Clinical Quality Improvement Specialist

4 hours ago


Pasadena, California, United States Amergis Full time
Job Summary:

Amergis is seeking a skilled Clinical Quality Improvement Specialist to join our team. As a key member of our quality improvement program, you will be responsible for analyzing, developing, and implementing clinical initiatives to achieve healthy outcomes and improve patient experience.

Key Responsibilities:

Perform duties and functions to comply with quality improvement program requirements

Support quality assurance performance work plans and initiatives

Schedule and assist with committee and sub-committee preparation

Assist in investigations and resolution of member quality of care complaints

Audit medical records and monitor performance measures for healthcare risk management, sentinel events, and trends

Oversee and monitor the development and implementation of the quality improvement program

Apply and teach techniques for system design, re-engineering, quality improvement, outcome measurements, and statistical analysis

Develop and maintain all appropriate records and documentation

Evaluate and assure ongoing progress in QI activities

Maintain confidentiality of internal audit reports

Promote awareness of the importance of data validity and security

Perform quality assurance checks of documentation workflows and clinical data in applicable clinical applications software

Participate in planning and coordination of specific training and educational programs as appropriate to QI needs of the facility or service

Requirements:

Registered Nurse or Licensed Practical Nursing license required

Certified Professional in Healthcare Quality preferred

Bachelor's degree in nursing preferred

Minimum of two years clinical experience preferred

One year of experience in a healthcare setting preferred

Knowledge of quality improvement methodologies used in healthcare

Demonstrated critical thinking and problem-solving skills applied on the job

Ability to manage multiple tasks and meet deadlines

Ability to work independently with minimal supervision

Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language may be required

Computer proficiency required

Benefits:

Amergis offers a competitive compensation package, including health, dental, vision, and life insurance, as well as a 401(k) savings plan and awards and recognition programs. Benefit eligibility is dependent on employment status.

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