Quality Improvement Specialist - Quality Administration - FT - Day
About The Position
The Quality Improvement Specialist is responsible for collecting, analyzing, and reporting data and communicating outcomes, gaps in care, and opportunities for improvement in support of organizational goals and improved patient outcomes. The position works with stakeholders to review processes, identify performance challenges, and develop solutions, while providing evidence-based guidance and education on quality measures and improvement opportunities. The role compiles and analyzes data for quality and performance improvement programs and regulatory and payer commitments, enters information into national registries and databases, and uses the hospital medical record system to collect quality-program information. The specialist maintains collaborative relationships with clinical and hospital teams, supports root cause analysis, communicates quality-compliance variances, and assists leadership in meeting organizational objectives. The position also develops and delivers educational materials and presentations and attends relevant conferences and webinars. This is a full-time, exempt, day-shift position with 40 hours per week. The position is hybrid and is not patient-facing, with no supervisory responsibility. Remote work requires a quiet, distraction-free workspace that meets security and privacy standards, reliable electricity, and internet service with at least 25 Mbps upload and download speed, as well as adherence to Stormont Vail’s Remote Worker Policy and the applicable work agreement.
Requirements
- Associate's degree in Nursing.
- At least 3 years of clinical experience.
- Registered Nurse license through KSBN.
- Computer and internet skills, including familiarity and comfort with Microsoft Word, Excel, and PowerPoint.
Nice To Haves
- Bachelor's degree in Nursing.
- Clinical chart review and abstraction experience.
- Database data-entry experience.
- Knowledge and experience in quality improvement and patient safety.
- Knowledge of statistics; proficiency preferred.
- Certified Professional in Healthcare Quality certification through HQCC.
Responsibilities
- Collect, analyze, and report data, and communicate outcomes, gaps in care, and improvement opportunities.
- Analyze data and conduct in-depth process reviews with stakeholders to identify ways to improve quality outcomes.
- Identify barriers to performance improvement and collaborate on solutions.
- Provide evidence-based, best-practice guidance and educate staff, physicians, and leaders on quality measures, gaps in care, and process improvement opportunities.
- Compile and analyze data supporting quality and performance improvement and regulatory and payer commitments, including applicable reporting and quality programs.
- Enter information accurately and efficiently into national registries and databases designated by the organization.
- For team members assigned to the MBSAQIP registry, complete initial and ongoing training, attend at least two of three required meetings including the annual comprehensive review meeting, retrieve and enter long-term patient follow-up data, protect PHI, and communicate routinely with the MBS Director.
- Develop and maintain collaborative relationships with clinical and hospital areas associated with assigned databases; attend relevant meetings and provide updates, education, and support.
- Use the hospital medical record system for concurrent and reliable collection of quality-program components.
- Communicate quality-compliance variances and fallout to hospital and clinic community members.
- Work with staff to conduct root cause analyses and identify underlying issues and improvement opportunities.
- Maintain an efficient and timely workflow and use appropriate resources to obtain valid, reliable data for timely entry into databases and websites.
- Participate in interviews and surveys related to the area of expertise as requested by management.
- Collaborate with leadership to establish and achieve organizational objectives.
- Develop educational materials and deliver presentations as an educational resource.
- Attend conferences and webinars related to the program to stay current.
- Comply with Stormont Vail Health policies, standards, and mandatory training; perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
