Quality Specialist - Quality Management

Tuba City Regional Health Care Corporation•Tuba City, AZ

About The Position

The Quality Specialist supports organizational quality initiatives and is responsible for care coordination and data management for the general patient population, with a focus on improving patient outcomes and reducing patient injury. The position applies proven strategies to enhance the reliability, safety, and quality of patient care, and provides education, resources, and direct organizational support. The role works with providers, care teams, the Nurse Care team, data analysts, and the PI Team to monitor performance, coordinate quality improvement and clinical interventions, review clinical measures, and support reporting and value-based payment initiatives. It requires managing multiple projects, maintaining patient confidentiality and accurate chart reviews, and helping plan and implement improvement efforts across diverse populations.

Requirements

Associate degree in Nursing and a bachelor's degree in a healthcare-related field, or a bachelor's degree in Nursing.
Valid, current, full, unrestricted Professional Nursing License to practice in a U.S. state, Puerto Rico, or a U.S. territory.
Lean Program certification for yellow and green belts; if not already certified, must obtain certification within one year of hire.
Maintain current American Heart Association Basic Life Support (BLS) certification throughout employment.
At least three years of experience in a clinical and/or quality setting.
Knowledge of Lean, Lean Sigma, and Lean Six Sigma principles and methodologies.
Employment record demonstrating satisfactory performance, supported by positive references addressing community-resource referrals, DRG and documentation knowledge, positive working relationships, ethical standards, and reliability.
Ability to assess varying skill levels and tailor instruction accordingly.
Detail-oriented, well-organized, and able to apply critical thinking, reasoning, deduction, and inference.
Knowledge of report writing, graphical analysis, spreadsheets, and database programs.
Knowledge of medical terminology.
Computer literacy, including Microsoft Office, electronic health records, and email.
Successful completion of interviews, background and reference checks, fingerprint clearance, physical examinations, and other required screenings.
Submission of complete and accurate employment-related documents and information.
Ability to meet the position's physical and mental demands, including frequent lifting, pushing, and pulling up to 50 pounds; prolonged sitting and computer work; frequent walking and bending; and the ability to manage multiple priorities and stressful situations.

Responsibilities

Follow up on duties assigned by the Director of Quality & Performance Improvement and/or Chief Quality Officer.
Assist with initiatives and programmatic performance monitoring.
Attend assigned meetings and provide organizational support for delegated operational functions.
Track, manage, document, identify, and report patient data.
Schedule meetings and team meetings.
Work with providers and care team members to coordinate PI Team deliverables.
Support improvements in preventive services and performance in value-based payment initiatives.
Monitor data and act on it in a timely manner.
Review monthly clinical-measure submissions from target facilities; help identify improvement opportunities and design and implement interventions to meet goals.
Submit project reports and mandatory public reporting on time.
Work with Data Analysts on mandatory reporting, data collection, chart reviews, and online platforms.
Maintain chart-review accuracy above 95%.
Build positive relationships with team members and communicate effectively in writing and orally.
Work with the Nurse Care team, providers, and other team members to optimize patient services and outcomes.
Manage multiple concurrent projects and respond effectively to changes in project requirements.
Maintain attention to detail while keeping program goals and objectives in view.
Lead teams and manage projects; develop frameworks for coordinating quality improvement and clinical interventions.
Plan and organize improvement efforts and programs and implement them for broad and varied audiences.
Work with diverse populations and maintain patient confidentiality.
Maintain quality service by establishing and enforcing organizational standards and policies.
Wear required PPE while on duty and complete safe donning, doffing, and disposal procedures.
Complete training for routine cleaning and decontamination of surfaces contaminated by communicable disease.
Complete other duties as assigned.