About The Position

The Quality Improvement Specialist designs, directs, and facilitates implementation of effective systems and processes to improve quality and patient safety. The role supports Mount Carmel-owned but unaffiliated facilities, including preparation for regulatory and licensure compliance across multiple sites. It requires travel to each facility, with off-site time of 60% or more each week. The Specialist works with diverse groups, settings, and varying levels of complexity to facilitate process and system improvements, provide practical performance-improvement consultation, and support effective medical-staff participation in quality improvement, service excellence, and patient safety. The role also liaises with external regulatory agencies and Trinity Health System, assists with surveys, develops or conducts education, and manages projects as needed. Consulting services may also be provided to non-MCHS-owned health care entities to build targeted relationships.

Requirements

  • Baccalaureate degree in Nursing.
  • Registered Nurse licensure.
  • At least five years of recent hospital practice.
  • Knowledge of quality-management methodologies and performance-improvement principles and designs.

Nice To Haves

  • Master’s degree in Nursing preferred.
  • Clinical and management experience preferred.

Responsibilities

  • Prepare and support wholly owned facilities regarding regulatory and licensure compliance.
  • Travel to multiple facility locations; off-site time is 60% or more weekly.
  • Assist with scheduled and unannounced surveys by regulatory agencies.
  • Facilitate process and system improvement across departments and multiple service areas.
  • Serve as a role model by demonstrating openness to new ways of thinking.
  • Serve as a quality-improvement liaison with external agencies, including CMS, ODH, and TJC, as well as Trinity Health System.
  • Provide consultation on the practical application of performance improvement.
  • Manage medical staff dynamics to facilitate effective discussions and participation in quality improvement, service excellence, and patient safety.
  • Work with diverse groups and settings and varying levels of complexity.
  • Develop and/or assist in conducting educational programs or in-services related to quality and process improvement as needed or requested.
  • Serve as project manager for organizational endeavors as needed.
  • Provide consulting services, as requested, to non-MCHS-owned health care entities to build targeted relationships.
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