- Responsible for the identification of patients for inclusion in the program registry through the application of program inclusion/exclusion criteria.
- Responsible for independently managing the case load and reporting data to HMS according to established standards and deadlines. Data components will be obtained through the effective utilization of the hospital medical record system.
- Demonstrates applicability of the methodology and the reliability of definitions utilized by reviewers within the program.
- Responsible for identifying areas for streamlining and process improvement in the data collection process.
- Demonstrates appropriate utilization of resources necessary to obtain valid, reliable data for entry into the program.
- Establishes effective working relationships with members of the hospital community, especially staff in the Medicine, Nursing, Medical Records and the Information Systems Departments whose support is necessary for the management and success of the program.
- Contacts patients and/or families via telephone and/or written communications post-discharge for the purpose of identifying possible clinical concerns.
- Actively engages in HMS activities and identifies opportunities to improve the quality of care in the inpatient setting by working with physicians, nurses, other clinicians, and administrators to develop strategies to improve performance.
- Serves as an educational resource for the HMS CQI for internal and external audiences by developing educational material and delivering presentations.
- Maintains regular contact with the HMS physician champion and other members of the team at the hospital.
- Attends pertinent hospital committee meetings as appropriate.
- Attends consortium-wide meetings and sub-group meetings as a representative of the hospital.
- Prepares for and participates in site audits by the HMS Coordinating Center, resolves data discrepancies, and responds to HMS Coordinating Center requests in a timely fashion.
- Participates in teleconferences with other HMS Clinical Nurse Reviewers.
- Attends national conferences pertaining to the program as requested.
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Trinity Health Corporation Livonia, United StatesEmployment Type: · Part time · Shift: · Rotating Shift · Description: · An Opportunity to Join our Remarkable Care InPatient Pharmacy Tech in the Pharmacy Department awaits YOU · St. Joseph Mercy Health System (SJMHS) is one of the nation's top healthcare service providers, spann ...
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Trinity Health Livonia, United States**Employment Type:** · Part time · **Shift:** · Rotating Shift · **Description:** · **An Opportunity to Join our Remarkable Care InPatient Pharmacy Tech in the Pharmacy Department awaits YOU** · **_St. Joseph Mercy Health System (SJMHS)_** is one of the nation's top healthcare se ...
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Trinity Health Livonia, United States**Employment Type:** · Full time · **Shift:** · 12 Hour Day Shift · **Description:** · **An Opportunity to Join our Remarkable Care as a Critical Care Tech in the** **ICU** **Department awaits YOU** · **_St. Joseph Mercy Health System (SJMHS)_** is one of the nation's top healthc ...
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Trinity Health Livonia, United StatesEmployment Type: · Part time · Shift: · Day Shift · Description: · An Opportunity to Join our Remarkable Care team as a Patient Care Tech awaits YOU · Trinity Health Michigan is one of the nation's top healthcare service providers. Trinity Health (http://www.trinity-) , one of th ...
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Trinity Health Corporation Livonia, MI , USA, United States Full timeEmployment Type: · Full time · Shift: · Night Shift · Description: · JD · Our Commitment to Diversity and Inclusion · Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integra ...
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Trinity Health Livonia, United States**Employment Type:** · Full time · **Shift:** · Night Shift · **Description:** · JD · **Our Commitment to Diversity and Inclusion** · Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Va ...
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Trinity Health Livonia - Howell, United StatesIHA, St. Mary Mercy Livonia and St. Joseph Mercy Livingston have an excellent full-time employment opportunity for a Nurse Practitioner or Physician Assistant to join a hospitalist group located in Livonia and Howell, Michigan. · The selected Nurse Practitioner or Physician Assis ...
clinical nurse reviewer- st. mary mercy livonia - Livonia, MI , USA, United States - Trinity Health Corporation
Description
Employment Type:
Full time
Shift:
Rotating Shift
Description:
HMS collaborative reviewer
The Clinical Nurse Reviewer's chief responsibility is to collect and submit reliable data on eligible cases as required for participation in the Michigan Hospital Medicine Safety (HMS) Consortium, a Blue Cross Blue Shield of Michigan-funded Collaborative Quality Initiative (CQI).
This is accomplished through high-quality clinical screening, data compilation, documentation and entry into the HMS database of all eligible cases for the hospital.
The Clinical Nurse Reviewer also works closely with the physician champion and appropriate hospital leadership to identify opportunities for clinical quality improvement and other special projects as may be identified.
PERFORMANCE DUTIES
Documenting Patient Care
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation.
Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do.
Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
