As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
This position integrates fully with the clinical services department to monitor the quality and accuracy of reviewed cases, outbound calls placed to hospital personnel, communications with other clinical service staff, and compliance with protocol changes as required due to technological and/or process changes. Will perform reviews in real time and provides immediate feedback to clinical specialist when errors are discovered. Identifies quality improvement opportunities and presents to Manager/Team Leaders for consideration and approval. Promote, by example, a customer-centric, professional management culture. Forge enduring, positive relationships with team leaders and team members. Will demonstrate the skills needed to see initiative through to a successful, timely and effective end.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Develops and deploys daily audits to assess the quality and accuracy of the Clinical Support Specialists.
Uses audits to identify trends and training opportunities.
Organizes information and individual audit results sufficient to support management in annual performance evaluations and monthly bonus program.
Assures that clinical information is accurate and current. Communicates any system related issues to the appropriate individuals for resolution.
Review and refine reports and/or tools to effectively gauge quality and activity (e.g., weekly and monthly reports).
Acts as liaison with department, hospital contacts and management to keep abreast of trends and initiatives.
Assists Team Leads with overseeing Kepro processes, including monitoring reports and performing case reviews to ensure timely completion of all Kepro cases.
Organizes and communicates process changes to Team. Prepares educational materials as related to same for training purposes.
Assumes training responsibilities, including the conducting of certified training classes and acting as informational and educational resource to new hires on shift. Monitors the progress of trainees, ensuring the quality and accuracy of reviews performed.
Prepare Summary Report on audit activity on a monthly basis.
Provide interim Team Leader or Representative coverage during absence of staff due to vacation, extended illness, vacancy, etc.
Other duties, including special projects, as defined.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Intermediate-to-Advanced Excel and Word skills highly desirable.
Broad understanding of Quality Assurance and Quality Improvement fundamentals and methodologies.
Business skills and maturity sufficient to maintain objectivity and fairness in analyzing audit results.
Business skills and maturity sufficient to enlist the cooperation and respect of the colleagues being audited.
Clear, effective and accurate verbal and written communication skills required.
Organizational and prioritization skills sufficient to effectively manage multiple, concurrent initiatives in a deadline-driven environment required.
Self-discipline sufficient to work with minimal supervision required.
Ability to embrace corporate philosophy/principles and comply with Corporate Ethics guidelines required.
Handling of all audit results with discretion and confidentiality required.
Handling of all PHI (Protected Health Information) and Patient Identifiable Data with discretion and confidentiality required.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
Five (5) years clinical setting experience preferred
Management experience desirable
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, use computer and answer telephone.
Required to use fine motor skills (typing/data entry), and reach with hands and arms.
Must be able to lift up to 25 lbs
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. q q
Subject to varying and unpredictable situations, many interruptions, multiple calls and inquiries, and change.
May be required to work long hours and holidays.
After hours or weekend work as required to support the testing and acceptance of major system upgrades and/or major new applications.
Job: Process & Analyst
Primary Location: Frisco, Texas
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.