Quality Specialist, Full Time, Days

About the role

The best thing about this role: Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible.

Responsibilities

• Under the supervision of the Director of Infection Control and Staff Development, the specialist provides diversified support for the organization’s performance improvement, regulatory, accreditation, patient safety, and health plan quality activities.
• Responsible for performance improvement related case reviews, focus studies, and other initiatives.
• Leads and/or facilitates multidisciplinary teams in identifying, prioritizing, and implementing performance improvement projects.
• Additionally, responsible for reporting unbiased data, findings and summaries to the QAPI Committee on at least a quarterly basis and more often as needed.
• Participates in healthcare failure modes, effects analysis, and root cause analysis activities, as required.
• Acts as an internal consultant and effectively collaborates with medical staff and departments regarding regulatory, accreditation and continual readiness efforts.
• Collects and processes quality data so that staff may identify areas for improvement.
• Monitors clinical performance to ensure patient safety and promote quality outcomes.
• Prepares and analyzes data to report to performance improvement, accreditation, and safety-related committees.
• Assists with all components of regulatory and other quality programs, accreditation preparedness and continual readiness.
• Demonstrates an understanding, and maintains current knowledge of regulatory quality program specifications, the accreditation process and/or survey process, including standards, process revisions, and team dynamics and interoperability.
• Assists with Virtual Survey and/or CMS Validation activity preparation, completion, and follow-up for opportunities identified.
• Completes organizational mock survey and tracer activity as required.
• Assists departments throughout the organization with quality program activities, accreditation-related activities, as necessary.
• Leads or facilitates performance improvement teams/processes related to quality programs, accreditation/survey issues, including Core Measures, as assigned.
• Conducts audits and focus studies to evaluate compliance with selected elements as required.
• Leads and serves as a liaison in clinical quality measures and core measure data collection and analysis and other duties as required and directed.
• Functions as a key facilitator of performance improvement throughout the organization.
• Functions as