The Quality Specialist RN performs a variety of functions under the Quality Department Scopes of Work which include but are not limited to: 

• Performance Improvement: Collection, analysis, data reporting and facilitation of performance improvement methodologies for assigned projects
• Regulatory Compliance: Resource to hospital and medical staff departments to assure compliance with regulatory standards
• OPPE/Peer Review: Collection of metrics, profile creation and report generation of ongoing provider performance
• Clinical Safety/Patient Experience: Case review and data analytics for Clinical Safety and Patient Experience projects

1. Serves as PI resource to assigned PI Teams and facilitates use of performance improvement methods to improve quality metrics.
2. Conducts concurrent and retrospective case reviews as assigned.
3. Ability to define problems, collect data, establish facts and draw valid conclusions
4. Provides both formal and informal training relating to performance improvement and regulatory compliance.
5. Conducts assigned screening and measurement activities including data collection and analyses. .
6. Generates reports and communicates results and activities to administration, medical staff and other internal and external parties to support organizational improvement initiatives.
7. Oversees the design, implementation and reporting related to assigned performance improvement projects.
8. Participates in collection, analysis and data reporting related to ongoing compliance efforts.
9. Works with medical staff and other multidisciplinary departments collaboratively through abstraction, review and analyses of peer review.

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.

• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.

• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

• Registered Nurse with current licensure for the state of Alabama
• Minimum of three years’ experience in an acute care facility.
• Clinical background that would facilitate assessment of patient care data for coordination of quality projects.
• Ability to work independently, and manage multiple projects, with strong prioritizing skills
• Familiarity with Joint Commission and CMS standards and terminology
• Basic knowledge of computers and office productivity software.
• Basic knowledge of data analysis.
• Ability to communicate effectively.
• Must be able to read, write legibly, speak and comprehend English.
• Ability to maintain confidentiality.
• Demonstrates independent skills, use of electronic emails, be a team player in relationship to working with others in groups and teams.
• Able to prioritize, organize and accomplish work.
• Keeping updated on technology and applying knowledge as applicable.
• Expected to have the ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations.

WORKING CONDITIONS:

Work Context

• Able to maintain confidentiality
• Daily contact with others
• Able to work independently
• Regular work with work groups or teams
• Requires accuracy and attention to detail
• Physical presence onsite is essential
• Regular Schedule

Physical Factors

• Light work Exerting up to 20 pounds of force occasionally and/or a negligible amount of force constantly
• Average motor coordination
• Manual and finger dexterity important.
• Sitting involved in most job functions
• Hearing and vision must be normal or corrected to within normal range
• Able to perform the duties with or without reasonable accommodation

Environmental Factors

• May require wearing personal protective equipment

Works primarily indoors