6 days old

VA CCN Clinical Quality Patient Safety Specialist

Minneapolis, MN 55415
  • Job Code
    885471
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)
 
This position works under the direction of the Manager of Patient Safety. The individual in this role will focus on investigating medical and surgical potential quality issues, patient safety events, and sentinel/serious reportable events and utilization issues by conducting retrospective chart and focused reviews.  Participate on quality committees.
 
Primary Responsibilities:
  • Identifies and reviews medical surgical potential quality issues (PQIs), patient safety issues, sentinel events (SEs) and serious reportable events (SREs)  by applying best practice standards of care and clinical experience
  • Conducts timely reviews of electronic medical records to meet Optum standards.
  • Investigations include research, analysis, and preparation of written and verbal case summaries with recommendations for further actions as necessary
  • Conducts detailed root cause analysis (RCA) for sentinel events (SEs) and serious reportable events (SREs)
  • Ability to organize and maintain current investigation information about cases through documentation in quality of care and quality of service databases
  • Communicate in writing to health care providers, track timelines, and perform follow-up as appropriate
  • Develops peer review cases and other quality improvement activities identified by deviations from accepted standards of care and monitors corrective action plans to completion
  • Assists with quality studies and focused reviews by abstracting medical records for specified criteria
  • Participates on quality committees and presents cases to peer review quality management committee
  • Collaborate with Medical Directors on complex care identified in PQIs / SEs / SREs as needed
  • Read, interpret, and document standards/requirements and/or technical specifications (e.g. NCQA, NQF, WinQI, HAC)
  • Work with stakeholders for review/approval of results
  • Actively participate in meetings
  • Train others on relevant policies, rules, and regulations
  • Serve as a resource providing explanation and expertise
  • Maintains confidentiality in all activities
  • Performs other duties as assigned

Location is in Eden Prairie, MN. Telecommuting will be considered based on UnitedHealth Group's Telecommuter Policy.

 

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

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Posted: 2020-10-15 Expires: 2020-11-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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VA CCN Clinical Quality Patient Safety Specialist

UnitedHealth Group
Minneapolis, MN 55415

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