Quality Specialist - Registered Nurse/RN - Quality Management

Overview

The Quality Specialist RN performs a variety of functions under the Quality Department Scopes of Work which include but are not limited to:

• Performance Improvement: Collection, analysis, data reporting and facilitation of performance improvement methodologies for assigned projects
• Regulatory Compliance: Resource to hospital and medical staff departments to assure compliance with regulatory standards
• OPPE/Peer Review: Collection of metrics, profile creation and report generation of ongoing provider performance
• Clinical Safety/Patient Experience: Case review and data analytics for Clinical Safety and Patient Experience projects

Responsibilities

• Serves as PI resource to assigned PI Teams and facilitates use of performance improvement methods to improve quality metrics.
• Conducts concurrent and retrospective case reviews as assigned.
• Ability to define problems, collect data, establish facts and draw valid conclusions
• Provides both formal and informal training relating to performance improvement and regulatory compliance.
• Conducts assigned screening and measurement activities including data collection and analyses. .
• Generates reports and communicates results and activities to administration, medical staff and other internal and external parties to support organizational improvement initiatives.
• Oversees the design, implementation and reporting related to assigned performance improvement projects.
• Participates in collection, analysis and data reporting related to ongoing compliance efforts.
• Works with medical staff and other multidisciplinary departments collaboratively through abstraction, review and analyses of peer review.

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to the DCH Mission, Vision, and Values including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

Qualifications

• Registered Nurse with current licensure for the state of Alabama
• Minimum of three years’ experience in an acute care facility.
• Clinical background that would facilitate assessment of patient care data for coordination of quality projects.
• Ability to work independently, and manage multiple projects, with strong prioritizing skills
• Familiarity with Joint Commission and CMS standards and terminology
• Basic knowledge of computers and office productivity software.
• Basic knowledge of data analysis.
• Ability to communicate effectively.
• Must be able to read, write legibly, speak and comprehend English.

Work Context

• Able to maintain confidentiality
• Daily contact with others
• Able to work independently
• Regular work with work groups or teams
• Requires accuracy and attention to detail
• Physical presence onsite is essential
• Regular Schedule

Physical Factors

• Light work Exerting up to 20 pounds of force occasionally and/or a negligible amount of force constantly
• Average motor coordination
• Manual and finger dexterity important.
• Sitting involved in most job functions
• Hearing and vision must be normal or corrected to within normal range
• Able to perform the duties with or without reasonable accommodation

Environmental Factors

• May require wearing personal protective equipment
• Works primarily indoors