About The Role

Lying just inland between the State's coastal mountain ranges and the Sierra Nevada Mountains, Adventist Health Reedley has been serving the Central Valley since 2011. We are comprised of a 49-bed acute care hospital and 60 clinics in 27 rural communities with primary and specialty care services. Reedley is a perfect location for outdoor enthusiasts as it is located in the central San Joaquin Valley portion of California, close to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities.

Job Summary

Manages the data collection for submission to regulatory databases, as well as studies, research, or projects requiring data collection to evaluate practice patterns, interventions, outcomes, and compliance. Assists with the Peer Review process, preparing case summaries, timelines, initial RCA for complicated cases as requested. Is accountable for supervision of Quality Review Specialists and monitoring appropriate staffing and budgets for this area within Organizational Performance. Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment.

Job Requirements

Education and Work Experience

Bachelor's Degree in a healthcare-related field or equivalent combination of education/related experience: Required
Master's Degree: Preferred
Five years' technical experience: Preferred

Licenses/Certifications

Basic Life Support (BLS) American Heart Association: Preferred

Essential Functions

Develops programs/processes related to Quality Management. Ensures accuracy, completeness, and timeliness of error correction and submission to Premier for the monthly data extraction and upload cycle working closely with the Clinical Data Analyst.
Participates in quality committees with accountability for distribution of organizational communication. Ensures department is in compliance with current state, federal, and other regulatory requirements. Participates with Performance Improvement Teams as requested. Attends medical staff meetings as requested.
Provides annual reports regarding performance Improvement and Quality programs. Enters the data into various computer programs and is responsible for running reports as needed. Assures all requirements are met and completed within specified timeframes.
Manages issue resolution for the abstraction process. Monitors the Clinical Data Abstraction Center (CDAC) medical record validation process using the Qnet program. Validates charts abstracted into Premier for completeness, accuracy, and timeliness in compliance with the specification manual.
Prepares aggregate trended reports for the medical staff departments and committees. Is knowledgeable of CMS Value Based Purchasing Program.
Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.