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Covenant Health · 14 hours ago

Senior Quality Analyst - Clinical Quality Investigation

Seattle, WA, United States

Full-time

Onsite

Senior Level

$47.05/hr - $73.04/hr

5+ years exp

Covenant Health is a comprehensive health care organization dedicated to improving the wellbeing of communities. The Senior Quality Analyst will serve as an expert consultant and investigator for clinical quality grievances, ensuring compliance with regulatory standards and providing education on effective management of these 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 record to identify any potential deficiencies in care, with the results reported to the Accreditation department

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

Act as a resource to evaluate the standard of care and complex clinical concerns that have been initiated by the patient or their advocate

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

Interface with Risk Management to assess situations for hospital liability and develop appropriate responses, including recommending goodwill adjustments of patient bills

Interface with the Accreditation Department for concerns triggering non-compliance with regulatory standards, and with the Quality Department for needs related to root cause analysis and patient safety

Work directly with a multicultural and socio-economically diverse patient population and with individuals who frequently demonstrate distress, threatening behavior and anger, collaborating with Security and law enforcement agencies as necessary to ensure safety of self, colleagues, patients, and visitors

Qualification

Clinical Quality ManagementQuality Improvement InitiativesMedical Document ReviewEffective Verbal CommunicationWritten CommunicationManagement ExperienceInterpersonal 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