Quality Specialist - Quality Management

Tuba City Regional Health Care Corporation; Tuba City (AZ); On-site; USD 90,000 - 160,000; Full time

Job summary

Tuba City Regional Health Care Corporation is seeking a qualified professional for the Director of Quality & Performance Improvement role to enhance patient outcomes and reduce patient injury through evidence-based strategies.

The position requires nursing licensure, Lean Six Sigma certification, and 3+ years in clinical/quality settings, with strong data management, problem solving, and leadership abilities. This on-site Arizona role emphasizes collaboration across teams.

Qualifications

• Education: Associates in Nursing + Bachelor's in a healthcare-related field, OR Bachelor's in Nursing.
• License: Active nursing license in any US state, PR, or territory.
• Certification: Lean Program Yellow/Green Belt (or obtain within 1 year).
• BLS certification required throughout employment.

Responsibilities

• Follow up on duties assigned by Director of Quality & Performance Improvement or CQO.
• Assist in a variety of initiatives and programmatic performance monitoring.
• Attend meetings as assigned and provide organizational support.
• Track, manage, document, identify, and report patient data.

Skills

Lean Six Sigma

Nursing license

Data analysis

Communication

Quality improvement

Project management

Documentation

Microsoft Office

EHR systems

Background checks

Education

Associates in Nursing + Bachelors in healthcare field

Bachelor's degree in Nursing

Tools

Lean certification (Yellow/Green Belt)

Job description

Navajo Preference Employment Act

In accordance with Navajo Nation and federal law, TCRHCC has implemented an affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.

Overview

POSITION SUMMARY

Supports organization quality initiatives and assumes responsibility for care coordination and data management for general patient population, with a focus on increasing patient outcomes and reduction of patient injury. Adoption of proven strategies that enhance the reliability, safety and quality of care received by patients. Provides extensive education, resources and direct support to organization to accomplish the mission of better outcomes for patients.

Qualifications

NECESSARY QUALIFICATIONS

Education:

• Associates in Nursing AND Bachelor’s in a healthcare related field, OR
• Bachelor’s degree in Nursing

License/Certification:

• A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States
• Certification from an accredited Lean Program for a yellow and green belt. If none, must obtain within one (1) year of hire.
• Must maintain a current valid certification of the following throughout employment:
  • Basic Life Support (BLS) certification with American Heart Association

Experience:

Minimum of 3 years’ experience in a clinical and/or quality setting

Will need to know the principles of Lean, Lean Sigma, Lean six Sigma methodology.

Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:

• Accessing community resources for patient referrals
• Knowledge of diagnosis related groups (DRG) and documentation requirements
• Positive working relationships with others
• Possession of high ethical standards and no history of complaints
• Reliable and dependable; reports to work as scheduled without excessive absences
• Ability to sense varying skill levels and direct instruction accordingly
• Detail oriented, well organized, and applies critical thinking, reasoning, deduction, and inference skills
• Knowledge of report writing, graphical analysis, and working with computer spreadsheets and database programs
• Knowledge of medical terminology required
• Computer literate, including Microsoft Office products, electronic health record, and electronic mail.
• Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC.

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical:

This position requires an individual of high energy who can maintain a long and flexible schedule to meet the management requirements. The physical requirements include; sitting at a desk for long periods of time, long periods of sitting in meetings; frequent sitting for intense work on a personal computer, frequent walking to interact with staff within the facility, frequent bending, kneeling, crouching, twisting, maintaining balance and reaching.. Must be able to hear, speak and comprehend over the telephone and in person with others. Must have ability to lift, push and pull up to 50lbs frequently. Sensory requirements for position include prolonged ability for far, near, and color vision, depth perception, seeing fine details, hearing normal speech, telephone use and ability to frequently hear overhead pages. Must have ability of both hand manipulation in simple and firm grasping, fine manipulation, and use of keyboard.

Mental:

Uses independent judgment and analytical skills to make decisions that impact operations, finances, and customer service within the organization. The incumbent must have the ability to perform in structured and unstructured environments and possess a keen attention to detail and propose practices/mechanisms to enhance customer satisfaction. Must have ability to continually concentrate, handle a high degree of flexibility, handle multiple priorities in stressful situation, demonstrate high degree of patience, adapt to shift work, work in areas that are close in crowded, frequently cope with high levels of stress, make decisions under high pressure, work alone, and occasionally cope with anger/fear/hostility of others in a calm way and manage altercations.

Environmental:

May frequently be exposed to chemical agents, extremes in temperature of humidity, occasional exposure to infectious diseases, dust, fumes, gases, hazardous or moving equipment, and loud noises.

Responsibilities

1. Follow up on duties as assigned by the Director of Quality & Performance Improvement,.and or Chief Quality Officer (CQO)
2. Assists in a variety of initiatives and programmatic performance monitoring.
3. Attends meetings as assigned
4. Provides organizational support of delegated operational functions as needed.
5. Ability to track, manage, document, identify, and report patient data.
6. Schedules appointments for meetings and or team meetings
7. Works closely with providers and care team members to coordinate with PI Team deliverables
8. Demonstrates improvement in preventive services including but not limited to support performance in value-based payment initiatives
9. Monitor and act on data in a timely manner.
10. Review monthly submission of each target facility’s clinical measures and facilitate identification of
11. individual opportunities for improvement and the design and implementation of interventions to reach targeted goals.
12. Provide timely submission of project reports and mandatory public reporting.
13. Works with Data Analysts for mandatory reporting, data collection, chart reviews and managing the online platforms
14. Demonstrates competency by maintaining an accuracy of chart reviews of >95%
15. Demonstrates positive relationships for all team members
16. Demonstrates effective communication skills, both written and oral.
17. Works in conjunction with Nurse Care team, providers, and other team members to optimize patient services and outcomes.
18. Ability to work on multiple projects concurrently and to effectively handle changes in project requirements
19. Ability to maintain a highly detail-oriented approach along with an understanding of the long-term goals and objectives of the program
20. Strong team leadership and project management skills
21. Ability to develop a framework for management and coordination of quality improvement and clinical interventions
22. Ability to plan and organize improvement efforts and programs and roll them out to a broad and varied audience
23. Ability to work on diverse populations.
24. Maintaining patient confidentiality.
25. Maintains quality service by establishing and enforcing organization standards and policies.
26. Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
27. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updated)
28. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction
29. Complete other duties as assigned