Clinical Quality Improvement Specialist

Summary

WHAT WILL YOU GET AT ELLIS MEDICINE

• Comprehensive and affordable Health Dental and Vision insurance that starts DAY ONE !
• Generous paid time off to support a work-life balance including 6 paid holidays
• Tuition Reimbursement and professional development opportunities
• Retirement plan in the form of a 401(3b) with company match after longevity
• Flexible Spending Account and Dependent Care Accountallowing you to set aside pretax dollars to better care for your health and the health of your loved ones
• Free yearlong unlimited CDTA Navigator Pass including Free CDTA bike share program
• Employee Wellness Program
• Employee Assistance Program
• Employer paid Life Insurance

WHAT WILL YOU DO

The Clinical Quality Improvement Specialist is responsible for coordinating and supporting quality patient safety and regulatory initiatives related to Stroke Sepsis Infection Prevention and quality improvement at Ellis Medicine. The role focuses on accreditation readiness data analysis realtime auditing staff education infection prevention practices and process improvement to support highquality compliant patient care.

Stroke Program Support

• Supports accreditation activities through rounding collecting data and analyzing trends
• Works with departmental leaders on accreditation compliance activities
• Validates stroke quality data including review of measure fallouts and data accuracy
• Performs TNK chart reviews to identify documentation and quality measure gaps
• Facilitate coordinate and/or support of the Stroke Support Group for stroke patients
• Provides education/training related to stroke program to staff/providers
• Assess patient education needs and provide appropriate stroke education to patients
• Coordinates mock survey activities

Sepsis Program Support

• Provides oversight and support for sepsis performance improvement through chart review data abstraction data validation and fallout identification
• Attends Rapid Response Sepsis events when available to support appropriate treatment plan documentation and process compliance
• Provides handson nursing education/training and realtime feedback related to sepsis workflows
• Provides provider followup for sepsis documentation and quality measure gaps

Infection Control & DeviceRelated Quality Support

• Supports Infection Control initiatives through rounding auditing and staff education
• Conducts unitbased rounds focused on Foley catheters central lines isolation compliance and environmental practices
• Evaluates patient care and assesses the level and timeliness of outcome achievement utilizing input from pertinent members of the healthcare team
• Enter nursing protocol orders to initiate and discontinue orders as appropriate
• Promotes device necessity review and timely removal in collaboration with nursing staff
• Provides realtime feedback and education to support infection prevention practices

Performance Improvement & Department Support

• Serves as a handson quality resource for nursing and clinical staff
• Works within the Quality Department and with key stakeholders to develop plans to continually improve performance against core measures regulatory standards and strategic initiatives.
• Works with department leaders to develop plans of correction for survey findings
• Reinforces improvement efforts through rounding education and audit followup
• Analyzes data for opportunities for processes improvement and works with process improvement teams to create follow up and audit action plans
• Provide clinical staff education on quality improvement initiatives and action plans
• Supports core measure data abstraction and validation activities for required regulatory submissions
• Participates in various committees to identify process performance improvement and interdisciplinary research and study activities as required and support process improvement activities

WHAT DO YOU NEED

EDUCATION AND EXPERIENCE REQUIREMENT(S):

• RN licenseBachelorsdegreerequired MS preferred
• 1 years of clinical nursing experience
  

Preferred:

• 2-3 years in acute care (medical-surgical telemetry ICU ED or stroke unit preferred)
• Exposure to quality improvement regulatory compliance or clinical documentation review
• Participates in orientation and continuing education and updates andmaintainsknowledge and skills related to specific areas of expertise.
• Strong written and oral communication skills strong interpersonalmotivationaland conflict resolution skills. Strong management and administrative -based knowledge of hospital related regulatory compliance requirements.

PHYSICAL REQUIREMENTS:

• Should be able to push/pull lift/move20lb. be able to perform moderately difficult manual manipulations such as using a keyboard writing and filing for extended periods of time must be able to perform tasks which require hand-eye coordination such as data entry typing and using photo copiers. Mobility requirements may include the ability to be stationary at a workstation for a prolongedperiodtime in addition to being able tosquat orbemobile for a reasonable length of time and distance. Communication requirements include the ability tocomprehendthe spoken English language in addition to being able to communicate and read the English language.

Ellis Medicine is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to and will prohibit discrimination on the basis of race creed color religion sex/gender (including pregnancy) age national origin disability (including pregnancy-related conditions) genetic information predisposition or carrier status military or veteran status prior arrest or conviction record marital or familial status sexual orientation transgender status gender identity gender expression reproductive health decisions domestic violence victim status known relationship or association with any member of a protected class and any other characteristic protected by applicable law violates federal state and where applicable local laws reproductive health decisions or source of payment consistent with applicable legislation and to comply with the laws pertaining thereto.

Salary Range: $ 33.71-$50.56/hour Pay is based on experience skills and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the state.

Required Experience:

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