Clinical Quality & Education Specialist

Non; Annapolis (MD); On-site; USD 106,000 - 115,000; Full time

Benefits offered by this job

PTO up to 96 hours in first year

Holidays

401k with employer match

Health benefits (medical, single and a

Dental, Vision coverage

Short Term Disability

Long Term Disability

Life/AD&D

Employee Assistance Program

Voluntary Life

Accident

Critical Illness

Hospital Indemnity

Exempt salaried — not eligible for OT

No bonus/commission

Job summary

Unknown Healthcare Network is seeking a Clinical Quality & Education Specialist to coordinate QAPI, infection prevention, risk management, and clinical quality education across Ambulatory Surgery Centers. The role partners with Regional Clinical Directors to monitor performance, conduct audits, and drive targeted education based on regulatory requirements.

Responsibilities include developing dashboards, preparing reports for the Quality Committee, and coordinating accreditation readiness

Qualifications

• Bachelor's-educated RN with 5+ years of nursing experience, including 2+ years in ASC.
• Proficient in Internet and Microsoft Office tools.
• Current RN licensure in the practicing state.
• ACLS and BLS certifications current.

Responsibilities

• Coordinate the ASC QAPI program and quality improvement activities.
• Monitor, analyze, and trend quality indicators and performance metrics.
• Conduct routine medical record, clinical, and documentation audits.
• Support accreditation readiness and regulatory surveys; investigate patient safety events.
• Provide targeted education on quality, infection prevention, and regulatory requirements.
• Collaborate with leadership to implement improvement plans and staff training.
• Prepare risk management reports and track corrective actions.

Skills

Communication

Organizational skills

Attention to detail

Problem solving

Education & training coordination

Regulatory compliance knowledge

Education

RN with 5+ years experience including 2+ years in ASC

Tools

MS Word

MS Excel

MS PowerPoint

MS Outlook

Job description

The Clinical Quality & Education Specialist is responsible for coordinating the Quality Assessment and Performance Improvement QAPI Infection Prevention Risk Management Regulatory Compliance and Clinical Quality Education programs across assigned Ambulatory Surgery Centers This position partners closely with Regional Clinical Directors and other key stakeholders to monitor quality performance conduct audits support accreditation readiness investigate patient safety events coordinate performance improvement initiatives and provide targeted education based on regulatory requirements and identified performance gaps

Essential Duties and Responsibilities

• Quality Assurance Coordinate the ASC Quality Assessment and Performance Improvement QAPI Program
• Monitor analyze and trend quality indicators and performance metrics
• Conduct routine medical record clinical and documentation audits
• Conduct routine quality and compliance rounds at assigned ASCs
• Develop audit tools dashboards and tracking reports to support ASC operations
• Prepare quality reports for the Quality Committee and Governing Board
• Monitor completion of corrective action plans and performance improvement projects
• Investigate quality concerns and assist Regional Clinical Directors with corrective action plans
• Assist management and other key stakeholders in identifying opportunities for clinical and operational improvement
• Provide guidance regarding CMS Conditions for Coverage accreditation standards infection prevention and patient safety requirements
• Coordinate regulatory readiness activities and assist centers with accreditation and licensing surveys
• Identify education opportunities through routine audits and quality rounds
• Partner with management and other key stakeholders to implement targeted improvement plans and staff education
• Assist with competency remediation and follow up when deficiencies are identified through audits surveys or event investigations
• Infection Prevention Conduct annual Infection Prevention Risk Assessments
• Perform infection surveillance including surgical site infection (SSI) tracking
• Conduct infection prevention rounds and compliance audits
• Monitor sterilization and high level disinfection processes
• Coordinate required NHSN and regulatory reporting as applicable
• Provide infection prevention education and annual competency support
• Monitor compliance with CDC APIC AORN CMS and Joint Commission infection prevention standards
• Risk Management Investigate patient safety events adverse events and incident reports
• Coordinate Root Cause Analyses (RCAs) and corrective action plans
• Track and trend patient safety events to identify recurring opportunities for improvement
• Assist with patient complaint investigations as appropriate
• Monitor completion and effectiveness of corrective actions following incident investigations
• Prepare risk management reports and trending for leadership and Quality Committee review
• Clinical Education & Competency Support Coordinate and support education related to quality improvement patient safety infection prevention and regulatory compliance
• Develop educational resources and competency tools based on audit findings regulatory updates accreditation standards and identified performance gaps
• Collaborate with management and other key stakeholders to provide focused education following quality audits incident investigations and survey findings
• Assist with annual competency validation related to infection prevention sterilization moderate sedation patient safety and other regulatory requirements
• Support orientation and onboarding of Lead RNs ASC leadership and clinical staff related to quality initiatives QAPI regulatory compliance and accreditation standards
• Serve as a resource to physicians and clinical staff regarding quality improvement initiatives regulatory compliance evidence based practice and patient safety
• Checks and responds to work e mail on a regular basis throughout the workday
• Participates in and completes all required trainings and in services
• Performs other duties as assigned

