SPECIALIST - QUALITY MANAGEMENT
About The Position
The Quality Management Specialist works with operational and clinical staff to facilitate Quality Management and Performance Improvement programs. The role supports monitoring activities to ensure quality across CenterLight Healthcare and collaborates on performance improvement initiatives so that care delivery and services meet high standards of care. The specialist uses quality improvement methods, clinical judgment, data analysis, audits, and root cause analysis to identify opportunities and support improvements. The position also collaborates with PACE sites and organizational leaders, supports quality committees, and helps prepare sites and centers for regulatory and accreditation audits.
Requirements
- Bachelor’s degree in Nursing is required.
- Three to five years of progressively responsible related work experience, including experience with regulatory agency standards and performance improvement initiatives, is required.
- Excellent written and oral communication skills, including the ability to communicate effectively with people at varying education and organizational levels.
- Ability to work effectively in a fast-paced environment.
- Ability to create informative and engaging presentations using PowerPoint or other presentation programs.
- Proficiency with Microsoft Office products, including Teams, Word, Excel, and Outlook.
- Ability to use data management systems to obtain and analyze information and draw conclusions and recommendations.
- Experience working with clinical and non-clinical departments and influencing others to gain support for quality improvement initiatives.
Nice To Haves
- Master’s degree.
Responsibilities
- Use quality improvement methodologies such as PDSA, Six-Sigma, Lean, or other standardized quality tools to assist business owners with improvement initiatives.
- Use clinical judgment to identify deviations from clinical standards of care delivery.
- Serve as a liaison between PACE sites, department leaders, medical directors, and Quality.
- Conduct root cause analyses to identify deficiencies and implement evidence-based interventions for Level 2 Incidents.
- Monitor and investigate potential or identified quality-of-care incidents, collaborating with appropriate staff to determine impact and next steps.
- Conduct monthly internal monitoring and audits to identify performance improvement opportunities.
- Participate in site and center preparation and execution of audit readiness for regulatory and accreditation agencies, including State and Federal agencies, CMS, and NCQA.
- Collect, summarize, and analyze performance data and identify opportunities for improvement.
- Support, facilitate, and participate in Quality committees and workgroups.
- Investigate and incorporate national best-practice interventions to achieve improvements.
- Draw conclusions from data analysis to initiate and facilitate performance improvement projects.
- Maintain working knowledge of regulatory requirements related to quality for health plan and care delivery products relevant to CenterLight Healthcare.
- Identify and escalate urgent quality and operational matters.
- Conduct, analyze, and report the results of quality audits.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
