quality improvement specialist

Banner Health

<div><p><b>Primary City/State:</b></p>
Phoenix, Arizona<p></p><p><b>
Department Name:
</b></p>Quality Improvement-Corp<p></p><p><b>
Work Shift:
</b></p>Day<p></p><p><b>
Job Category:</b></p>
Risk, Quality and Safety<p></p><p>
Find your path in health care. Banner Health is committed to not only providing the finest care possible, but to advancing the way care is provided. To achieve our vision, we seek out professionals who embrace change and who possess the passion and skills to make it happen. Apply today.</p><p></p><p>
Banner &ndash; University Medical Center Phoenix is a nationally recognized academic medical center. This world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals who serve the community. Named a Best Hospital 2025-2026 by U.S. News &amp; World Report for outstanding patient care. The medical center was also ranked #2 in Arizona and #2 in Phoenix.</p><p></p><p>
Our Quality Improvement department is responsible for all quality and safety performance metrics that are reported internally and publicly. This is accomplished through team collaboration using performance improvement PI principles and analytical tools. As a QI Specialist, you will partner with leadership regarding inquiries, requests for data and assistance to improve performance. You could be updating a scorecard, creating a power point presentation for a team or leadership on a topic, analyzing data, creating performance charts, or participating in an annual initiative PI Team meeting. If you are a person that has passion for performance improvement and enjoys working in a team setting, you belong here!</p><p></p><p><b>
This position is onsite at Banner University Medical Center in Phoenix, Arizona, with a Monday-Friday 8:00am to 4:30pm schedule</b></p><p></p>
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.<p></p><p>
POSITION SUMMARY<br>
This position supports high reliability in clinical performance through ongoing assessment of performance, prioritizes clinical improvement activities, facilitates performance improvement, and promotes successful implementation to achieve entity/system targets. This role requires strong communication, collaboration, teamwork, and change management skills in order to achieve desired results across the continuum of care. This role serves as a quality SME to Leaders throughout the facility.<br>
<br>
CORE FUNCTIONS<br>
1. Quality Leadership and Integration - Facilitates the integration of quality into the fabric of the organization to achieve objectives, such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (tJC) standards of care. Support the quality infrastructure, protect the use of privileged or confidential information, facilitate processes for engagement and interprofessional teamwork, identify and promote continuous learning opportunities to advance the organization/facility/entity and communicate effectively. Facilitates performance improvement projects with physicians, clinical leaders, and staff to identify improvement opportunities utilizing qualitative and quantitative data analysis, knowledge of health care operations and systems thinking.</p><p><br>
2. Performance and Process Improvement &ndash; Serves as a subject matter expert in performance and process improvement, project management and change management methods to support operational and clinical quality initiatives. Facilitates activities related to or resulting from patient safety, harm reduction, clinical performance, peer review and compliance with regulatory and accrediting agencies. This is accomplished by utilizing performance and process improvement tools and principles, applying project management methods, and using change management principles and tools.</p><p><br>
3. Population Health and Care Transitions - Evaluate and improve healthcare processes and care transitions to advance the efficient, effective, and safe care of defined populations. Foster integrated team-based clinical delivery model to population-based care. Facilitate the implementation of standardized process, that are evidence-based Population Health management strategies, when appropriate. Encourage and contribute to a holistic approach to improvement and collaborate to improve care processes and transitions back to the community. Monitor and report facility Clinical Practice performance that have been handed-off to Quality Improvement.<br>
<br>
4. Health Data Analytics - Supports the organizations' analytic environment to help guide data driven decision making while facilitating meetings with departments and teams to guide quality improvement initiatives and activities. Adheres to procedures for the confidentiality and integrity of data, designing, influencing, and monitoring data collection plans for Key Performance Indicators. Collaborates with process owner(s), acquiring, and integrating data from internal and external benchmarking sources. Uses statistical and visualization methods to analyze data for administrative and clinical decision making. Provides on-going assessment of performance, analyzes clinical outcome data, and identifies performance improvement opportunities or trends. Conducts and reports to stakeholders in-depth assessment of qualitative and quantitative data.</p><p><br>
5. Patient Safety - Participates in and contributes to a safe healthcare environment by promoting safe practices, nurturing a just culture, and improving processes that detect, mitigate, or prevent harm. Seves as an advocate for the patient safety culture, applying safety science principles/methods, identify and report patient safety risks/events and collaborates to analyze patient safety risks and events. They facilitate teams to improve processes that impact the safety of patients.</p><p><br>
6. Regulatory and Accreditation - Supports the evaluating, monitoring, and improving compliance with internal and external requirements. Participates in processes to prepare for, participate in, and follow up on Regulatory Agencies and certifications. Participates in processes to support compliance with PI standards, contributes toward continuous survey readiness activities and participates in the survey processes and findings.</p><p><br>
7. Quality Review and Accountability &ndash; Facilitate and support compliance with voluntary, mandatory, and contractual reporting requirement for data acquisition, analysis, reporting and process improvement. May support practitioner and nursing performance review activities as directed.</p><p><br>
8. Professional Engagement - Engages in the healthcare quality profession with a commitment to practicing ethically, enhancing one's competencies and advancing the field by integrating ethical standards into practice, engaging in lifelong learning and participating in activities that advance the profession, such as participation in professional organizations and achievement of certification in healthcare quality.</p><p></p><p>
9. Responsibilities cross all levels of internal customers including the department, facility and system, and external customers including but not limited to the medical staff, the community, regulatory bodies and state agencies.</p><p><br>
MINIMUM QUALIFICATIONS</p><p></p><p>
Requires a Bachelor&rsquo;s degree.</p><p></p><p>
Requires a proficiency level typically attained with five years clinical experience OR quality improvement experience.
</p><p></p><p>Requires Certified Professional Healthcare Quality (CPHQ) or Certified Professional Patient Safety (CPPS) certification within 3 years of being in the job and obtaining Quality work experience. For individuals in this role prior to June 1, 2025, CPHQ or CPPS must be obtained within 3 years.
</p><p></p><p>PREFERRED QUALIFICATIONS</p><p></p><p>
Registered Nurse (RN) license preferred.<br>
Master&rsquo;s Degree is preferred. Experience with process improvement, regulatory/accreditation programs, data management, and analysis including graphic development and presentations is highly desirable.</p><p></p><p>
If in a profession that requires licensure, current licensure/certification/registration is required for state worked.</p><p><br>
Additional related education and/or experience preferred.</p><p></p><p><b>
EEO Statement:</b></p><p>
EEO/Disabled/Veterans</p><p>
Our organization supports a drug-free work environment.</p><p></p><p><b>
Privacy Policy:</b></p><p>
Privacy Policy</p></div><p></p>