Minimum Qualifications

• Bachelors Degree from an accredited college or university WITH a minimum of five 5 years of experience as a Registered Nurse including at least two 2 years of experience in an Ambulatory Surgery Center; OR an equivalent combination of education andor experienceExperience coordinating quality improvement infection prevention regulatory compliance accreditation or risk management activities is required
• Must have knowledge of Internet and Microsoft Office software MS Word MS Excel MS PowerPoint MS Outlook
• Must possess and maintain current licensure as a Registered Nurse in the state in which work is performed
• Must possess a current ACLS and BLS certification
• Must have at least two 2 years experience working with Joint Commission OR Center for Medicare and Medicaid Services CMS standards and regulations
• Must have excellent written and oral communication skills including exceptional customer service
• Must be able to establish and maintain effective working relationships with doctors clinical staff other co workers and the public
• Must be able to work individually as well as within a team
• Must be able to follow both verbal and written instructions
• Must be able to work a flexible schedule
• Must be able to respond with patience and understanding during stressful conditions related to patient health and emergent situations
• Must be able to multi task and prioritize
• Must demonstrate extreme attention to detail
• Must possess strong organization skills
• Must be able to problem solve and use reasoning
• Must be able to meet predefined quality standards
• Must maintain and project a professional attitude and appearance at all time
• Must have a working knowledge of the healthcare field and medical terminology
• All staff are expected to have a strong desire to provide excellent customer service; to comply with the rules and regulations of those organizations to which we are accountable; to have high ethical and professional standards of conduct; and to have an attitude of wanting to continuously improve their own professional performance

Preferred Qualifications

• Two 2 years experience managing an infection control and safety program
• One 1 year of prior experience working with an Electronic Medical Record EMR
• DrivingTravel The employee must have reliable transportation
• Travel for this position may be required up to 100
• While the primary workplace may be closest to the employees home work assignments could be in any of the Companys locations

Compensation and Benefits

• Pay Range 105600year to 115000 annually
• PTO Up to 96 hours in first year pro rated based on start date
• Holidays 7 New Years Day
• Holidays 7 Memorial Day
• Holidays 7 Independence Day
• Holidays 7 Labor Day
• Holidays 7 Thanksgiving Day
• Holidays 7 After Thanksgiving
• Holidays 7 Christmas Day
• Retirement 401k with employer match
• Health Benefits Medical single and family
• Dental single and family
• Vision single and family
• Other Company Paid Benefits Short Term Disability
• Other Company Paid Benefits Long Term Disability
• Other Company Paid Benefits Basic LifeAD&D
• Other Company Paid Benefits Employee Assistance Program
• Other Voluntary Benefits Voluntary Life
• Other Voluntary Benefits Accident
• Other Voluntary Benefits Critical Illness
• Other Voluntary Benefits Hospital Indemnity
• Other Compensation This position is exempt salaried and is not eligible for overtime pay
• Other Compensation This position is not eligible for bonus commission incentive or shift differential pay