Clinical Quality Specialist

Mille Lacs Health System•South Harbor Township, MN
•$33 - $49

About The Position

The Clinical Quality Specialist works under the direction of the Quality Manager to ensure compliance with regulatory standards and patient-related agencies, including Press Ganey, DHS, and AHA. The role requires professional written and verbal communication with the public, clients, families, medical staff, ancillary departments, and administration. It includes collecting quality data, reviewing utilization, monitoring variances from expected outcomes, and analyzing data. The work requires sustained mental effort and the ability to manage stress related to interpersonal relationships. The position supports performance improvement and utilization review efforts, provides guidance to department managers on improvement projects, and collaborates with the Quality Team on clinical support and participation in data systems, including core measures and other quality registries. The specialist also helps prepare reports for leaders and agencies and gathers data to support MLHS awards and accolades. The position reports to the Quality Manager and has no supervisory responsibilities. Regular workdays are Monday through Friday; occasional evening and weekend work may be required as job duties demand. Duties may change, and employees are expected to comply with MLHS policies and report unsafe conditions to management.

Requirements

  • Registered Nurse degree with Minnesota licensure.
  • At least five years of nursing experience, including at least one year of critical care or emergency department experience.
  • Professional written and verbal communication skills.
  • Expertise with computer-based data.
  • Customer/client focus.
  • Ethical conduct.
  • Flexibility and initiative.
  • Personal effectiveness and credibility.
  • Stress management and composure.
  • Teamwork orientation.
  • Technical capacity.

Nice To Haves

  • Bachelor's degree in nursing preferred.
  • Experience with Critical Access Hospital (CAH) Conditions of Participation.
  • Experience and competency with statistical data collection and reporting.
  • Experience in Utilization Management or Discharge Planning preferred.

Responsibilities

  • Collect quality data from manual and electronic medical records and report trends and outcomes.
  • Review utilization and report findings.
  • Monitor variances from expected outcomes.
  • Analyze data and recommend action to the manager.
  • Coordinate with department stakeholders on performance improvement or utilization review as directed.
  • Provide support and guidance to department managers on improvement projects.
  • Collaborate with the Quality Team to maintain participation and clinical support of data systems, including core measures and other quality registries in which MLHS participates.
  • Produce or assist with reports for leaders and agencies.
  • Identify and collect data as directed to support MLHS awards and accolades.
  • Comply with MLHS policies, including safety policies, procedures, and rules, and report unsafe conditions to management.
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