Lead Quality Improvement Specialist

As a community, the University of Rochester is defined by a deep commitment to Meliora
- Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address): 601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:
Worker Subtype:
Regular Time Type:
Full time Scheduled Weekly

Hours:

40 Department: 900025 UR Medicine Quality Institute

Work Shift:

UR
- Day (United States of America) Range: UR URC 218

Compensation Range: $95,680.00 - $ The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Serves as an expert Quality improvement leader and strategic partner to the University of Rochester Medicine department leadership to improve operational and clinical effectiveness. Applies expertise in evaluating clinical workflow, system opportunities, medical record documentation, identifying problems, making recommendations, and ensuring successful quality & safety of care improvements. Utilizes clinical expertise and improvement science methods, knowledge of healthcare business processes, management best practices, and change management techniques as appropriate to create sustainable clinical operational improvements.

Provides expert consultation to executive and operational leaders regarding findings from clinical documentation reviews, CMS quality measures, accreditation requirements, and regulatory performance. Leads multidisciplinary teams in initiatives that address identified gaps, improve clinical outcomes, strengthen documentation practices, and ensure sustainable compliance with regulatory expectations.

Serves as the clinical quality & safety expert for assigned organizational initiatives. Conducts comprehensive clinical review of medical records to evaluate documentation accuracy and collaborate with CDI & coding leaders to ensure compliance with regulatory requirements. Reviews medical records to evaluate and address quality of care opportunities, and adherence to evidence-based practice. Performs detailed chart reviews related to CMS quality measures, accreditation standards, patient safety initiatives, and other internal and external quality programs.

Identifies trends, variations, documentation gaps, compliance risks, and opportunities for clinical improvement. Interprets clinical findings and translates complex regulatory requirements into actionable recommendations for operational and physician leadership. Partners with physicians, nursing leadership, advanced practice providers, and interdisciplinary teams to improve clinical quality, safety, and documentation practices.

Leads enterprise quality improvement initiatives resulting from chart review findings, quality performance data, regulatory requirements, patient safety events, and organizational priorities. Develops improvement strategies utilizing Continuous Quality Improvement methodology, data, and improvement tools as appropriate, with support from project managers and data scientists. Facilitates multidisciplinary work groups, task forces, and committees focused on improving clinical quality, regulatory compliance, and patient outcomes. Provides strategic direction to operational and clinical leaders regarding improvement priorities and implementation strategies.

Monitors initiative progress, evaluates effectiveness of interventions, and recommends modifications to ensure sustained improvement.

Leads complex, organization-wide quality improvement initiatives from opportunity identification through implementation and sustainment. Establishes initiative objectives, scope, priorities, timelines, success metrics, and governance structures in collaboration with executive and operational leadership. Coordinates interdisciplinary stakeholders to achieve organizational quality and regulatory objectives. Anticipates barriers to implementation and proactively develops…