Quality Management Specialist

MLK Community Healthcare•Los Angeles, CA

18h

About The Position

The Quality Management Specialist (QMS) provides operations and clinical improvement support to Martin Luther King, Jr. Community Hospital as a data abstractor, project manager, facilitator, consultant, and/or analyst. The QMS manages and coordinates organization-wide performance improvement (PI) and quality improvement (QI) programs using a data-driven approach to prioritize improvements aligned with organizational strategic imperatives. The role supports assigned areas and departments in improving operational performance and quality, as well as program efficiency and effectiveness. The QMS provides leadership and coordination to improve core measures and key performance indicators, evaluates how system improvements affect quality of care and publicly reported data, and develops PI and QI training programs to help the hospital achieve its strategic goals. The role also supports patient rights by addressing complaints and grievances, helping patients and families communicate concerns, coordinating resolutions, and providing written responses to grievances within applicable state and federal timeframes.

Requirements

Bachelor’s degree in Nursing or another healthcare-related discipline.
Background in healthcare or public health.
Two or more years of experience in healthcare.
Knowledge of performance improvement methodologies, safety, and reliability science.
Effective communication, group facilitation, staff training, and data analysis skills.
Ability to establish and maintain effective working relationships with employees, public and private organizations, and regulatory agencies.
Ability to work under pressure while maintaining efficiency and composure.
Demonstrated commitment to participatory management and a strong service orientation.
Strong customer service and interpersonal skills.
Ability to plan, coordinate, and implement patient and staff safety procedures.
Good judgment and decision-making abilities.
Excellent verbal and written communication skills.
Interest in continuous learning and staying informed about regulatory changes.
Ability to lead and facilitate group and team meetings.
Attention to detail and analytical skills.
Ability to work independently within a defined strategy.
Comfort handling challenging situations that may involve adverse outcomes.
Ability to work within a matrix organizational structure with many stakeholders.

Nice To Haves

Master’s degree.
Experience in performance improvement.
Certification in Lean, Six Sigma, and/or another process improvement methodology.
California RN licensure.

Responsibilities

Conduct timely and accurate chart abstractions in accordance with current CMS, Joint Commission, and national registry guidelines, including NHSN, with minimal supervision.
Assist in finalizing data for submission to internal and external regulatory agencies.
Track outliers and provide data reports and other information on specific metrics to support analysis, follow-up, and improved measure compliance.
Manage and ensure implementation and effectiveness of performance improvement systems.
Facilitate performance improvement activities that produce positive, measurable effects on process and outcome measures.
Research, design, and conduct organization-wide performance and quality training.
Assist departments in evaluating and improving the effectiveness of their practices and use of resources.
Establish continuous performance and quality improvement efforts, including monitoring and reporting systems.
Provide regular updates on the status and impact of improvement efforts to executive leadership, management, and front-line staff.
Recommend future improvements based on data.
Research best practices in performance and quality improvement and introduce appropriate concepts to the healthcare team.
Develop programs to address knowledge deficits in quality, regulatory, and performance improvement requirements.
Maintain patient rights by educating patients; responding to complaints and grievances; resolving patient issues; and reporting unresolved issues.
Resolve complaints by listening to patients and families, directing them to a physician or supervisor, helping them present facts to a hospital representative, developing acceptable resolutions, and following up on outcomes.
Respond to patient and family grievances with written letters within required state and federal timeframes.
Perform other duties and projects as assigned.