The Quality Improvement Specialist (QIS) is a key resource in overseeing patient safety operational activities, projects, and initiatives across the organization. Tasked with developing and refining safety protocols, the QIS enhances patient safety by meticulously analyzing data related to adverse events to spot trends and implement preventive measures. This role involves leading or participating in large-scale or complex projects, with a focus on safeguarding patients from preventable harm. Holding clinical licensure, the QIS provides expert analysis on significant events and is responsible for training healthcare professionals in best practices to maintain and elevate safety standards.

The specialist will proactively identify potential safety risks, investigate incidents, and collaborate with multidisciplinary teams to promote a safety-first culture. Conducting detailed Root Cause Analyses (RCAs) on significant events to understand underlying issues and drive systemic improvements forms a significant part of the duties. Engaging in the medical peer review process to evaluate clinical care and ensure it meets the highest standards is essential.

The Quality Improvement Specialist plays a crucial role in ensuring the highest standards of patient safety and is key to preventing harm and fostering a culture of safety within the healthcare system. This highly visible position demands effective and professional communication with physician leaders across the organization. The specialist must possess a strong proficiency in Microsoft Office tools, including Excel, Word, and PowerPoint, to create impactful presentations and detailed reports for director-level and above leaders. This role requires a unique blend of clinical knowledge, analytical acumen, and exceptional communication skills, including the ability to present data and analyses clearly and persuasively. Tact, diplomacy, and confidence are essential in delivering presentations and interacting with key stakeholders, ensuring that safety protocols and improvements are communicated effectively.

• Bachelor's Degree in nursing (BSN) or other health discipline. Or a combination of comparable clinical education and/or experience.

• Five (5) years of relevant clinical experience or licensed clinician in the State of California (e.g., Nursing, Pharmacy, Respiratory, etc.)

• Experience and proven success in project management, QI standards, clinical chart review and abstraction, and regulatory requirements.

• Proficiency in the use of computer programs including MS office: Word, Excel, Outlook, PowerPoint.

• MSN or Master's Degree in health-related field.

• Seven (7+) or more years of relevant clinical experience.

• Experience with RL Datix

• Data analysis experience.

• Experience with quality improvement methodologies.

• Lean/Six Sigma training and/or experience.

• Experience with Epic.

• Experience managing Medical Staff Committees.

• Experience with medical record review and data abstraction for ACS NSQIP and review of AHRQ Patient Safety Indicators (PSI's).

• Expertise in the development and implementation of complex projects including multi-disciplinary teams to facilitate change throughout the health system.

• Experience with chart review including the creation and presentation of case summaries that identify system issues through to the development and implementation of action plans.

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.