Quality Analyst

Brooks Overview: For 50 years, Brooks Rehabilitation , headquartered in Jacksonville, Fla., has been a comprehensive source for physical rehabilitation services. As a nonprofit organization, Brooks operates one of the nation’s largest inpatient rehabilitation hospitals in the U.S. with 160 beds, one of the region’s largest home healthcare agencies, over 50 outpatient therapy clinics, a Center for Inpatient Rehabilitation in partnership with Halifax Health in Daytona Beach, the Brooks Rehabilitation Medical Group, two skilled nursing facilities, assisted living and memory care. Brooks will treat more than 60,000 patients through its system of care each year. In addition, Brooks operates the Clinical Research Center, which specializes in research for stroke, brain injury, spinal cord injury and more to advance the science of rehabilitation. Brooks also provides many low or no cost community programs and services such as the Brooks Clubhouse, Brooks Aphasia Center and Brooks Adaptive Sports and Recreation to improve the quality of life for people living with physical disabilities. Brooks Rehabilitation proudly employs over 2,500 clinicians and staff across the state of Florida. We are looking for exceptional people to join our culture of caring and bring our mission to life.

Location Overview: FL Corporate Onsite position; Jacksonville Fl

Position Summary : Under the direction of the System Director for Quality & Patient Safety, the Quality Analyst will monitor clinical documentation accuracy and apply performance improvement and quality principles to outcome and process measures within the assigned care setting.

Job Responsibilities:

• Reviews and facilitates modifications to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team. Promotes capture of clinical severity to coded data by HIM team that supports the inpatient rehabilitation, skilled nursing or home health levels of service and complexity to ensure appropriate reimbursement.
• Communicates with the interdisciplinary team either through discussion or in writing (e.g., formal queries) regarding missing, unclear, or conflicting health record documentation, and clarifies the information as warranted.
• Educates providers and clinical staff regarding identification of disease processes that reflect complexity and acuity in order to facilitate accurate application of code sets.
• Demonstrates an understanding of complications, comorbidities tiers, RICs, IGC, case mix groups and CMS specific patient assessment data on the billed record, as well as the ability to impart this knowledge to providers and other members of the healthcare team.
• Gathers and analyzes information pertinent to documentation findings and outcomes and uses this information to develop action plans for process improvements.
• Analyzes quality trends and collaboratively creates action plans for performance improvement surrounding acute care transfers/hospital readmissions with consideration at the hospital, unit and patient specific trend levels.
  • Patient safety indicators including but not limited to, falls, healthcare associated with pressure injuries, infections
  • Functional improvement outcomes
  • Other quality measures as identified or regulated
• Provides analysis and guidance for improving and maintaining quality components for USNWR/Newsweek or other publicly reported metrics to achieve best in class rankings.
• Assists with the annual AHRQ Survey of Patient Safety Culture process and facilitates results review, reporting and action planning with leadership for improved performance.
• Identifies performance improvement opportunities and develops processes, procedures, and policy to support these initiatives.
• Evaluates workflow processes utilizing lean strategies, process mapping, and performance improvement principles to identify opportunities and efficiencies.
• Ensures SNF compliance with CMS VBP, QRP, and Medicaid quality metrics by coordinating accurate MDS assessments, monitoring key clinical outcomes, and supporting provider education to improve resident care and reimbursement accuracy.
• Collaborates with QAPI teams to develop targeted improvement goals aligned with Five-Star ratings and survey readiness, leveraging data-driven dashboards and audits to identify risks and guide clinical interventions.

Job Qualifications:

• Bachelor’s degree in nursing from an accredited college or university preferred; other clinical degree with experience may be considered.
• Florida RN license with a minimum of 5 years’ acute care or post-acute clinical expertise required
• Quality certification (CPHQ, Lean, Six Sigma) preferred; or ability to acquire
• Proven analytical and problem-solving abilities
• Proven documentation skills
• Ability to effectively prioritize and execute tasks in a high-pressure environment
• Good written, oral, and interpersonal communication skills
• Highly motivated and self-directed
• Keen attention to detail
• Team-oriented and skilled in working within a collaborative environment

Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following:

• Competitive Pay
• Comprehensive Benefits package
• Vacation/Paid Time Off
• Retirement Plan and Match
• Employee Discount Program
• Educational Assistance
• Professional Development Programs