Quality Improvement Specialist

City of Hope • Irvine, CA

1d

About The Position

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.
This role acts as a clinical expert for quality management and patient safety. The position provides support by analyzing data, performing clinical quality reviews, audits, and background information to the organization and the Medical Departments, for process improvement activities, quality reports, and facilitates responses to insurance and clinical grievances. The Quality Improvement Specialist (QIS) will lead improvement strategies, conduct risk assessments, and participate in accreditation activities. This position is designed to assist in defining, measuring, analyzing, and applying data to increase clinical quality outcomes, enhance patient safety, and reduce harm, while complying with accreditation standards and/or regulations. The QIS is an expert resource in process and outcome measurement, analysis, and performance improvement including concepts and techniques, evidenced based practices, relevant legislation, accreditation standards, medical staff bylaw/rules and regulations, and policies/procedures. The position requires knowledge of lean/six sigma process improvement tools, facilitative leadership, change management, risk management concepts, regulatory and licensing standards. This role travels between (7) seven clinic sites in Orange County.

Requirements

• Master's degree in nursing or BSN with masters in related/complementary field required. Experience may substitute for educational requirement with VP approval.
• Three years's experience in clinical nursing and/or quality, risk and regulatory activities
• Must have current Registered Nurse license in California

Nice To Haves

• Specialty certification (CPHQ) preferred
• Data Management Systems
• Project Management
• Lean/Six Sigma Training
• Change Management
• Accreditation and Regulatory Compliance
• CPHQ, HACP certifications preferred
• Knowledge of Joint Commission, Title 22, CMS

Responsibilities

• Coordinates and leads discrete quality improvement teams in collaboration with each team’s physician liaison.
• Collaborates with administrators and/or the physician liaison for each team in the development of the agendas; tracks the actions, and assures timely follow up on actions.
• Supports event reporting and peer review for campus and external community clinics.
• Facilitates root cause analyses and other deep dive activities needed to refine and modify policies and procedures and/or processes to improve the quality of patient care.
• Follows-up on quality activities such as case/sentinel event reviews to make sure appropriate changes have taken place.
• Obtains, reviews and analyzes clinical data through review of the in-patient and out-patient medical record and data reports from numerous sources to gather data for OPPE, peer review, other case review, quarterly quality reports, special projects, performance improvement and other quality metrics chosen by the organization or mandated by external agencies; Participates in observational activities (e.g. nursing studies, policy adherence) to collect needed data.
• Collaborates with Quality Analytics, Biostatistics and other departments to develop processes to ensure accurate, timely, consistent access to relevant data.
• Presents data in a meaningful and useful manner.
• Attends the applicable medical staff committees for quality report and event review and is an active participant at QA&I

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees