Quality Data Analyst

Registered Nurse

Full time / 40 hours per week / Days

Come join our team! Crossing Rivers Health provides competitive pay along with an excellent benefits package including medical, dental, vision; life insurance, short term disability, paid time off, a retirement plan w/company match, and more!

Our core values are practiced and exhibited throughout the organization in our actions and in services provided. Joy :
Unity :
Integrity :
Compassion :
Excellence

The Quality Data Analyst reports to the Chief Clinical Officer and is responsible for clinical quality data abstraction, chart review, and patient safety surveillance with a primary focus on Inpatient Services due to regulatory reporting requirements. This role supports hospital-wide quality and patient safety activities through data analysis, monitoring, and regulatory readiness, with an emphasis on accurate reporting, trend identification, and proactive risk detection.

This position is data-driven and execution-focused, providing data, findings, and patient safety insights to leadership and the Quality Coordinator, while supporting compliance with CMS Conditions of Participation and Joint Commission standards.

• Abstracts clinical quality data in accordance with CMS, Joint Commission, and other regulatory requirements.
• Conducts chart reviews to ensure compliance with clinical standards, policies, and regulatory expectations.
• Ensures accuracy, completeness, and timeliness of abstracted data.
• Supports validation of quality data and resolves discrepancies.
• Maintains knowledge of abstraction specifications and regulatory updates.
• Monitors inpatient quality and patient safety indicators, including but not limited to:
  Falls;
  Pressure injuries;
  Infection prevention measures;
  Readmissions.
• Conducts focused chart reviews related to adverse events and near misses.
• Identifies trends, patterns, and potential patient safety risks.
• Supports root cause analysis and follow-up from a data and documentation perspective.
• Supports CMS and Joint Commission survey readiness through:
  Ongoing chart audits;
  Tracer preparation and participation;
  Policy and documentation compliance reviews;
  Assisting with regulatory audits by providing requested data and chart findings;
  Maintains current knowledge of applicable regulations and accreditation standards.
• Works closely with the Quality Coordinator to ensure alignment between data abstraction, reporting, and quality outcomes.
• Communicates data findings and patient safety concerns to the CCO, Director of Inpatient Services, and appropriate leaders.
• Collaborates with department leaders across the hospital to support data requests and patient safety monitoring.
• Provides quality data abstraction and chart review support to non-inpatient departments as assigned.
• Supports hospital-wide patient safety initiatives through data analysis and monitoring.
• Participates in quality and patient safety committees as assigned.
• Maintains knowledge of applicable laws, regulations, and standards.
• Ensures adherence to Crossing Rivers Health policies and procedures.
• Identifies problems and develops appropriate solutions.
• Performs additional responsibilities as assigned to meet patient, department, and organizational needs.

• Accountability:
  Accepts responsibility and accounts for actions.
• Accuracy:
  Performs work accurately and thoroughly.
• Communication:
  Effectively conveys ideas through oral and written means, and understands others through effective listening.
• Deductive Reasoning:
  Applies logical or scientific thinking to solve a wide range of problems.
• Initiative:
  Makes decisions and takes actions to solve problems or reach goals.
• Organization:
  Systematically organizes tasks and follows structured methods.
• Research
  
  Skills:
  
  Designs and conducts systematic, objective, and critical investigations.
• Technical Aptitude:
  Understands complex technical topics and specialized information.
• Coaching and Development:
  Provides guidance and feedback to help others improve specific knowledge and skills.
• Decision Making:
  Makes critical decisions while adhering to company procedures.
• Interpersonal
  
  Skills:
  
  Gets along well with diverse…