Quality Improvement Specialist

Vitas Healthcare

<p><strong><u>PEFORMANCE IMPROVEMENT SPECIALIST </u></strong></p><p>The primary function of the Performance Improvement Specialist is to support and facilitate quality assessment and performance improvement (QAPI) activities for the local hospice branch (also referred to as hospice program). The QAPI Program is an on-going, data driven, organization-wide program involving data collection, analysis, and collaborative development of performance improvement initiatives.</p><ul><li><p>Monday- Friday 8a-5p In Office<br></p></li></ul><p><strong>JOB RESPONSIBILITIES</strong></p><p>Performs ongoing quality assessment through data collection and analysis as directed by VITAS Policies, Procedures, and Standards. Works with hospice program leadership to identify quality and performance trends and areas for improvement.</p><p>Performs <strong>quality monitoring </strong>activities (tracking, trending, and analysis) including, but not limited to:</p><ul><li><p>Hospice Quality Reporting Program (HQRP): data collection and analysis of data associated with HQRP components, including but not limited to: Consumer Assessment of Healthcare Providers and Systems survey (CAHPS), claims-based measures, Hospice Item Set and any future measures.</p></li><li><p>Care Compare: data collection, tracking, and benchmarking HQRP scores against competitors.</p></li><li><p>CAHPS survey: Identify negative comments/responses and initiate service comments as</p></li></ul><p>appropriate.</p><ul><li><p>QAPI dashboard: drill down, analyze and report data.</p></li><li><p>Service Comments: includes monitoring timely resolution, reassignment of pending service comments, communication of trends to program management, and ensure service comment log is current.</p></li><li><p>Infection Control Reporting: data maintenance and analysis.</p></li><li><p>Incident Reporting: data maintenance and analysis, submission of documents for incidents</p></li><li><p>identified as serious adverse events, completion of 3500A for home medical equipment-related incidents.</p></li><li><p>Root Cause Analysis (RCA): co-facilitate RCA meeting with program management, ensure required documents are completed, document meeting on appropriate templates, submission of documents to required email distribution group, monitor effectiveness of corrective action plan and report outcomes to program leadership.</p></li><li><p>Revenue Analysis and Tracking: analyze and trend Unaccrued Revenue using report provided by Revenue Cycle Management and report findings to program management.</p></li><li><p>Hospice Aide (HA) In-service hours: obtain training completion report and report compliance with regulation requirement to program management.</p></li><li><p>Annual Update HIPAA/OSHA: Obtain training completion report for annual updates and report compliance to senior management.</p></li><li><p>Physician satisfaction surveys (as required by the program): data collection, analysis, and reporting<br></p></li><li><p>Revocation and discharge monitoring (as required by the program): data collection, analysis, and reporting<br></p></li><li><p>Collect and analyze quality indicator data/key performance indicators and collaborate with the senior management team to identify priorities for improvement and develop initiatives.</p></li></ul><p> </p><p>Performs <strong>Quality reporting </strong>updates monthly, quarterly, and annually, including but not limited to:</p><p> </p><ul><li><p>Quality Update Report (QUR): prepare and submit monthly report to regional and senior</p></li><li><p>management to communicate updates of Quality Assessment and Performance Improvement areas.</p></li><li><p>QAPI IDG Committee Meeting (quarterly): prepare documents, co-facilitate meeting, capture minutes, submit documents, follow up on actions items from meeting.</p></li><li><p>Annual Reports: complete QAPI Program Annual Evaluation, prepare Annual Program Operational Review for program management completion, and any state-specific requirements.</p></li></ul><p>-Facilitates Performance Improvement Projects including the coordination of performance improvement teams.</p><p>-Maintains Documentation of Performance Improvement Initiatives (both hard copy and electronic).</p><p>-Maintains any and all versions of the PI Plan Manual.</p><p>-Identify program needs based on data analysis of the quality monitoring activities and recommend training to address these needs.</p><p>-Report to senior management on compliance with required trainings including orientation and legally mandated in-services.</p><p> </p><p><strong>Act as the program liaison to Central Support:</strong></p><ul><li><p>Submission of quarterly QAPI IDG and annual report documents including policy recommendations via the Governing Body Report.</p></li><li><p>Regarding quality initiatives: provides field perspective and participates in the development of company-wide materials.</p></li></ul><p>-Collaborates with the PCA for external audits and records requests.</p><p>-Participate in pilot projects related to QAPI initiatives as requested.</p><p>-For programs or regions with a Performance Improvement Specialist (PIS) Assistant:</p><ul><li><p>Oversight of the Performance Improvement Specialist (PIS) Assistant, including delegation of approved tasks and mentorship for delegated tasks as needed.</p></li><li><p>Other duties as assigned.</p></li></ul><p><strong>JOB QUALIFICATIONS</strong></p><ol><li><p>Licensed (as required) health care professional (preferred) or non-clinician with quality bakcground</p></li></ol><p>background.</p><ol><li><p>Certified Professional in Health Care Quality (preferred).</p></li><li><p>Knowledge of Medicare/Medicaid regulations, state licensure laws, and the requirements of any other applicable regulatory/accrediting body.</p></li><li><p>Experience with data collection, measurement tools, and data analysis.</p></li><li><p>Experience in a quality assurance/improvement</p></li></ol><img src="https://www.jobg8.com/Tracking.aspx?sNdCIPJwz2rRDFJ97CzTjUggXz8I1eI5t" width="0" height="0" />

