Performs medical record review, data analysis, and structured auditing in support of Clinical Risk Management, Professional Staff Peer Review and Quality initiatives. Maintains multiple data bases and provides summary statistics in relevant graphical format. Under the supervision of the Director of Clinical Risk Management, develops relevant action plans for risk reduction.
Reviews medical records for concerns regarding risk. Uses clinical judgment, published standards of care, and Tucson Medical Center policy to determine potential quality of care issues.
Analyzes current operations, policies, systems, and procedures, and suggests innovative changes to appropriate sources including Nursing, Director of Clinical Risk Management, Director of Professional Staff Services and Director of Quality.
Prioritizes and organizes workflow for maximum efficiency, including maintaining productivity standards for chart abstraction completion within prescribed time frames.
Interprets test and procedure results such as lab values, EKG’s, invasive monitoring documentation, fetal monitor strips, operative reports and discharge summaries against norms established by appropriate standards, including the Conditions of Participation and Joint Commission. Monitors appropriate OPPE and FPPE requirements as established by the Departments of the Professional Staff privileging requirements of care delivered by practitioners.
Operates abstracting software and Microsoft Office products and prepares spreadsheet reports and analysis using EXCEL.
Prepares communications and presents information in a clear, concise and professional manner with all levels of personnel including nursing management and physicians.
Maintains an adequate filing system so that information can be quickly retrieved.
Performs focused reviews as determined and assigned by the Director of Risk Management or the Chief Medical Officer. Facilitates Professional Staff peer review meetings including follow-up documentation and correspondence.
Subscribes to and upholds established standards of behavior.
Works collaboratively and supports efforts of other team members.
Supports quality improvement initiatives through team participation, data collection, process change and other activities.
Maintains confidentiality and protects sensitive data at all times, including patient information, proprietary information and personnel information.
Adheres to organizational and department-specific safety standards and guidelines.
Adheres to TMC values of integrity, diversity, accountability, compassion and teamwork.
Performs related duties as assigned.
EDUCATION: Bachelor’s degree, or an equivalent combination of relevant education and experience.
EXPERIENCE: Four (4) years RN recent acute care nursing experience
LICENSURE OR CERTIFICATION: Active unrestricted RN license within the State of Arizona, or NLC.