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QUALITY ASSURANCE ANALYST
Job Title: QUALITY ASSURANCE ANALYST
Job Code: 5504
FLSA: E
Job Level: F2
Revised Date: 02/01/2019
Supervisory Responsibility: No
General Description of the Job Class
The Quality Assurance Analyst is responsible for performing professional administrative duties related to assessing, planning, implementing, and evaluating performance improvement and regulatory compliance strategies. In collaboration with leadership, identifies, plans and executes activities to promote patient safety, performance improvement initiatives and to ensure compliance according to regulatory statues, policies and procedures.
Duties and Responsibilities of this Level
Develop, design and recommend strategies or activities intended to improve performance in clinical quality, patient safety, and regulatory compliance for all clinical programs. May directly implement or provide consultation to individual clinical programs in the implementation of improvement strategies.
Recommend to and/or participate with leadership in development of annual performance improvement, quality assurance and regulatory compliance strategic plans for assigned programs.
Provide consultation to, and facilitation of, individuals and teams within assigned clinical programs related to quality, safety and compliance activities. (e.g.. Program level safety teams).
Lead/direct teams at DUHS entity-wide level (e.g. Infection Control, Clinical Forms, FMEA).
Develop and implement infection control plan, assure compliance with infection surveillance, prevention, control measures.
Establish clinical quality assessment/improvement standards. Identify quality issues and conduct audits to further investigate issues. Audit outsourcing facilities as appropriate. Analyze audit results and submit reports on findings to leadership. Based on audit findings, recommend and implement preventive and/or corrective actions.
Regularly assess the knowledge needs of the clinical staff related to regulatory standards and develop plans to meet those requirements.
Identify personal learning needs of clinical staff and implement corrective action. Plans and conducts staff development programs to improve agency effectiveness.
Maintain up to date knowledge of Medicare/Medicaid/JCAHO/HIPPA regulations through in-services and workshop attendance. Teach and train all staff on new regulations or changes in regulations/standards.
Regularly review clinical documentation, patient satisfaction records, and QIs to assess and identify trends. Recommends and implements process changes, policy changes, staff training or other appropriate mitigating factors in response to identified trends.
Develops policy, procedures and objectives.
Performs other duties as assigned.
Required Qualifications at this Level
Education
Bachelors degree in a clinical field required.
Degree in nursing (RN), physical therapy, occupational therapy, speech pathology, medical technology, or public health strongly preferred.
Experience
Minimum of 2 years health care experience with at minimum 1 year experience related to performance improvement, quality assurance or regulatory affairs.
Degrees, Licensure, and/or Certification
Appropriate certification/licensure as required by clinical field.
Knowledge, Skills, and Abilities
Working knowledge of Medicare and Medicaid regulations, including JCAHO and DHSR standards.
Maintains confidentiality of employee and patient information.
Promotes quality, comprehensive services through a team approach.
Excellent interpersonal communication and organizational skills required.
Distinguishing Characteristics of this Level
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