Clinical Quality Improvement Specialist -Stuart, FL

<p><strong><u>PEFORMANCE IMPROVEMENT SPECIALIST </u></strong></p><p>The primary function of the Performance Improvement Specialist is to support and facilitate quality assessment and performance improvement (QAPI) activities for the local hospice branch (also referred to as hospice program). The QAPI Program is an on-going, data driven, organization-wide program involving data collection, analysis, and collaborative development of performance improvement initiatives.</p><ul><li><p>Monday- Friday 8a-5p In Office<br></p></li></ul><p><strong>JOB RESPONSIBILITIES</strong></p><p>Performs ongoing quality assessment through data collection and analysis as directed by VITAS Policies, Procedures, and Standards. Works with hospice program leadership to identify quality and performance trends and areas for improvement.</p><p>Performs <strong>quality monitoring </strong>activities (tracking, trending, and analysis) including, but not limited to:</p><ul><li><p>Hospice Quality Reporting Program (HQRP): data collection and analysis of data associated with HQRP components, including but not limited to: Consumer Assessment of Healthcare Providers and Systems survey (CAHPS), claims-based measures, Hospice Item Set and any future measures.</p></li><li><p>Care Compare: data collection, tracking, and benchmarking HQRP scores against competitors.</p></li><li><p>CAHPS survey: Identify negative comments/responses and initiate service comments as</p></li></ul><p>appropriate.</p><ul><li><p>QAPI dashboard: drill down, analyze and report data.</p></li><li><p>Service Comments: includes monitoring timely resolution, reassignment of pending service comments, communication of trends to program management, and ensure service comment log is current.</p></li><li><p>Infection Control Reporting: data maintenance and analysis.</p></li><li><p>Incident Reporting: data maintenance and analysis, submission of documents for incidents</p></li><li><p>identified as serious adverse events, completion of 3500A for home medical equipment-related incidents.</p></li><li><p>Root Cause Analysis (RCA): co-facilitate RCA meeting with program management, ensure required documents are completed, document meeting on appropriate templates, submission of documents to required email distribution group, monitor effectiveness of corrective action plan and report outcomes to program leadership.</p></li><li><p>Revenue Analysis and Tracking: analyze and trend Unaccrued Revenue using report provided by Revenue Cycle Management and report findings to program management.</p></li><li><p>Hospice Aide (HA) In-service hours: obtain training completion report and report compliance with regulation requirement to program management.</p></li><li><p>Annual Update HIPAA/OSHA: Obtain training completion report for annual updates and report compliance to senior management.</p></li><li><p>Physician satisfaction surveys (as required by the program): data collection, analysis, and reporting<br></p></li><li><p>Revocation and discharge monitoring (as required by the program): data collection, analysis, and reporting<br></p></li><li><p>Collect and analyze quality indicator data/key performance indicators and collaborate with the senior management team to identify priorities for improvement and develop initiatives.</p></li></ul><p> </p><p>Performs <strong>Quality reporting </strong>updates monthly, quarterly, and annually, including but not limited to:</p><p> </p><ul><li><p>Quality Update Report (QUR): prepare and submit monthly report to regional and senior</p></li><li><p>management to communicate updates of Quality Assessment and Performance Improvement areas.</p></li><li><p>QAPI IDG Committee Meeting (quarterly): prepare documents, co-facilitate meeting, capture minutes, submit documents, follow up on actions items from meeting.</p></li><li><p>Annual Reports: complete QAPI Program Annual Evaluation, prepare Annual Program Operational Review for program management completion, and any state-specific requirements.</p></li></ul><p>-Facilitates Performance Improvement Projects including the coordination of performance improvement teams.</p><p>-Maintains Documentation of Performance Improvement Initiatives (both hard copy and electronic).</p><p>-Maintains any and all versions of the PI Plan Manual.</p><p>-Identify program needs based on data analysis of the quality monitoring activities and recommend training to address these needs.</p><p>-Report to senior management on compliance with required trainings including orientation and legally mandated in-services.</p><p> </p><p><strong>Act as the program liaison to Central Support:</strong></p><ul><li><p>Submission of quarterly QAPI IDG and annual report documents including policy recommendations via the Governing Body Report.</p></li><li><p>Regarding quality initiatives: provides field perspective and participates in the development of company-wide materials.</p></li></ul><p>-Collaborates with the PCA for external audits and records requests.</p><p>-Participate in pilot projects related to QAPI initiatives as requested.</p><p>-For programs or regions with a Performance Improvement Specialist (PIS) Assistant:</p><ul><li><p>Oversight of the Performance Improvement Specialist (PIS) Assistant, including delegation of approved tasks and mentorship for delegated tasks as needed.</p></li><li><p>Other duties as assigned.</p></li></ul><p><strong>JOB QUALIFICATIONS</strong></p><ol><li><p>Licensed (as required) health care professional (preferred) or non-clinician with quality bakcground</p></li></ol><p>background.</p><ol><li><p>Certified Professional in Health Care Quality (preferred).</p></li><li><p>Knowledge of Medicare/Medicaid regulations, state licensure laws, and the requirements of any other applicable regulatory/accrediting body.</p></li><li><p>Experience with data collection, measurement tools, and data analysis.</p></li><li><p>Experience in a quality assurance/improvement</p></li></ol><img src="https://www.jobg8.com/Tracking.aspx?Vn6Bumh0S6loOcKx%2bWJZRZOMeF%2bDqMxbu" width="0" height="0" />

Clinical Quality Improvement Specialist -Port St. Lucie, FL

CureMD

<div><div>Job Overview:</div><div></div><div>
Responsibilities include identifying improvement areas, implementing process enhancements, and monitoring their effectiveness. The specialist collaborates with teams to develop performance metrics, analyzes data for improvement opportunities, and communicates findings to management. They utilize DevOps data to create Power BI dashboards, conduct audits, and support best practice adoption. Strong knowledge of software processes and agile methodologies, proficiency in Microsoft Office and DevOps tools, and excellent communication and analytical skills.</div><div></div><div>
Job Responsibilities:</div><div></div><ul><li><div>
Identify and analyze opportunities for improvement within the organization.</div></li><li><div>
Assist in the development and execution of process improvement initiatives, including documentation, process mapping, and training sessions.</div></li><li><div>
Collect and analyze performance data to identify trends and opportunities for enhancement, and communicate insights and recommendations effectively.</div></li><li><div>
Work on Power BI dashboards and extract data.</div></li><li><div>
Conduct assessments to ensure compliance with organizational standards and pinpoint areas for enhancement.</div></li><li><div>
Assist in the implementation of best practices and methodologies in project management, quality assurance, and resource management.</div></li><li><div>
Collaborate with departments such as Software Engineering, Quality Assurance, and Product Management to identify improvement areas and implement best practices.</div></li><li><div>
Facilitate workshops to engage teams in identifying and implementing continuous improvement initiatives across projects and processes.</div></li></ul><div></div><div>
Qualifications:</div><div></div><ul><li><div>
Bachelor&rsquo;s degree in Computer Science, Engineering, or a related field.</div></li><li><div>
Familiarity with software development processes, agile frameworks, quality assurance, project management, and industry best practices.</div></li><li><div>
Strong communication and interpersonal skills.</div></li><li><div>
Excellent analytical and problem-solving abilities.</div></li><li><div>
Basic understanding of Power BI dashboards.</div></li><li><div>
Proficient in Microsoft Office Suite, especially Excel and PowerPoint.</div></li><li><div>
Knowledge of ISO 9001, ISO 20000, and ISO 27001 is a plus.</div></li></ul><div></div><div>
Compensation and Benefits:</div><div></div><div>
   Financial:</div><ul><li><div>
Competitive salary and bi-annual bonus.</div></li><li><div>
Fast track and uncapped career growth for high performers.</div></li><li><div>
Company-sponsored vehicle financing (car and bike).</div></li><li><div>
Interest-free loans.</div></li><li><div>
Provident Fund: CureMD matches up to 8% of your base salary.</div></li></ul><div></div><div>
   Health and Wellness:</div><ul><li><div>
In-house clinic with a team of certified male and female doctors with 24/7 telemedicine service.</div></li><li><div>
Hospital treatment monitoring by company doctors.</div></li><li><div>
Comprehensive health coverage for your immediate family (outpatient, inpatient, maternity and parents' inpatient).</div></li><li><div>
Exclusive health benefits and discounts at top class clinics and labs.</div></li></ul><div></div><div>
     Supportive Workplace:</div><ul><li><div>
Pick-up and drop-off services for female employees.</div></li><li><div>
In-house daycare facility.</div></li><li><div>
In-house gym and recreational area to unwind.</div></li></ul><div></div><div>
   Continued Learning:</div><ul><li><div>
Company-sponsored trainings, workshops, development programs and retreats.</div></li><li><div>
Paid specialized trainings/certifications.</div></li></ul><div></div><div>
The Difference You&rsquo;ll Make:</div><div><br>
At CureMD, every role, whether senior or junior, plays a pivotal part in transforming healthcare. By joining our innovative team, you&rsquo;ll contribute to groundbreaking technology that directly impacts patient care, enhances healthcare efficiency, and saves lives globally. Your skills and passion will drive meaningful change, helping us deliver solutions that support healthcare professionals in critical, real-time settings. Together, we&rsquo;re not just advancing technology &mdash; we&rsquo;re making a tangible difference in people&rsquo;s lives. Together, let&rsquo;s save lives.</div></div>

Associate Process Improvement Analyst

Mac Care

<p><b>Summary</b></p><p>The <b>Quality Documentation Retrieval Specialist</b> will play a key role in supporting IntraCare&rsquo;s Population Health and Quality Improvement initiatives. This position focuses on identifying mammogram-related procedures in claims data, locating corresponding clinical reports within EMRs, and coordinating with imaging centers to obtain missing documentation.</p><p>The role ensures that all quality-related documentation is complete and accurately sent to provider offices to close care gaps in compliance with HEDIS, STARs, and payer quality program requirements. The role may also require direct patient outreach when needed.</p><p>The <b>Quality Documentation Retrieval Specialist</b> reports to the <b>Director of HEDIS and Payer Quality Performance</b> and works closely with the Quality, Data, and Practice Support teams to drive performance in preventive care measures.</p><p><b>Key Responsibilities</b></p><ul><li>Review claims and quality data to identify patients with mammogram procedure codes lacking corresponding report documentation in the EMR.</li><li>Search EMRs (eClinicalWorks, Athena, NextGen, etc.) to locate mammogram reports, imaging notes, or related results.</li><li>Contact imaging centers and diagnostic facilities to request copies of completed mammogram reports for identified patients.</li><li>Contact patients directly when required.</li><li>Verify and document all outreach attempts, report requests, and received results within designated tracking tools or databases.</li><li>Upload and route received imaging reports to the appropriate provider or clinic according to HIPAA-compliant procedures.</li><li>Maintain meticulous tracking logs of pending and completed retrievals to ensure timely resolution of all cases.</li><li>Collaborate with practice and population health staff to resolve documentation discrepancies.</li><li>Report progress and barriers to the Quality Team Lead or Manager regularly.</li><li>Maintain confidentiality and adhere to HIPAA and organizational data protection standards.</li><li>Other duties as assigned to support the Quality and Population Health teams.</li></ul><p><b>Required Qualifications</b></p><ul><li><b>High School Diploma or GED</b> required.</li><li>Excellent verbal and written communication skills, including professional telephone etiquette.</li><li>Strong organizational and time management abilities; capable of handling multiple outreach requests simultaneously.</li><li><b>Proficiency with Microsoft Excel and Word.</b></li><li>Basic understanding of healthcare processes and terminology.</li><li>Ability to navigate EMRs and retrieve relevant medical documents.</li><li>Demonstrated reliability and attention to detail.</li><li>Ability to work independently and meet daily productivity targets.</li></ul><p><b>Preferred Qualifications</b></p><ul><li>Experience in medical record retrieval, chart abstraction, or quality documentation support.</li><li>Familiarity with HEDIS and CMS quality measures (especially Breast Cancer Screening).</li><li>Prior experience working in or with imaging centers, radiology departments, or provider offices.</li><li>Knowledge of payer reporting requirements and quality programs (Medicare Advantage, MSSP, etc.).</li><li>HIPAA compliance training or certification.</li></ul><p>Job Type: Full-time</p><p>Work Location: In person</p>

Quality Documentation Retrieval Specialist

Houston Methodist

<div><p>At Houston Methodist, the Quality Outcomes Specialist position is responsible for assessing and facilitating clinical systems and/or processes to ensure that care delivered is safe, effective, patient-centered, timely, efficient and equitable. This position identifies outcomes variances, taking initiative for timely resolution of potential concerns, and utilizes ability to synthesize an analysis of complex systems, developing and implementing solutions to improve complex processes and goals. Other responsibilities include supporting and promoting the organization-wide clinical performance improvement/patient safety program and culture; and serving as department resource for areas of expertise, sharing knowledge, effective tools and educational materials as appropriate.</p>
<div><b>
PEOPLE ESSENTIAL FUNCTIONS</b><br>
<ul><li>
Leads facility partners to bring expert assessment and problem-solving skills to ensure reliable, safe systems of care for all patients.</li><li>
Develops and maintains positive working relationships with leadership, physicians, colleagues and peers and works collaboratively to achieve desired outcomes.</li><li>
Collaborates and effectively communicates and drives culture of safety and high-reliability initiatives; partners with leadership and clinicians to implement improvements. Increases patient safety and evidence-based practice awareness and practice among clinicians and staff through mentoring and education. Manages project and process improvement expectations to stakeholders, sponsors and others advising them on project progress, potential issues, obstacles, conflicts or challenges.</li></ul><br>
<b>
SERVICE ESSENTIAL FUNCTIONS</b><br>
<ul><li>
Serves as a key quality contact with leadership, managers and staff responsible for the execution of corrective actions initiatives/projects and compliance with customer requirements.</li><li>
Supports leadership with the development and implementation of quality improvement and patient safety process changes. Makes recommendations for unit-based process change activities. Evaluates the effectiveness of process change initiatives.</li></ul><br>
<b>
QUALITY/SAFETY ESSENTIAL FUNCTIONS</b><br>
<ul><li>
Maintains all programs to ensure compliance to accreditation standards and regulatory agency requirements. Conducts record review for performance improvement, peer review, patient safety, risk management and other projects.</li><li>
Facilitates and leads process and performance improvement teams and initiatives. Participates in and facilitates unit-based and departmental process change activities. Evaluates the effectiveness and sustainability of process change initiatives and makes changes as necessary to achieve goals.</li><li>
Tracks, analyzes, and uses data for trending and develops appropriate action plans and strategies in collaboration with clinicians and leadership. Conducts record review for performance improvement, peer review, patient safety, risk management and other projects.</li><li>
Abstracts pertinent information and enters into department databases using standardized methods and processes to maintain data integrity. Routinely performs discrepancy management activities to maintain data integrity. Presents meaningful reports and analysis with measurement description, statistical information, and benchmarking information. Creates and presents executive summaries as needed to various audiences to drive change.</li><li>
Supports improvement efforts for potential or actual quality of care/risk issues including participation/facilitation of Root Cause Analysis (RCA), Failure Modes Effects Analysis (FMEA), or event review as needed. Supports leadership and staff with the development and implementation of process changes. Summarizes events and presents findings as needed. Facilitates system's design to hardwire patient safety processes.</li><li>
Focuses on implementing and reinforcing principles that support a high-reliability organization. Contributes to the continued improvement of patient safety practices, employs evidence-based practice and researches high-reliability practices through national Patient Safety Organizations (e.g., Agency for Healthcare Research and Quality (AHRQ), National Patient Safety Foundation (NPSF), Institute for Healthcare Improvement (IHI), National Quality Forum (NQF)). Facilitates systems' design to hardwire patient safety processes.</li></ul><br>
