Quality %Safety Improvement Consultant V, Clinical Quality Consulting

Job Summary:

In addition to the responsibilities listed below, 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; evaluating, designing, developing, and implementing evidence‑based guidelines, principles, and/or programs related to area of work as well as to reduce variation in clinical practice and optimize patient outcomes;

collecting, analyzing, reporting, and presenting clinical data for a variety of users including for state, federal, and local agencies; facilitating education regarding the interpretation of compliance methods when preparing for regulatory reviews, the interpretation of regulatory requirements, and regional project goals; monitoring, reporting, and developing mitigation plans for all occurrences which may lead to medical center liability adjusting to remove barriers and/or issues, as necessary;

supporting the medical centers continuous survey readiness program to maintain compliance with regulatory standards; and serving as a liaison with applicable government agencies, regulatory agencies, and other organizations.

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross‑functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self‑leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit.
  
  Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
• Conducts or oversees business‑specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high‑priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals.
  
  Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
• Develops and implements data collection and analyses to support quality improvement efforts by: conducting advanced statistical analysis for quality improvement evaluations, special projects, and other work for multidisciplinary review; investigating opportunities to improve the reporting and narrative summaries of improvements by integrating multiple utilization data reporting systems to develop and maintain a variety of statistical reports in a format which enables care providers to see variations in practice patterns;
  
  presenting quality improvement metric reports to demonstrate improvements and effectiveness of quality improvement programs to department and program managers; and serving as a technical expert to team members, supervisor, and key stakeholders by interpreting trends, potential errors, and other analyses, by assisting in problem resolution for data source analysis, and by advising on the application of results.
• Supports in‑depth and advanced quality improvement and risk management efforts by: researching corrective action plan for areas of improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys for their cost effectiveness and impact on department functioning; ensuring process improvements are compliant with established internal and external regulation requirements at the local and state level;
  
  conducting complex root cause analysis, failure mode and effect analysis, and other assessments in response to significant events near misses, and good catches in…