SPECIALIST - QUALITY MANAGEMENT

TeamCare Medical; Uniondale (NY); In loco; USD 86.000 - 109.000; Tempo pieno

Descrizione del lavoro

CenterLight Healthcare is seeking a Quality Management Specialist to collaborate with clinical and operational teams to drive performance improvement and ensure high-quality care in line with regulatory standards. The role emphasizes using QI methodologies and data-driven decision-making to enhance patient outcomes.

The position requires a Bachelor's in Nursing (Master’s preferred) and 3–5 years of related experience in quality and regulatory settings, with strong communication and presentation

Competenze

• Excellent written and oral communication skills.
• Ability to create informative presentations using PowerPoint.
• Ability to analyze data and draw actionable conclusions.

Mansioni

• Utilize QI methodologies (PDSA, Six-Sigma, Lean) to drive quality improvements.
• Identify deviations in clinical standards of care delivery.
• Conduct root cause analyses for Level 2 Incidents and implement interventions.
• Monitor and investigate quality of care incidents; collaborate on actions.
• Conduct monthly internal monitoring and audits for performance improvement.
• Prepare for regulatory/accreditation audits and ensure readiness.
• Collect and analyze performance data to identify improvement opportunities.
• Support Quality committees and promote best practice interventions.

Conoscenze

Communication skills

Presentation skills

Data analysis

Formazione

Bachelor’s degree in Nursing

Master’s degree preferred

Strumenti

PowerPoint

Excel

Outlook

Teams

Word

Descrizione del lavoro

JOB PURPOSE:

The Quality Management Specialist works in conjunction with operational and clinical staff to facilitate Quality Management/Performance Improvement programs. The Quality Management Specialist supports the monitoring activities to ensure quality across CenterLight Healthcare and collaborates with performance improvement initiatives to ensure care delivery and services are provided according to the highest standards of care.

JOB RESPONSIBILITIES:

• Utilize quality improvement methodologies, such as PDSA, Six-Sigma, Lean, or other standardized quality tools to assist business owners in driving quality improvement initiatives.
• Use sound clinical judgment to identify deviations in clinical standards of care delivery.
• Serve as liaison between the PACE sites, department leaders, medical directors, and Quality.
• Conduct root cause analyses to identify deficiencies and implement evidence-based interventions for Level 2 Incidents.
• Monitor and investigate all potential or identified quality of care incidents and collaborate with appropriate staff to determine the impact and next steps for action.
• Conduct monthly internal monitoring and audits to identify opportunities for performance improvement.
• Participate on Site/Center preparation and execution of audit readiness by regulatory and accreditation agencies (State and Federal agencies, CMS, NCQA, etc.).
• Collect, summarize, and analyze performance data and identify opportunities for improvement.
• Support Quality committees; facilitate and participate in Quality committees and workgroups Investigate and incorporate national best practice interventions to affect greater improvements.
• Draw conclusions from data analysis to initiate and facilitate performance improvement projects.
• Maintain working knowledge of regulatory requirements related to quality for health plan and care delivery products relevant to CenterLight Healthcare.
• Identify and escalation urgent quality and operational matters.
• Conduct, analyze, and report results of quality audits.

QUALIFICATIONS:

EDUCATION:

• Bachelor’s degree in Nursing required.
• A Master’s Degree is preferred.

EXPERIENCE:

• 3-5 Years Progressively responsible related work experience including regulatory agency standards and performance improvement initiatives required.

OTHER REQUIREMENTS:

• Excellent written and oral communication skills.
• Ability to communicate effectively with people with varying levels of education and at varying levels of the organization Ability to work effectively in a fast-paced environment
• Ability to create informative and engaging presentations using PowerPoint or other presentation programs.
• Proficient in other Microsoft Office products including Teams, Word, Excel, and Outlook.
• Ability to utilize other data management systems to pull and analyze information to draw conclusions and recommendations.
• Experience working with a variety of departments both clinical and non-clinical and influencing others to get buy-in regarding quality improvement initiatives.

Disclaimer:

Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.

We are an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information.

We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

Salary Range (Min-Max): $86,400.00 - $109,100.00

Every application is reviewed by our recruitment team. We do not use AI to make hiring decisions or automatically reject applicants. All employment decisions are based on job-related qualifications and applicable employment laws.

C2Q Health Solutions offers management services tailored to the needs and goals of healthcare providers. Drawing from our leadership team's experience in providing key administrative solutions to healthcare programs such as managed long-term care, home care companies and other community health plans, C2Q’s expertise spans a full spectrum of functions that support an organization’s growth.