Quality & Patient Safety Strategist

capecodhc

Hyannis (MA)

On-site

USD 95,000 - 125,000

Full time

14 days+

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Job summary

Cape Cod Hospital is seeking a Quality Improvement professional to lead data abstraction for core measures, monitor the reliability of definitions, and support regulatory reporting. You will collaborate with clinical educators, coders and frontline staff to implement evidence-based initiatives, coordinate PDCA cycles, and prepare reports and improvement plans for internal customers.

This role also ensures timely submissions to CMS, BoRM, TJC and DPH, and maintains proficiency in MIDAS and

Qualifications

RN license required.
Baccalaureate Degree in Nursing required; Master’s degree preferred.
CPHQ certification or proven experience in quality improvement and regulatory compliance preferred.
Effective communication, presentation and facilitation skills required.

Responsibilities

Lead data abstraction for quality measures following regulatory manuals.
Monitor data entry for reliability of core measure definitions.
Maintain up-to-date knowledge of data definitions and reporting requirements.
Ensure data accuracy and meet submission timelines for required entities.
Coordinate PDCA-based improvement initiatives with clinical staff and educators.
Prepare reports and improvement plans; support QA initiatives and task forces.
Assist in peer review activities and ensure regulatory compliance alignment.