Quality Improvement Specialist - Quality Administration - FT - Day

Stormont-Vail-Health-; Topeka (KS); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Stormont Vail Health is seeking a qualified RN with expertise in data analytics and quality improvement to lead data collection, analysis, and reporting that drives better patient outcomes. The role partners with clinical teams to identify and address gaps in care, using evidence-based guidance and robust data governance.

The position requires MS Office proficiency, chart review experience, and knowledge of statistics, with a focus on national quality programs and registries.

Qualifications

• 3 years of clinical nursing experience.
• MS Office (Word, Excel, PowerPoint) proficiency.
• Clinical chart review and data abstraction experience.
• Knowledge of statistics.

Responsibilities

• Analyzes data and conducts in-depth process reviews to identify opportunities to improve quality outcomes.
• Identifies challenges and barriers to performance improvement and works with stakeholders on solutions.
• Provides evidence-based guidance to facilitate promotion of quality measures and educates stakeholders on gaps in care.
• Compiles and analyzes data supporting quality and performance improvement for regulatory and payer programs.
• Enter data into registries and databases accurately and efficiently.

Skills

Clinical nursing

Statistics knowledge

Data analysis

Quality improvement

MS Office

Chart review

Data abstraction

HQCC certification

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Tools

MS Office

Job description

Position Status:Full timeShift:First Shift (Days - Less than 12 hours per shift) (United States of America)Hours per week:40Job InformationExemption Status: ExemptA Brief OverviewResponsible for the collection, analysis and reporting of data and the communication of outcomes, gaps in care and opportunities for improvement with a focus on the organizational goals and objectives that lead to improved patient outcomes.Education QualificationsAssociate's Degree Nursing. RequiredBachelor's Degree Nursing. PreferredExperience Qualifications3 years Clinical experience. RequiredComputer and Internet skills and experience required – familiarity and comfort with MS Office products is essential for success in this position (Word, Excel, and PowerPoint). RequiredClinical chart review and abstraction experience. PreferredDatabase data entry experience. PreferredQuality improvement of patient safety knowledge and experience. PreferredSkills and AbilitiesKnowledge of statistics. (Preferred proficiency)Licenses and CertificationsRegistered Nurse - KSBN RequiredCertified Professional In Healthcare Quality - HQCC PreferredWhat you will doAnalyzes data, conducts in-depth process reviews with stakeholders to identify opportunities to improve quality outcomes. Identifies challenges and barriers to performance improvement and works collaboratively to find successful solutions. As a subject matter expert, provides evidence based, best practice guidance to facilitate promotion of positive patient outcomes, educates stakeholders on quality measures, gaps in care delivery and opportunities for process improvement (including hospital and clinic staff, physicians, departmental Directors).Responsible for the compilation and analysis of data which supports quality and performance improvement in order to fulfill regulatory and payer- based commitment. These programs include but are not limited to: the hospital acquired condition reduction program (HACRP) , Value Based Purchasing, Hospital Inpatient Quality Reporting Program, Hospital Outpatient Quality Reporting Program, Ambulatory Surgery Center reporting program, Readmission and Mortality programs, Healthcare Associated Conditions, National Health Safety Network, NSQIP, MBSAQIP, MIPS, BCBS ACO, MSSP ACO and others.Enters information into national registries and databases as determined by the organization with accuracy and efficiency. Team members assigned to the MBSAQIP registry will review full details of the MBSAQIP standards, complete online initial training as well as ongoing maintenance of training certification, must attend at least two of the three required MBSAQIP meetings one of which must be the annual comprehensive review meeting, retrieves and enters long-term follow-up data on all patients, maintains confidentiality of PHI, and routinely communicates directly with the MBS Director.Develops and maintains a collaborative relationship with the key clinical and hospital areas associated with the assigned databases, attending relevant meetings, providing updates on quality improvement outcomes, education and support.Effectively utilizes the hospital medical record system in the concurrent, reliable collection of quality program components.Utilized exceptional communication skills to convey variances and fallout in quality compliance with members of the hospital and clinic community. Works with staff to conduct root cause analysis to identify underlying issues and opportunities for improvement.Utilizes organizational skills to maintain efficient and timely workflow.Participates in interviews/surveys regarding this area of expertise as requested by management.Demonstrates appropriate utilization of resources necessary to obtain valid, reliable data for entry into databases and websites in a timely manner.Collaborates with leadership to assist with establishing and achieving specific organizational objectives.Serves as an educational resource by developing educational material and delivering presentations.Attends conferences and webinars pertaining to the program to stay current and informed.Required for All JobsComplies with all policies, standards, mandatory training and requirements of Stormont Vail HealthPerforms other duties as assignedPatient Facing OptionsPosition is Not Patient FacingRemote Work GuidelinesWorkspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.Stable access to electricity and a minimum of 25mb upload and internet speed.Dedicate full attention to the job duties and communication with others during working hours.Adhere to break and attendance schedules agreed upon with supervisor.Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.Remote Work CapabilityHybridScopeNo Supervisory ResponsibilityNo Budget Responsibility No Budget ResponsibilityPhysical DemandsBalancing: Occasionally 1-3 HoursCarrying: Occasionally 1-3 HoursClimbing (Stairs): Rarely less than 1 hourCrouching: Rarely less than 1 hourDriving (Automatic): Rarely less than 1 hourEye/Hand/Foot Coordination: Frequently 3-5 HoursFeeling: Occasionally 1-3 HoursGrasping (Fine Motor): Occasionally 1-3 HoursGrasping (Gross Hand): Occasionally 1-3 HoursHandling: Occasionally 1-3 HoursHearing: Frequently 3-5 HoursKneeling: Rarely less than 1 hourLifting: Occasionally 1-3 Hours up to 50 lbsPulling: Occasionally 1-3 Hours up to 50 lbsPushing: Occasionally 1-3 Hours up to 50 lbsReaching (Forward): Occasionally 1-3 Hours up to 50 lbsReaching (Overhead): Rarely less than 1 hour up to 50 lbsRepetitive Motions: Frequently 3-5 HoursSitting: Frequently 3-5 HoursStanding: Occasionally 1-3 HoursStooping: Rarely less than 1 hourTalking: Frequently 3-5 HoursWalking: Occasionally 1-3 HoursWorking ConditionsNoise/Sounds: Rarely less than 1 hourStormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.