Clinical Quality Specialist

Automatic Data Processing, Inc.; Hot Springs (AR); On-site; USD 70,000 - 90,000; Full time

Job summary

Healthy Connections, a Federally-Qualified Health Center serving communities across Arkansas, seeks a Clinical Quality Specialist. This RN‑led role audits clinical data, ensures CMS/NCQA/the Joint Commission readiness, and develops targeted training for providers and nursing staff to improve documentation and patient safety.

The ideal candidate brings 3–5 years of clinical nursing and at least 2 years in quality improvement, with CPQH or related credential preferred.

Qualifications

• Active, unrestricted Registered Nurse (RN) license required.
• BSN or related healthcare field highly preferred.
• Minimum of 3–5 years of clinical nursing experience.
• Minimum 2 years in clinical quality improvement, medical auditing, or staff development/instructional training.
• Certified Professional in Healthcare Quality (CPHQ) or related credential strongly preferred.

Responsibilities

• Design, implement, and lead training sessions for physicians and nursing staff to address documentation gaps and quality metrics.
• Analyze clinical quality metrics, audit patient charts, and translate data trends into training initiatives.
• Maintain knowledge of federal, state, and accreditation standards; educate clinical teams on compliance and reimbursement guidelines.
• Partner with clinical leadership to perform root cause analyses and develop educational intervention plans to prevent care gaps.

Skills

EHR data interpretation

Public speaking

Data analysis

Healthcare quality

Education

RN license

BSN preferred

Tools

Quality management software

Data analysis tools

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Clinical Quality Specialist

Administration Regular Full-Time HS - Admin Office, Hot Springs, AR, US

2 days ago Requisition ID: 1095

About Company:

Our Journey of Care: Empowering Communities Across Arkansas

Welcome to Healthy Connections, your destination for quality healthcare across the state of Arkansas. For over 25 years, we have been steadfast in our commitment to providing exceptional medical, dental, and behavioral health services to the diverse communities we proudly serve.

As premier health clinics in Arkansas, we are a Federally-Qualified Health Center (FQHC) that embraces a patient-centric approach. Our services extend beyond conventional healthcare; we are dedicated to ensuring access to quality care for all, with a focus on inclusivity and community engagement.

Comprehensive Health Services Across Arkansas
At Healthy Connections, we operate as health clinics across Arkansas, offering a wide range of medical, dental, and behavioral health services. Our medical clinics are equipped to handle various healthcare needs, from routine check‑ups to specialized care. Our dental clinics provide comprehensive dental services, promoting oral health and well‑being. Additionally, our behavioral health clinics cater to the mental health needs of our community, fostering emotional wellness.

Accepting Medicaid and Medicare, Supporting Our Communities
As Medicaid and Medicare accepted clinics in Arkansas, we are committed to removing barriers to healthcare access. Our goal is to ensure that everyone in our community, regardless of financial circumstances, can receive the care they need. We also operate on a sliding fee scale, providing affordable healthcare to those without insurance. Our dedication to accessibility is further underscored by our acceptance of ArKids 1st, making us a reliable choice for families seeking pediatric care.

Diversity and Inclusivity in Healthcare
Healthy Connections takes pride in being part of Arkansas community health centers that prioritize diversity and inclusivity. Our healthcare team is culturally competent, ensuring that every patient receives personalized and respectful care. We embrace the diversity of our community and strive to make healthcare accessible to everyone.

Looking Ahead with Optimism:
As we celebrate more than 25 years of service, we look forward to continuing our legacy of care and compassion across Arkansas. Our commitment to excellence and community engagement remains unwavering. Whether you are seeking medical, dental, or behavioral health services, we invite you to explore the comprehensive and compassionate care we provide at Healthy Connections.

Thank you for being a part of our journey. Explore our website to learn more about our dedicated team and the health services we offer. At Healthy Connections, we are not just healthcare providers; we are partners in your health and well‑being. Together, we will build healthier, happier communities for years to come.

Position Summary:

The Clinical Quality Specialist bridges the gap between data insights and clinical practice to drive continuous quality improvement across the organization.

This role is responsible for auditing clinical data, monitoring compliance with regulatory and accreditation standards (such as CMS, NCQA, and The Joint Commission), and developing, delivering, and evaluating targeted training programs for Providers and Nursing staff. The ideal candidate leverages clinical expertise and data analytics to translate quality metrics into actionable frontline education, ensuring excellence in patient care and optimal institutional outcomes.

Qualifications:

• Education & Licensure: Active, unrestricted Registered Nurse (RN) license required; Bachelor of Science in Nursing (BSN) or related healthcare field highly preferred.
• Experience: Minimum of 3–5 years of clinical nursing experience, paired with at least 2 years in clinical quality improvement, medical auditing, or staff development/instructional training.
• Certifications: Certified Professional in Healthcare Quality (CPHQ) or a training/educational credential strongly preferred.
• Skills: Strong clinical credibility with providers and nursing teams; proficiency in interpreting Electronic Health Record (EHR) data; exceptional presentation and public speaking skills.

Key Responsibilities:

• Provider & Nursing Education: Design, implement, and lead instructional training sessions for physicians, advanced practice providers, and nursing staff to address documentation gaps, HEDIS/HCC metrics, and evidence‑based practice updates.
• Data-Driven Practice Transformation: Analyze clinical quality metrics, audit patient charts, and translate data trends into actionable training initiatives that correct systemic documentation errors and improve patient safety.
• Regulatory Compliance: Maintain rigorous knowledge of federal, state, and accreditation standards; proactively educate clinical teams on evolving compliance and reimbursement guidelines to ensure audit readiness.
• Root Cause & Process Improvement: Partner with clinical leadership to perform root cause analyses on clinical variances, developing educational intervention plans to prevent future care gaps.

Skills:

The Clinical Quality Specialist utilizes analytical skills daily to interpret clinical data and identify trends that impact patient care quality. Strong communication skills are essential for educating clinical staff and facilitating collaboration across departments to implement quality initiatives. Proficiency with quality management software and data analysis tools enables the specialist to efficiently monitor compliance and generate actionable reports. Knowledge of healthcare regulations and accreditation standards guides the development of effective quality assurance programs that meet or exceed industry requirements. Additionally, leadership and project management skills are applied to drive continuous improvement efforts and ensure sustainable enhancements in clinical quality.

Monday to Thursday. No nights or weekends
40 Hours a Week