Clinical Quality Improvement Specialist, Risk Management - Full-Time (Weston, WI)
Ministry Health Care
Clinical Quality Improvement Specialist for Ministry St. Clare's Hospital
1.0 FTE (40 hrs/wk) Full-Time, Benefit-Eligible
As a member of the Ministry Health Care system, Ministry St. Clare's Hospital is a 99-bed all-digital provider of quality, compassionate care offering a wide range of primary and specialty care at the Weston Regional Medical Center.
Named one of America's Most Wired Hospitals by Hospital and Health Networks Magazine and one of the first all-digital hospitals in the country, Ministry St. Clare's has quickly built a solid footing in the Weston/Wausau community with exceptional clinical quality and customer service. For its efforts, Ministry St. Clare's has been recognized by various national and regional organizations including The Leapfrog Group, Commonwealth Fund, Computerworld Magazine, American Heart Association, BlueCross BlueShield Association, and Society of Chest Pain Centers.
As our Clinical Quality Improvement Specialist, you will:
- Maintain current knowledge of TJC standards, WI state standards, CMS standards, as well as any other applicable regulatory agencies. Acts as a resource for other staff / units, including the Medical staff, in regards to regulatory bodies.
- Facilitate operational teams, including involvement of Medical Staff, in examining existing clinical and operational processes, and make recommendations for improvement.
- Support the Medical Staff’s peer review process through initial review of selected cases, based on approved triggers/indicators by the medical staff, and provide cases requiring further review to the medical staff.
- Assist the Medical Staff's provision of quality care and services through reviewing compliance with regulatory requirements, practice standards, and medical staff approved expectations.
- Provide ongoing reports to Administration, Leadership, and the Medical Staff as requested.
- Be proficient in data extraction methods and processes, both concurrent and retrospective. Provide training, mentoring, and ongoing support to personnel performing data abstraction. Conduct audits of the data, ensuring the timely, accurate, and complete abstraction of data elements.
- Submit data and/or reports, on behalf of the organization, to regulatory agencies accurately and in a timely manner.
- Interact and communicate accurately, consistently, and appropriately with both internal and external customers.
- Apply continuous quality improvement principles through careful methodological studies and innovative uses of decision support systems to facilitate implementation of these principles.
- Study ways to measure patients’ needs for services and assist in the design of measurement systems to support improvements in structures and processes utilized in the provision of services.
- Support monitoring changes implemented, measuring their effectiveness in direct relationship to identified process improvement activities.
- Facilitate multi-disciplinary team meetings to establish goals, analyze processes, and recommend changes for process improvement.
- Conduct follow-up reviews of clinical documentation to ensure issues discussed and clarified with the physician have been recorded in the patient's medical record.
- Ensure the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes.
As you will be our Clinical Quality Improvement Specialist focused on RisK Management, you will also:
- Coordinate and administer systems for risk identification, investigation and reduction.
- Maintain risk management files in compliance with all applicable regulatory agencies.
- Act as a resource for the organization in risk management issues
- Work closely with legal counsel and senior leadership on any lawsuits or court related proceedings.
- Oversee and assist with investigations of all incidents, or events that could lead to financial loss of any type.
- Provide education offering to associates, leadership, and community healthcare providers on risk management strategies.
This position is a full-time salaried position, scheduled Monday-Friday. If you are a compassionate nurse looking to continuously improve the overall quality of patient care, please apply today!
- Current WI RN licensure or eligibility to obtain required.
- Associate's degree in Nursing required.
- Bachelor's degree in the healthcare field, such as nursing, preferred.
- Three (3) years of recent clinical experience in a hospital setting required.
- Experience within quality improvement, case management, discharge planning, or utilization review preferred.
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