Quality Specialist

About the role

The Quality Specialist provides guidance to department managers, teams, and staff in analyzing, managing, and improving processes and systems using continuous quality improvement (CQI) and Plan, Do, Check, Act (PDCA) principles. They help leaders maintain a quality program, support regulatory requirements, manage authoritative clinical registries, lead or participate in performance improvement initiatives, and assist clinical and administrative departmental managers.

Responsibilities

• Advocates for the patient using the Institute of Medicine’s six domains of health care quality: safe, effective, patient-centered, timely, efficient, and equitable.
• Builds knowledge to become a content expert (CE) in assigned regulatory, registry, or internal priority quality measures related to mortality.
• Supports and attends mortality and morbidity review meetings, ensuring follow-up and closure of all case referrals and issues.
• Collaborates with Risk Management staff as needed.
• Uses CQI and PDCA concepts, principles, tools, and techniques.
• Manages continuing education through attending relevant conferences and reviewing quality improvement resources.
• Serves effectively on teams as a consultant and CE by assisting in development and selection of clinical quality measures and goals, designing data collection strategies, and communicating project methods and results.
• Communicates proactively with physicians regarding documentation gaps that influence risk-adjusted measures.
• Performs in-depth real-time and retrospective chart reviews for applicable patients.

Qualifications

• Current Registered Nurse (RN), Nurse Practitioner (NP), Physician Assistant (PA), or Physician credentials (MD / DO).
• If RN, a Master's degree or above is required, and at least six years of experience in a health care setting or six years of experience directly supporting performance improvement.
• PREFERRED: Additional education or certifications in quality improvement / patient safety related topics.

Skills

• Adheres to ethical conduct and documents on established forms.
• Reads and analyzes regulatory rules or measure collection specification manuals.
• Accurately documents on established forms, translating manuals to the AMC EMR.
• Assists in presentations or project design related to start-up or summarizing results.
• Communicates cooperatively and effectively, listens well, engages in interactive dialogues, facilitates communication among separate groups, influences others through evidence-based practice, leads subgroups, and escalates items for resolution.
• Utilizes knowledge of experimental design, descriptive and inferential statistics, and statistical process control for reporting or evaluation.
• Constantly connects with services, departments, and assignments to build knowledge of operations, seek process improvement opportunities, and build relationships.
• Works in an office environment, standing, walking, using hands to type, probe, handle, or feel objects, tools, or controls, reaching with hands and arms, speaking and hearing, and sitting for extended periods.

Benefits

This position has a significant impact on the organization through supporting regulatory requirements, directly managing authoritative clinical registries, leading or participating in performance improvement initiatives, and assisting clinical and administrative departmental managers in addressing clinical quality.

Pay

$94,957.00 - $147,183.00

Schedule

Day