Clinical Quality Reviewer

Harris Health System • Full-time • TX, US • $86.99k - $109.30k / year • 2m ago

Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health’s robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston.

Job Summary

The Clinical Quality Reviewer (CQR) performs concurrent and retrospective chart reviews on designated population to evaluate care in accordance with accepted standards of medical practice, hospital policies and procedures and regulatory guidelines. The CQR utilizes required criteria to evaluate the delivery of care and/or services. The CQR works with the Director of Clinical Quality Outcomes to develop the performance improvement plan for the system. The CQR is accountable for quality programs that uphold high standards of integrity and ethical behavior.

Minimum Qualifications

Degrees:

Bachelor's Degree in Healthcare

- Holds at least one of the following: Nursing - Associates or Bachelors

Licenses & Certifications:

Registered Nurse: State of Texas
Basic Life Support: American Heart Association (AHA) or Red Cross approved program

Work Experience:

Three (3) years' experience with two years' RN experience and one year of clinical chart review and abstraction.
One (1) year experience of quality or PI experience (Preferred)

Communication Skills: