Clinical Quality Specialist

The position works under the direction of the Q uality M anager to ensure compliance with regulatory standards and other patient -related agencies, such as P ress Ganey , DH S, AH A, and others. T he job requires highly professional written and verbal communication with the public, clients, families, medical staff, ancillary departments and administration . Other major job functions include but are not limited to collection of quality data ; utilization review ; monitoring variances from expected outcomes and analysis of data.

D iversified jobs require sustained mental effort and ability to deal with stresses related to interpersonal relationships. Job Duties The essential functions of this job are identified with an asterisk ( * ) at the beginning of the bullet point. C ollect quality data from all manual and electronic medical records and report trends and outcomes* Review utilization and report* Monitor variances from expected outcomes * A nalyze data and recommend action to manager* C oordinate efforts as directed with department stakeholders related to performance improvement or utilization review* P rovide support and guidance to department managers in regard to improvement projects C ollaborates with Quality T eam in maintaining participation and clinical support of data systems to include core measures and other quality registries that M L H S participates in* P roduce or assist in the production of reporting to leaders and agencies* I dentify and collect data as directed to support ML H S award and accolades.

O ther Duties P lease note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job . D uties, responsibilities and activities may change at any time with or without notice. E mployees will comply with all M ille L acs H ealth System ( M L H S) policies, including safety policies, procedures, and rules.

A ll will be expected to report on unsafe conditions to a member of management. Required E ducation and E xperience Registered Nurse Degree with Minnesota Licensure M ust have at least five years of nursing experience with at least one year of critical care / E D experience p P referred E ducation and E xperience Bachelor ' s D egree in N ursing preferred. Additional E ligibility Q ualifications Experience in CAH C onditions of P articipation and experience and competency with statistical data collection and reporting Experience in U tilization M anagement / D ischarge P lanning preferred.

P rofessional written and verbal communication Expertise with computer -based data C ustomer / Client F ocus Ethical C onduct F lexibility I nitiative P ersonal Effectiveness / C redibility Stress M anagement / C omposure T eamwork Orientation T echnical Capacity P osition T ype / Expected H ours of W ork B usiness / C lerical: This position 's regular workdays are M onday through Friday. O ccasional evening and weekend work may be required as job duties demand .

Supervisory R esponsibility Position does not have supervisory responsibilities .