Clinical Quality Specialist
About The Position
The Clinical Quality Specialist works under the direction of the Quality Manager to help ensure compliance with regulatory standards and requirements of patient-related agencies, including Press Ganey, DHS, and AHA. The role involves professional written and verbal communication with the public, clients, families, medical staff, ancillary departments, and administration. Other major functions include quality data collection, utilization review, monitoring variances from expected outcomes, and data analysis. The position requires sustained mental effort and the ability to manage stress related to interpersonal relationships. The role supports performance improvement and utilization review efforts, provides guidance to department managers on improvement projects, and collaborates with the Quality Team on clinical data systems and quality registries. The position also produces or assists with reports for leaders and agencies and collects data in support of MLHS awards and accolades. The regular workweek is Monday through Friday, with occasional evening and weekend work as duties require. The position has no supervisory responsibilities.
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, initiative, personal effectiveness/credibility, stress management/composure, teamwork orientation, and technical capacity.
Nice To Haves
- Bachelor's degree in Nursing preferred.
- Experience with CAH Conditions of Participation.
- Experience and competency with statistical data collection and reporting.
- Experience in Utilization Management/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, as directed, on performance improvement or utilization review.
- Provide support and guidance to department managers regarding improvement projects.
- Collaborate with the Quality Team to maintain participation in and clinical support of data systems, including core measures and other quality registries in which MLHS participates.
- Produce or assist in producing 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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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
