Accreditation Standards, Cancer, Change Management, Clinical Data, Clinical Medicine, Clinical Nursing, Consulting, Content Management Systems (CMS), Continuous Improvement, Data Analysis, Data Collection, Data Management, Data Quality, Diabetes, Healthcare Quality, Hospital, Leadership, Lean Six Sigma, Licensing, Manage Agenda, Medical Organizations, Medical Records, Nursing, Outpatient Care, Patient Care, People Management, Performance Management, Performance Metrics, Policy Development, Procedure Development, Process Improvement, Project/Program Management, Quality Assurance, Quality Management, Quality Metrics, Quality of Care, Radiology, Registered Nurse (RN), Regulations, Regulatory Compliance, Risk, Root Cause Analysis, Time Management
Join the transformative team at City of Hope where we are changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hopes growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago, and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.
We are seeking an experienced Quality Improvement Specialist to support our Orange County Cancer Specialty Hospital. This role serves as a consultant and trusted resource, empowering leaders, departments, and teams with the information, tools, and improvement support needed to advance quality outcomes across the inpatient setting.
The Quality Improvement Specialist partners with the organization, medical departments, and the Performance Excellence Program to support quality improvement initiatives, peer review activities, and performance measurement. This position plays a key role in helping the organization define, measure, analyze, and apply data to drive continuous improvement in clinical and operational performance.
As a subject matter expert, the Quality Improvement Specialist provides guidance in:
- Process and outcome measurement
- Data analysis
- Performance improvement methodologies
- Evidence-based practices
- Relevant legislation
- Accreditation standards
- Medical staff bylaws, rules, and regulations
- Organizational policies and procedures
The role also requires expertise in Lean and Six Sigma, process improvement tools, facilitative leadership, change management, and regulatory and licensing standards.
As a successful candidate, you will:
Team Leading & Facilitation
- Coordinate and lead discrete quality improvement teams in collaboration with each teams physician liaison.
- Collaborate with administrators and/or the physician liaison for each team in the development of agendas, track the actions, and assure timely follow-up on actions.
Event Investigation, Mitigation, and Correction
- Support event reporting and peer review for campus and external community clinics.
- Facilitate root cause analyses and other deep dive activities needed to refine and modify policies and procedures, and/or processes to improve the quality of patient care.
- Follow-up on quality activities such as case/sentinel event reviews to make sure appropriate changes have taken place.
Quality, Metric, and Peer Data Collection and Reporting
- Develop NDNQI and nursing data quality for inpatient services.
- Obtain, review, and analyze clinical data through review of the in-patient and out-patient medical record and data reports from numerous sources to gather data for OPPE, peer review, other case review, quarterly quality reports, special projects, performance improvement, and other quality metrics chosen by the organization or mandated by external agencies.
- Participate in observational activities (e.g., nursing studies, policy adherence) to collect needed data.
- Collaborate with inpatient units, perioperative services, and Interventional Radiology to ensure accurate, timely, and consistent access to relevant data.
- Present data in a meaningful and useful manner.
- Attend the applicable medical staff committees for quality report and event review and be an active participant at QA&I.
Your qualifications should include:
- Masters degree in nursing or BSN with Masters in related/complementary field required. Experience may substitute for educational requirements with VP approval.
- Three years experience in clinical nursing and/or quality, risk, and regulatory compliance.
- Current Registered Nurse license in California.
- Specialty certification (CPHQ) and experience with HCAP preferred.
Preferred Qualifications:
- CPHQ, HACP certifications highly preferred.
- Data Management Systems.
- Project Management.
- Lean/Six Sigma Training.
- Change Management.
- Accreditation and Regulatory Compliance.
- Knowledge of Joint Commission, Title 22, CMS.
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
City of Hope is an equal opportunity employer. To learn more about our Comprehensive Benefits please CLICK HERE.