Quality Improvement Specialist

Our Quality Improvement Specialists make an impact in the communities they serve. The role works from home wihich allows for a excellent work/life balance with room for upward growth, and an amazing pension!!
The Quality Improvement Specialist is responsible for demonstrating project management skills in implementing assigned projects as part of the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) 12th Scope of Work (SOW) contract aims. This involves recruitment and retention of providers of various types to participate, collaborating with stakeholders in the state and participating in network activities. The Quality Improvement Specialist will assist health care providers and organizations in problem solving, including serving as an external resource for quality improvement data, evidence-based practice and performance improvement strategies.
The Quality Improvement Specialist demonstrates proficient and advanced skills in planning, implementing, and evaluating projects that have long range implications for select patient populations in various contract aims clinical settings. The Quality Improvement Specialist coordinates internal and external resources for execution of projects, including interdisciplinary management of projects within and outside of the organization.
Role and Responsibilities:

• Collaborates with QIN-QIO management team and staff on project design, implementation, and evaluation.

• Participates on cross task teams to build communities of cross-setting, healthcare providers and/or clinicians to engage in improving care for Medicare beneficiaries, facilitate cross-setting providers in goal setting and achievement of the CMS goals for 12th SOW contract aims.

• Serves as a resource and brand ambassador, within and outside the organization, on assigned contract aims goals and objectives.

• Acts as a resource within and outside of the organization on standards of care, quality improvement processes, and quality improvement data for assigned contract aims.

• Assists QIN-QIO management team with preparation of periodic and special reports on program status and contract deliverables.

• Responsible for helping to meet regional aim specific contract deliverables and requirements and tracking of project plans, milestones and deliverables in the Internal Quality Control (IQC) database.

• Coordinates the facilitation of aim-specific educational programs for healthcare providers.

• Ability to identify and recruit community stakeholders, nursing homes, clinicians and providers to participate in identified strategic health care projects.

• Establishes and maintains professional relationships with internal and external customers for assigned contract aims.

• Assists in troubleshooting potential and/or current problems in achieving contract objectives.

• Serves as content expert on proposals for the acquisition of new business on an as needed basis.

• Other duties as assigned.

Skills / Professional Competencies Required:

• Excellent written and oral communication skills.
• Demonstrated experience within the specific task domain.
• Demonstrated experience in healthcare quality improvement tools that lead to large scale change and improvement in healthcare processes to reduce waste and promote value in healthcare expenditures.
• Demonstrated experience in performance measures, quality improvement methodologies, project evaluation and analysis of trends for in project metric results.
• Knowledge of federal and state statutes, regulations, and program standards in relation to the QIN-QIO contract.
• Demonstrated ability to build and maintain relationships with physicians, healthcare providers, healthcare professionals and government officials.
• Requires self-direction, tact, diplomacy, and a clear courteous and professional manner when dealing with internal and external customers.

Minimum Education/Training Required:
Bachelor's degree in nursing (BSN). Master's degree (MSN) preferred. Non-nursing candidates with relevant experience will be considered.
Minimum Experience Required:
Five years of full-time professional experience in clinical nursing or in a related healthcare field. Both nursing and non-nursing candidates must have appropriate experience in an area of expertise (hospital, nursing home, physician office, home health agency, managed care organization), two years of which must have been in a quality-improvement program administration capacity.
Substitution(s):
Four additional years of experience beyond the minimum state above may substitute for the Bachelor's degree.
Licensure/Certification Requirements:
Current, valid license to practice as a professional Registered Nurse (if a RN).

Quality Insights is an EEO/AA employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, sexual orientation, genetics, age, disability, protected veteran status, or any other characteristic protected by law. EOE/M/F/Vet/Disability

Job Type: Full-time