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

• 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.

Works Effectively with Patients, Families, and Staff

• 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.

HMS Participation

• 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.

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 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.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran