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Clinical Quality Improvement Specialist

2 months ago


Los Angeles, California, United States Cedars-Sinai Full time
Job Summary

Cedars-Sinai is seeking a highly skilled Clinical Quality Improvement Specialist to join our team. As a key member of our Quality Management department, you will play a critical role in assessing, analyzing, and recommending quality and clinical performance improvement processes to ensure the highest standards of quality care are achieved.

Key Responsibilities
  • Identify and Prioritize Clinical Cases: Utilize clinical expertise to identify and prioritize clinical cases in terms of follow-up and escalation of services and/or care.
  • Perform Daily Chart Abstraction: Conduct daily chart abstraction and present patient cases to a multi-disciplinary team with possible care suggestions if applicable and follow through with implementation.
  • Engage with Stakeholders: Engage with care managers, social workers, physicians, external vendors, and other stakeholders to ensure continuity of care and follow-through on plan of care.
  • Aggregate and Analyze Quality Data: Aggregate and clinically analyze quality and value metric data in support of Medical Directors/Chairs of the specific departments as requested.
  • Develop Quality Dashboards: Create clinical quality and value dashboards and action reports in support of performance improvement activities.
  • Lead and Facilitate Meetings: Lead and facilitate daily, weekly, and ad hoc meetings discussing patient care.
  • Participate in Performance Improvement Activities: Participate in Performance Improvement activities to improve care delivery, clinical outcomes, and clinical efficiency.
  • Support Clinical Programs: Support HEDIS, pay-for-performance, ACO, and other clinical pay-for-performance and pay-for-value programs as requested.
  • Prepare for Accreditation and Regulatory Agencies: Assist in preparing for and responding to accreditation and regulatory agencies or surveys.
Requirements
  • Education: Bachelor's Degree in Nursing required. Master's Degree in Nursing preferred.
  • License and Certifications: Valid California RN license required.
  • Experience: Two (2) years of prior clinical experience in an acute or ambulatory healthcare setting required. Two (2) years of experience in support of quality improvement, process improvement, or total quality measurement preferred.