<b>
FINANCE ESSENTIAL FUNCTIONS</b><br>
<ul><li>
Utilizes efficient and cost-effective work practices with department resource and supplies; provides recommendations to reduce expenses.</li><li>
Facilitates performance improvement projects/initiatives to improve outcomes, ultimately impacting hospital finances.</li></ul><br>
<b>
GROWTH/INNOVATION ESSENTIAL FUNCTIONS</b><ul><li>
Identifies and recommends opportunities for improvement in accordance with hospital leadership.</li><li>
Analyzes and assesses present and future needs, trends, challenges, and opportunities related to hospital processes and operations. Communicates innovative and best practices to hospital leadership and clinicians. Identifies opportunities to align policy and procedure with regulatory/accreditation requirements.</li></ul><br>
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.</div>
<div><b>EDUCATION</b><br>
<ul><li>
Bachelor's degree in nursing, allied health, healthcare administration, business administration or a clinical discipline required</li><li>
Bachelor's degree in is nursing preferred</li><li>
Master's degree preferred</li></ul><br>
<b>
WORK EXPERIENCE</b><br>
<ul><li>
Four years of experience in clinical care activities in a hospital setting</li><li>
Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred</li><li>
Two years of leadership experience preferred</li></ul></div>
<b>LICENSES AND CERTIFICATIONS - REQUIRED</b><br>
<ul><li><div>
N/A</div></li></ul><br>
<b>
LICENSES AND CERTIFICATIONS - PREFERRED</b><br>
<ul><li><div>
CPHQ - Certified Professional in Healthcare Quality (NAHQ) <b>AND</b></div></li><li><div>
CPSO - Certified Patient Safety Officer (IBFCSM) <b>AND</b></div></li><li><div>
CPPS - Certified Professional in Patient Safety (IHI) <b>AND</b></div></li><li><div>
RN - Registered Nurse - Texas State Licensure - Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency)
</div></li></ul><b>KNOWLEDGE, SKILLS, AND ABILITIES</b><br>
<ul><li>
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations</li><li>
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security</li><li>
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles</li><li>
Demonstrates knowledge and application of process improvement tools and techniques (statistical process control tools and team tools)</li><li>
Demonstrates knowledge of regulatory and accrediting standards as they apply to performance improvement</li><li>
Skill in developing and maintaining interpersonal relationships with a wide variety of healthcare professionals and hospital leadership</li><li>
Ability to define problems, collect data, establish facts and draw valid conclusions and evidence performance improvement via measurable results</li><li>
Ability to enter and abstract data using personal computer, as well as the ability to utilize data to facilitate the improvement and change in processes</li><li>
Computer skills to include Excel, Word, and PowerPoint</li><li>
Ability to facilitate performance improvement teams, present data and promote a collaborative approach toward goal achievement</li><li>
Ability to work independently and interdependently</li><li>
Presentation skills and expertise in designing and implementing teams/educational offerings related to clinical quality</li></ul><p><b>
SUPPLEMENTAL REQUIREMENTS</b></p><p><b><br>
WORK ATTIRE</b></p><ul><li><div><br>
Uniform No</div></li><li><div>
Scrubs No</div></li><li><div>
Business professional Yes</div></li><li><div>
Other (department approved) No</div></li></ul><div><b>
ON-CALL*</b><br>
<ul><li><i>Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.</i></li></ul></div><ul><li><div><br>
On Call* No</div></li></ul><p><b>
TRAVEL**</b><br>
<i>**Travel specifications may vary by department**</i></p><ul><li><div><br>
May require travel within the Houston Metropolitan area Yes</div></li><li><div>
May require travel outside Houston Metropolitan area No</div></li></ul><p><b>
Company Profile:</b></p><p>
Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. With 358 licensed beds, Houston Methodist Willowbrook is committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women&rsquo;s services, neurology and neurosurgery, oncology, and primary and general medicine.</p><p>
Houston Methodist is an Equal Opportunity Employer.</p></div>

