Full-Time Quality Management Specialist

Trinity Health•Melrose Park, IL

About The Position

The Quality Management Specialist partners with home care and hospice leaders to advance clinical excellence, regulatory compliance, and continuous quality improvement. The role supports agency performance through quality monitoring, process improvement, staff education, documentation review, survey readiness, and data-driven performance enhancement. The ideal candidate has clinical experience and is committed to improving patient outcomes, ensuring regulatory compliance, and promoting best practices across home health and hospice operations. The specialist leads and supports quality assurance, performance improvement (QAPI), and process improvement initiatives; analyzes quality data, publicly reported outcomes, patient satisfaction results, and operational metrics; and develops, implements, and evaluates action plans. The role conducts quality audits, clinical record reviews, and workflow assessments, supports regulatory and accreditation readiness, and helps strengthen documentation compliance. The position provides education, mentoring, and consultation to agency leaders and clinical staff, including support for competency development, clinical documentation, OASIS accuracy, and quality improvement processes. It monitors and reports quality indicators and patient satisfaction, prepares recurring reports and presentations, and uses EMR reporting tools and quality software to identify trends. The specialist also leads quality meetings and collaborates with agency leadership, clinicians, risk management, infection prevention, and operational teams. Occasional travel may be required.

Requirements

Current Registered Nurse or Therapist license from the applicable State Board.
Bachelor’s degree or equivalent professional experience.
Four years of home health and/or hospice experience.
Experience serving on committees or participating in leadership activities.
Strong interpersonal, communication, and relationship-building skills.
Knowledge of quality improvement principles, data collection, and performance analysis.
Valid driver's license and reliable transportation.
Ability to adapt to changing priorities and work independently.
Proficiency with computer systems, electronic medical records, videoconferencing platforms, and telephone systems.
Demonstrated ability to drive results and maintain accountability.
Ability to support the organization’s mission, vision, and values.
OASIS Certification (COS-C or HCS-O) must be obtained within six months of hire and maintained without lapse throughout employment.

Nice To Haves

Two or more years in a supervisory, quality, compliance, or operational oversight role.
Hospice certification is preferred and encouraged.

Responsibilities

Lead and support quality assurance, performance improvement (QAPI), and process improvement initiatives.
Analyze quality data, publicly reported outcomes, patient satisfaction results, and operational metrics to identify improvement opportunities.
Develop, implement, and evaluate action plans focused on top-decile outcomes, regulatory compliance, and strategic goals.
Conduct quality audits, clinical record reviews, and workflow assessments to promote accurate documentation and patient-centered care.
Ensure compliance with federal, state, accreditation, and payer requirements.
Support agency survey readiness and accreditation activities.
Monitor documentation practices and recommend improvements to compliance and quality performance.
Participate in regulatory reviews, payer audits, and corrective action planning as needed.
Educate, mentor, and consult with agency leaders and clinical staff on quality standards, documentation requirements, and best practices.
Support competency development through in-service education and quality-focused training.
Serve as a resource for clinical documentation, OASIS accuracy, and quality improvement processes.
Monitor and report quality indicators, patient satisfaction scores, and publicly reported outcomes.
Prepare monthly, quarterly, and annual quality reports and presentations.
Use EMR reporting tools and quality software to identify trends and support continuous improvement.
Lead organizational quality meetings and participate in interdisciplinary committees.
Collaborate with agency leadership, clinicians, risk management, infection prevention, and operational teams to achieve organizational goals.
Support a culture of accountability, teamwork, and patient-centered care.