JOB TITLE: Quality Improvement Specialist
LOCATION: Onsite in the office in Jericho, NY or Albany, NY
PAY: $36.06 - $38.46/hr
SHIFT: Monday-Friday, 40 hours a week
DUTIES:
• Recruit and engage health care providers, community-based organizations, faith-based organizations, community centers, human service agencies, political leaders, business leaders, media, consultants, educational institutions and Medicare beneficiaries in collaborative partnerships to identify opportunities to improve patient outcomes related to quality and efficiency.
• Establish and facilitate learning and action networks using in person meetings, teleconferences, and webinars.
• Provide technical assistance to healthcare providers on root cause analysis research methods to define opportunities to improve outcomes of care and avoid harms, including CMS and local data analysis, Medicare beneficiary focus groups, and provider and community stakeholder input.
• Develop and continually refine methods for working with health care providers to implement effective and timely interventions that improve performance and patient outcomes.
• Manage groups of providers by monitoring clinical outcomes and quality improvement measures to demonstrate sustainment of initiatives.
• Provide ongoing technical assistance and onsite consultation to providers for all aspects of performance improvement targeting improvement in care coordination, cross-setting communication, and patient/caregiver self-management skills.
• Monitor closely the progress of provider intervention efforts and maintain a tracking system for the adopted interventions.
• Ensure internal reports and required CMS documentation are completed and submitted on time.
• Present results of interventions through meetings with internal and external customers (i.e., CMS, Providers, IPRO management and staff) and through large group presentations at conferences and meetings, as requested.
• Assess the quality improvement training and information needs of clinicians, administrative, and ancillary staff and coordinate appropriate educational efforts for these individuals and groups.
• Work closely with the data analysts in the design of reports required to monitor provider and department performance, making necessary adjustments in interventions and plans in response to findings.
• Attend and participate in regional conferences, department meetings and professional education meetings.
• Participates as an active member of HCQIP team and works to ensure that the department meets all the defined goals and deliverables in assigned contract(s).
• Accepts new responsibilities in response to changing department needs.
QUALIFICATIONS:
• Superior communication skills (verbal and written) with the ability to communicate quality improvement data and methods to health care providers and community stakeholders with varying technical and clinical backgrounds.
• Knowledge of the principles and practices of health care quality improvement and community organizing. Experience with quality improvement research techniques and knowledge of disparities in the care of underserved populations.
• Strong interpersonal skills with a proven record of developing productive relationships with health care provider staff, consumers and stakeholders.
• Strong time management skills with the ability to multi-task and meet multiple deadlines.
• Proven record of success in promoting improvement in community health quality and efficiency.
• Ability to work independently with minimal supervision, as well as in a team environment.
• Travel as required to conduct various quality improvement intervention meetings, participate in regional conferences, attend project specific educational and/or collaboration meetings, and meetings with government agencies as required.
• Computer proficiency with a developed knowledge of Microsoft applications (Word, Excel, PowerPoint and Smartsheet).
• Ability to provide formal and informal presentations to internal staff and external customers.
EDUCATION & EXPERIENCE:
• Bachelor’s degree in education, nursing, public administration, public policy, public health or degree in related healthcare field, or RN with Associate’s degree required.
• A minimum of two (2) years of experience in health care quality improvement, required.
PREFERRED SKILLS:
Certified Professional in Healthcare Quality (CPHQ) or other quality certification, preferred.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.