RN Quality & Safety Improvement Consultant III, Clinical Quality Consulting; KFH​/HP

Job Summary:

In addition to the responsibilities listed above, this position is also responsible for providing consultation and education related to clinical quality and patient safety, accreditation, regulatory and licensing (AR&L), risk management, and infection prevention and control; assisting with the evaluation of evidence-based guidelines, principles, and/or programs related to area of work as well as supporting development and implementation efforts to reduce variation in clinical practice and optimize patient outcomes;

assisting with the collection, analysis, reporting, and presentation of clinical data for a variety of users including for state, federal, and local agencies; helping to provide education on interpreting compliance methods when preparing for regulatory reviews, interpretation of regulatory requirements, and regional project goals; monitoring and reporting all occurrences which may lead to medical center liability and providing recommendations on mitigation plans;

supporting the medical centers continuous survey readiness program to maintain compliance with regulatory standards; and participating in the collaboration with applicable government agencies, regulatory agencies, and other organizations.

Essential Responsibilities:

• Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work;
  
  helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.

• Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.

• Conducts data extraction, analyses, and presentations to support quality improvement efforts by: conducting descriptive and inferential statistics for quality improvement evaluations; creating charts, graphs, and narrative summaries of improvements utilizing multiple data reporting systems; preparing quality improvement metric reports at the individual level to demonstrate improvements and effectiveness of quality improvement programs into specified formats; and identifying and documenting trends, potential errors, and other analysis for further review and reports them to the supervisor.

• Supports quality improvement and improvement risk management efforts by: assisting with the development of corrective action plan for areas of improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys; ensuring process improvements are compliant with established internal and external regulation requirements; conducting root cause analysis, failure mode and effect analysis, and other assessments in response to near misses and good catches in order to identify areas of improvement;
  
  and assisting with escalating high-risk issues and trends to appropriate entity for resolutions.

• Develops and utilizes quality…