Job Descriptions

Nursing Analyst

JOB TITLE:  Health Management-Clinical Information Coordinator EXEMPT x  DEPARTMENT:  Health Management REPORTS TO:  Manager, Health Management Outcomes and Cost  JOB SUMMARY: Conduct and coordinate clinical measurement initiatives to assure accurate reporting and analysis of quality and utilization indicators.  TECHNICAL PROFICIENCIES REQUIRED: xTelephone                         Typewriter xWord                                Copier xExcel                                Fax PowerPoint                   Calculator xAccess                               xPersonal Computer xE-mail                                xOther:Oracle, Cognos Power                                                        Play, SQL, PL/SQL, Oracle Forms DIRECTION EXERCISED: None  ATTENDANCE REQUIREMENTS: Regular attendance required within the routine hours of 8:30 a.m. and 5:00 p.m., Monday through Friday.  Additional hours are scheduled when needed.  Position may flex in accordance with Policy No. A-3.  WORK ENVIRONMENT PHYSICAL DEMANDS: Ability to sit for extended periods of time in office environment.  ESSENTIAL FUNCTIONS: 1.      Provide accurate and timely medical reports. Retrieve and present corporate medical utilization information for the purpose of decision support and analysis using SQL, PL/SQL, Oracle Discoverer, Oracle Forms, and Crystal Reports.  This includes regularly scheduled and ad-hoc production reports. Conduct, and coordinate, analysis of data using sound clinical and technical logic and statistical methodology to signify variance. Coordinate clinical measurement topics and approaches with other disease management, prevention, and utilization management initiatives. Use and ensure consistency of data results between tools (e.g. Discoverer and SQL).  Communicate results of report findings that are easy to use and understand. Provide technical writing support, documenting technical specifications and solutions to meet business area reporting requirements.  2.      Support integration between Medical and IS in the development, translation of business needs, testing and implementation of reporting tools and methodologies. Coordinate with Data warehouse, software engineering, and database administration teams to optimize report designs for availability, flexibility and optimal performance; and to productionalize reports when applicable. Provide feedback and suggestions to appropriate teams regarding data anomalies and concerns. Establish, through research and analysis, data and reporting methodology standards for company-wide use to identify best/appropriate sources of data. Maintain lead agent for definitions and establish finalized reporting standards as adopted by Medical Information Committee (MIC) and other organizational bodies.  Assist with data improvement suggestions and correction solutions. Provide debugging and analysis support to existing Medical reports and IS services provided to Medical business area. 3.      Maintain knowledge of computer system technology and support other’s knowledge of decision support tools, reporting methodologies, data design, and definitions. Provide definition decision support documentation and education to peers and corporate reporting representatives. Maintain understanding of warehouse data models and data relationships in order to create meaningful reports and optimize warehouse design. Maintain understanding of advanced procedural languages to create and support standard reporting methods and other departmental reporting needs.  4.      Support corporate committee activities to provide input and decision making for system structure or outcome initiatives. Provide Medical representation in reporting committees including, but not limited to, MIC and GDS Development Team. Encourage and support use of identified best sources of data by establishing user group and establishing close working relationships with reporting representatives from finance, provider network services and information systems. SUPERVISORY DUTIES: None  QUALIFICATIONS/EDUCATION/EXPERIENCE: Bachelor’s degree in Nursing or health related field with emphasis in medical epidemiology.  Two to three years experience with quality management/improvement in Managed care.  Intermediate to advanced experience in computer reporting logic and experience with statistical analysis preferred.  Excellent written and verbal communication skills.  Knowledge of computer information systems.  Ability to speak English well enough to be understood by clients, co-workers, and the public.  This job description reflects the general details of the specific job identified and is not necessarily a complete listing of all the work requirements that may be involved in the job.