Job Description
Job Details
Description Quality Specialist Process Improvement
Position Summary : Under the direction of the Director of Quality Management, oversees various quality-related initiatives within the organization, which may include but is not limited to activities related to continuous quality improvement within the health system. May also provide support to other members of the Process Improvement Department team (Quality Managers) as needed.
Responsibilities - Manage departmental performance/quality dashboards for the Health System, to include verification of completion, formatting, formulas/calculations, and data validity on an ongoing basis. Utilize Microsoft Excel and Epic for the purposes of deriving and reporting this data.
- Routinely identify performance indicators that are not meeting targets, and facilitate discussion with leadership on the development of corrective/preventive action plans, where appropriate.
- Work closely with members of the hospital’s management team and senior leadership regarding updates/edits to dashboards when necessary. Communicate effectively with all levels of the organization’s leadership team.
- Perform medical record reviews for key functions associated with broad regulatory requirements, including hospital transfers, emergency department records, suicidal ideation records, physical restraint utilization, mortality reviews, and other audits as assigned.
- Participate in committee meetings, to include establishment of agendas and meeting minutes, as assigned.
- Utilize specialized software (training to be provided) to monitor key quality indicators/performance measures, enter data, and generate reports for hospital leadership as assigned.
- Act as an ISO internal auditor (non-clinical) upon completion of internal auditor training, to include serving as a lead auditor/facilitator. Schedule audits and document findings as assigned.
- Provide additional administrative support to the Director and Quality Manager staff within the Process Improvement Center, as needed.
- Cross-train with other Quality Specialists within the Process Improvement Center to provide support in the event of coworker absences.
- Other special projects as assigned by the Director or Quality Managers.
Requirements - Exceptional computer skills are REQUIRED. Extensive experience with Microsoft Excel, Word, and PowerPoint is strongly preferred. Candidate must be able to create various types of graphics within Excel using quality data and present these graphics in a professional and polished manner.
- Strong verbal and written communication skills. Must be able to interact professionally with all levels of staff and leaders within the organization, up to and including co-workers, senior leaders (Vice Presidents) and members of the physician staff.
- Strong interpersonal skills and an ability to work with others effectively, cordially, professionally and tactfully. This is a "high visibility" position within the health system and candidates must be comfortable in effectively interacting with all members of the organization's management team.
- Candidates must be comfortable with working with, and analyzing, large amounts of data to identify potential improvement opportunities.
- Excellent critical thinking ability, to enable the candidate to think abstractly and make appropriate decisions when managing the workload.
- Highly detail-oriented candidates will have the strongest consideration. Must be able to turn out error-free work product on a regular and consistent basis.
- Ability to work independently at a fast pace, to include an ability to quickly adapt to changes in priorities on a day-to-day, if not an hour-to-hour basis.
- Ability to meet strict deadlines.
- An honest, dependable and trustworthy attitude is required, with a capability for dealing with sensitive information in a confidential manner at all times.
- Healthcare quality is a very rapidly changing environment. Top candidates will have an ability to learn new tasks quickly, be willing to learn tasks/responsibilities as needs arise and integrate them into existing workflows.
- Ability to operate telephones, printers, copier, and fax machine.
- Familiarity with LMH organizational structure is a plus.
- Experience with MIDAS+ is a strong plus.
Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit-based factors protected by law.
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