Clinical Quality Specialist

Summary

The position works under the direction of the Quality Manager to ensure compliance with regulatory standards and other patient-related agencies, such as Press Ganey, DHS, AHA, and others. The job requires highly professional written and verbal communication with the public, clients, families, medical staff, ancillary departments and administration. Other major job functions include but are not limited to collection of quality data; utilization review; monitoring variances from expected outcomes and analysis of data. Diversified jobs require sustained mental effort and ability to deal with stresses related to interpersonal relationships.

Job Duties

The essential functions of this job are identified with an asterisk (*) at the beginning of the bullet point.

• Collect quality data from all manual and electronic medical records and report trends and outcomes*
• Review utilization and report*
• Monitor variances from expected outcomes*
• Analyze data and recommend action to manager*
• Coordinate efforts as directed with department stakeholders related to performance improvement or utilization review*
• Provide support and guidance to department managers in regard to improvement projects
• Collaborates with Quality Team in maintaining participation and clinical support of data systems to include core measures and other quality registries that MLHS participates in*
• Produce or assist in the production of reporting to leaders and agencies*
• Identify and collect data as directed to support MLHS award and accolades.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Employees will comply with all Mille Lacs Health System (MLHS) policies, including safety policies, procedures, and rules. All will be expected to report on unsafe conditions to a member of management.

Required Education and Experience

• Registered Nurse Degree with Minnesota Licensure