Responsibilities Doctors Hospital of Laredo, in Laredo, TX, is a 183-bed acute care facility that offers a range of medical services. You'll feel a difference when you walk in our doors. There's pride in the care we deliver and a commitment to serving Laredo's growing healthcare needs. To learn more visit https://www.doctorshosplaredo.com JOB SUMMARY: The Quality Improvement/Core Measures Analyst is responsible for monitoring and analyzing quality, performance, and risk data; completes data abstraction; collection, reporting and data trending for each Core Measure under the direction of the Director of Quality and Performance Improvement. ESSENTIAL JOB FUNCTIONS: Processes quality referrals through MIDAS when assigned. Conducts timely and accurate medical record reviews and closed reviews for Core Measures patients, completes software processing related to reviews as assigned by Director. Reports on the status of survey compliance, survey readiness, participates in department meetings and hospital wide skills fairs, etc. Collects, analyzes, and aggregates data relating to quality reviews and Core Measures, assists with preparation of monthly Core Measures reports for PI Council and reports to appropriate committees as assigned by the Director. Trends and Reports non-compliance on a concurrent basis to Lead Core Measure Analyst and or department Director. Coordinates PI team Committees, and acts as a facilitator, as assigned by Director. Oversees the completion, and submission of the Annual TJC PPR by working with unit/departmet managers, Works with medical staff when applicable about recommended guidelines regarding Core Measure compliance. Monitors TJC survey readiness activities, attends Corporate Conference Calls and webinars, related to Core Measures or other information deemed necessary, and reports findings to the Director and PI teams. Schedules, coordinates, monitors, and reports survey readiness tracers. Assists with policy develoment/updates for survey readiness. Gathers and reports OPPE/FPPE/Peer Review data to Quality Director timely. Benefit Highlights Challenging and rewarding work environment Competitive Compensation & Paid Time Off Excellent Benefit Packages 401(K) with company match and discounted stock plan Tuition Reimbursement Career development opportunities across UHS and its 300+ locations! HealthStream online learning catalogue with plenty of free CEU courses More information is available on our Benefits Guest Website: uhsguest.com. About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com If you would like to learn more about the position before applying, please contact Vanessa Martinez, Recruiter at vanessa.martinez@uhsinc.com and by phone at 956-523-2027. Qualifications MINIMUM QUALIFICATIONS: Licensed Registered Nurse in the State of Texas is required. One or more years experience in Acute care hospital setting, QI/OPPE/FPPE/Peer Review preferred. Knowledge of and ability to create statistical PI tools/reports, and Core Measure indicators preferred. Must be computer literate e.g. Word, Excel, Power Point, Windows based programs, Webex, and knowledge to create statstistical/trending reports. Good communication skills required with public speaking preferred. BLS certification required. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.