Becomes a subject matter expert in areas of Government, Insurance Payer and Health System regulatory, compliance and payer quality/cost efficiency programs.
• * Collaborates in the selection of and evaluation of the organization’s ability to meet selected clinical and quality performance measures/objectives.
• * Develops, implements, and monitors the ongoing process of meeting clinical, operational, and governmental performance measures/objectives and value-based programs.
• * Provides training and on-going education of clinical users on features, operation, and usage of clinical systems. Selects appropriate training methodology, develops training plan, designs training materials, and trains end users to support the transition into new systems and processes for clinical staff and physicians.
• * Coordinates the design and generates routine and specialized reports that provide accurate, timely, and effective communication of the impact of clinical systems, quality of care, and clinical performance while assisting with interpretation and meaning of that data as needed.
• * Maintains ongoing, positive, solution-driven relationships by frequently working with clinical staff and physicians at the point of care to foster collaboration, engagement, improved adoption/consistency, and optimization of patient care delivery systems.
• * Collaborates with the Health System Information Technology department on system design and configuration to support efficient and effective clinician workflow, while enabling the capture of clinical data required for outcomes analysis, process improvement initiatives, regulatory reporting, and clinical operations management.
• * Provides coaching to physicians and clinical support staff on clinical documentation improvement opportunities as well as opportunities involving coding and reimbursement.
• * Leverages clinical knowledge of processes, workflows, and evidence‑based practice to improve the efficiency and effectiveness of clinic systems and operations.
• * Proactively identifies and addresses knowledge deficits and serves as a facilitator of projects to solicit interdisciplinary end user input for analysis of current state, identification of process gaps, design of future state, incorporation of clinical best practices, and ongoing enhancement of clinical system processes.
• * Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
• * Participates in meetings, committees and department projects as assigned.
• * Performs other related projects and duties as assigned.

(Essential Job functions are marked with an asterisk “*”).

• Knowledge of government, clinical, and operational quality and performance measures/objectives and value-based programs including but not limited to PQRS (Physician Quality Reporting System), VBM (Value-Based Modifier), MU (Meaningful Use), HIE (Health Information Exchange), and MIPS (Merit-based Incentive Payment System).
• Knowledge of payer reimbursement methodologies and quality incentive programs.
• Knowledge of certified electronic health record technology (CEHRT), third party data depositories, and government reporting applications.
• Knowledge of and competency in mapping clinical practices to technology applications.
• Knowledge of process improvement and change management principles within the healthcare environment.
• Knowledge of computer hardware equipment and software applications relevant to principal job…