Chicago, IL, USA
13 days ago
Clinical Quality Analyst (Hybrid Remote - Chicago, IL)

The Analyst – Clinical QA is supporting the Independent Practitioner Panel and is actively engaged with their immediate team and communicating with staff across the program to support of program quality.  The incumbent participates in the ongoing operation of an effective quality monitoring program by developing work instructions, conducting quality reviews, providing related training and guidance to program staff, and participating in audits to support completeness, accuracy, and consistency.

Essential Duties and Responsibilities:

- Collaborates with the Clinical Operation Manager to develop an effective quality monitoring program

- Provides QA training to the Clinical Assessors, Clinical Monitors, and the QA staff in order that quality actions are incorporated into their daily practice

- Collects data related to assessments and assessment outcomes

- Examines cases at random for completeness, accuracy and consistency

- Examines data for outliers and researches such cases

- Analyzes UAS recommended scores in relation to Nurse Assessor determinations

- Develops / completes reports that track and trend activities / outcomes

- Acts as an advisor to program staff on all QA and Compliance issues related to the IPP program

- Attends Fair Hearing cases and prepare case packets, as required

- Performs other duties as may be assigned by the Nurse Director.

Minimum Requirements Minimum Requirements:

- Master’s Degree from a Nurse Practitioner or Physician Assistant Program required

NYS Licensed Nurse Practitioner or Physician Assistant required

- Preferred Specialties for Nurse Practitioners: Internal Medicine, Adult Health, Community Health, Family Practice, Psychiatry

- Two (2) or more years practicing experience as a Nurse Practitioner / Physician Assistant required

- 2+ years previous work experience in Quality and Risk Management in a hospital setting conducting peer reviews preferred

- Strong working ability with all forms of technology, ability to navigate multiple systems, intermediate knowledge of Microsoft Office programs, ability to learn and adapt to new technology quickly; exceptional analytical skills; detail and solution-oriented; ability to work independently as well as with a team; excellent verbal and written communication skills including the ability to communicate effectively with a diverse range of individuals

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EEO Statement Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
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