Quality Outcomes Specialist/RN (CPHQ preferred) - Willowbrook

GE Vernova

<div><h1 class="jobSectionHeader"><b>Job Description Summary</b></h1>
Lead and execute verification of Green tagged blades to understand effectiveness of Firewall process and closely work with manufacturing plants to bridge the gaps in the process and product deviations. Continuous improvement of Quality processes, training, certification, audit and implementation of quality inspections and measurements in all GE Manufacturing plants globally.<p></p><h1 class="jobSectionHeader"><b>
Job Description</b></h1><p><b><i>
Key responsibilities include:</i></b></p><p><b>
Competency Development &amp; Resource Adequacy:</b></p><ul><li>
Responsible for monitoring and improving effectiveness of Quality Controllers certification program in the region.</li><li>
Responsible to improve the competence level of quality staff in plants as per GE Vernova competency model.</li><li>
Audit and track the certification database to ensure only certified resources performing inspection in the plants.</li></ul><p></p><p><b>
Measurement and Inspection Methods (Visual inspection and Measurements):</b></p><ul><li>
Execute and support Firewall inspection on the green tagged blades as per the sampling plan and provide constructive feedback to the plants to improve the process and product Quality.</li><li>
Test, validate and provide feedback and needed inputs to respective team to improve the inspection methods, Acceptance Criteria and Measurement methods.</li><li>
Conduct Periodic MSA and validation of inspection and measurement methods (both variable and attribute methods).</li><li>
Leading and support implementation of new inspection methods, new technologies and new Acceptance Criteria.</li><li>
Act as Global standard and work towards bringing down the variation between Quality Controllers within and across the manufacturing facilities.</li></ul><p></p><p><b>
Quality Compliance</b></p><ul><li>
Plan and perform process audit in plants (IPE, Crawler) for critical processes as per defined frequency.</li><li>
Drive improvements in the audit process to make it is lean and effective.</li><li>
Follow up on audit findings closure.</li><li>
Bring improvement in BMS process and tools related to process audits</li></ul><p></p><p><b>
Operational process and support:</b></p><ul><li>
Take ownership of Visual inspection processes and methods, challenge current setup and make the process lean and efficient.</li><li>
Support customer or third part inspections and provide clear report to the management team.</li><li>
Own and drive improvement of Quality KPIs related to inspection effectiveness and escapements.</li><li>
Tracking, monitoring, and improving performance of gauge R &amp; R in plants.</li><li>
Training and implementation of new AC</li></ul><p></p><p><b><i>
Required Qualifications:
</i></b></p><ul><li>Technical associate degree or equivalent with minimum 5 years of blade manufacturing and specifically working with Quality inspections and measurement.</li><li>
Candidates with LM/GE Vernova blades inspections and level 2 or above certifications would add additional strength.</li><li>
International experience and cultural awareness covering Americas, Europe, Canada, India and China.</li><li>
Knowledge of blade manufacturing is preferable, combined with explicit knowledge on Quality tools, Systems and Processes, Audits, Six Sigma, PFMEA, Control plans, PPAP.</li><li>
Strong English language skill (verbal and writing).</li><li>
Preferable to have an ISO 9001 internal auditor certification and relevant audit experience.</li><li>
Flexible travelling across LM business units for execution of job and support.</li><li>
Good with MS office tools such as Excel, Word and PPT.</li></ul><p><b><i>
Desired Characteristics</i></b></p><ul><li>
A person with a quality mindset and strong believer of data-oriented approach and continuous improvement.</li><li>
Able to demonstrate GE Vernova way and integrity values.</li><li>
A person with self-motivation and encourages others to take responsibility.</li><li>
Communication: Effectively communicate beyond own area at all levels. Initiates or improves the way to communicate, facilitate, negotiate resulting in increased impact and commitment.</li><li>
Decision making: Sets goals and regularly follow up on these goals. Takes decisions and monitors results.</li></ul><p></p><h1 class="jobSectionHeader"><b>
Additional Information</b></h1><div><div><div><div><div><div><div><p><b>
Relocation Assistance Provided: </b>Yes</p></div></div></div></div></div></div></div></div><p></p>

Quality Specialist-Visual inspection and Measurements

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