Quality Improvement Lead

GENESIS HEALTHCARE SYSTEM

In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an 'owner' of Genesis and keep our patients at the center of everything we do - always.


Position Details:

Work Shift:
Day Shift (United States of America)

Scheduled Weekly Hours:
40

Department:
Population Health

Overview of Position:

The Quality Improvement Lead is a clinically oriented quality improvement specialist responsible for supporting the consistent application, implementation, and monitoring of quality improvement (QI) principles under the Ohio Department of Medicaid (ODM) State Directed Payment (SDP) Program and other ambulatory quality-based initiatives. This role supports both hospital-based and professional (physician and advance practice) SDP measures and ensures that quality improvement activities are methodologically sound, data-informed, and aligned with ODM requirements. This role brings that same level of rigor to other ambulatory quality-based initiatives that are critical for Genesis and our community.

The Quality Improvement Lead serves as a subject matter expert in quality improvement science, providing structure, guidance, and technical support to internal teams and participating providers. The role emphasizes standardization, rigor, and sustainability of improvement efforts.
ESSENTIAL DUTIES

1. Support ODM State Directed Payment Program initiatives and other ambulatory quality-based initiatives by ensuring quality improvement activities align with approved measures for both hospital and professional services.

2. Interpret quality requirements and measure specifications and translate them into clear, actionable quality improvement expectations and frameworks.

3. Assist in monitoring performance data to identify gaps, variation, and opportunities where structured QI methodologies should be applied.

4. Support the application of established quality improvement methodologies across initiatives, with explicit use of Key Driver Diagram (KDD) methodology, consistent with ODM's stated intent for SDP quality improvement.

5. Ensure improvement activities are designed and executed using consistent, evidence-based QI principles, including clear aim statements, key drivers, secondary drivers, and linked interventions.

6. Provide methodological guidance to clinical and operational teams on problem definition, development and maintenance of Key Driver Diagrams, measure selection, intervention testing, and sustainment planning.

7. Apply complementary improvement methods (e.g., PDSA cycles, Lean, Six Sigma, root cause analysis) to test and refine interventions identified through Key Driver Diagrams.

8. Assist with the development, documentation, and tracking of improvement plans and corrective action plans for underperforming measures, ensuring alignment with approved Key Driver Diagrams.

9. Apply clinical expertise to assess quality improvement opportunities related to care delivery, clinical workflows, and practice variation.

10. Support physicians, nurses, and other clinicians by translating performance data into clinically meaningful insights that inform improvement efforts.

11. Collaborate with analytics and population health teams to review and interpret performance data.

12. Support appropriate application of measure specifications, attribution logic, benchmarks, and performance targets.

13. Assist with the preparation of performance summaries, dashboards, and supporting documentation for internal review and reporting.

14. Participate in provider-facing meetings, learning collaboratives, and workgroups to reinforce consistent use of QI methodologies.

15. Support documentation, monitoring processes, and audit readiness related to quality activities.

QUALIFICATIONS

1. Current Ohio RN License.

2. BSN or Bachelor's degree in a health-related field.

3. Minimum of 3 years clinical experience in acute care or professional practice setting.

4. Previous experience in quality improvement, performance improvement, or related quality-focused roles.

5. Demonstrated experience applying quality improvement methodologies in a healthcare environment.

6. Strong analytical, organizational, and documentation skills.

7. Effective written and verbal communication skills, including the ability to explain QI concepts to clinical and operational audiences.

8. Ability to manage multiple improvement activities in a dynamic Medicaid and value-based care environment.

9. High level of professionalism, consistency, attention to detail, and accountability.

10. Excellent computer skills and knowledge of computer software, including programs such as Word, Excel, PowerPoint, etc.

PATIENT CENTERED CARE & BEHAVIORAL EXPECTATIONS

1. Living the Genesis Mission, Vision and Values

• Performs work in a manner that is quality focused.

• Treats patients, co-workers, visitors and volunteers with courtesy, compassion, empathy and respect.

• Results oriented and focused on achievement of objectives.

• Acknowledges and responds to the diversity of people and the situation.

• Encourages peers (others) to be owners of change.

• Always makes the effort to anticipate and exceed customer needs and expectations.

• Possesses the ability to engage others with patience and understanding.

• Acts in a manner that creates positive first and lasting impressions.

• Demonstrates the ability to own issues until they are resolved.

2. Patient Centered Care (patients/families, physicians, co-workers, all other internal/external customers)

• Introduces self and role...connects with everyone.

• Communicates effectively (i.e. advising others of actions, pertinent information, time durations, etc.) and asks for feedback.

• Asks for and anticipates needs and concerns of others.

• Maintains a positive work environment for staff and a healing environment for patients (i.e. safe, clean, quiet, etc.)

• Maintains the dignity and privacy of each person; manages confidential/sensitive information appropriately.

• Responds to requests in an appropriate and timely manner.

• Exits patient/customer encounters courteously, asking if there are additional needs that can be addressed.

3. Promotes Patient and Employee Safety

• Demonstrates safe Patient Handling (i.e. transfers, transport, care administration, nutrition, medication, etc.)

• Demonstrates safe Materials Handling (i.e. appropriate use and disposal of chemicals, infectious wastes, etc.)

• Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment

• Demonstrates Slips/Trips and Falls Awareness.

• Actively contributes to maintaining a safe, clean and quiet environment.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS

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

1. Works in an office environment.

2. Answers telephone calls, uses personal computer and other business machines extensively, which requires the ability to apply finger dexterity. Individual bends, reaches, pushes and pulls file drawers to file records and reports.

3. Must be able to regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds.

4. Vision abilities required include up close vision, peripheral vision, depth perception and the ability to adjust focus.

This description reflects in general terms the type and level of work performed. It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent.

Thank you for your interest in employment at Genesis. Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job.