Quality Improvement Specialist Resume Samples
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Quality Improvement Specialist Resume Samples
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JR
J Robel
Janie
Robel
46806 Katarina Crossroad
San Francisco
CA
+1 (555) 465 0360
46806 Katarina Crossroad
San Francisco
CA
Phone
p
+1 (555) 465 0360
Experience
Experience
Los Angeles, CA
Quality Improvement Specialist
Los Angeles, CA
Bailey-Hartmann
Los Angeles, CA
Quality Improvement Specialist
- Provides consultation for practical application of performance improvement
- Collaborates with multidisciplinary team on problem identification and resolution, cost containment issues, implementation of new services and systems/ performance measures
- Knowledge of quality management methodologies, performance improvement principles and designs
- Manages medical staff dynamics to facilitate effective discussions and participation in quality improvement, service excellence and patient safety
- Performs annual update on Plan Risk Management Program Description
- Assists VP, Administration/Finance, SLR, with patient satisfaction implementation on a Continuum level. Oversees project
- Organizes and develops documents for presentations to various committees, departmental and units i.e. Continuum, BIMC
Los Angeles, CA
Clinical Quality Improvement Specialist
Los Angeles, CA
Schmitt, Effertz and Nader
Los Angeles, CA
Clinical Quality Improvement Specialist
- Lead and coordinate companywide efforts to streamline quality practices, improve operational efficiency and provide ongoing training and education
- Assist hospitals with the utilization of analytical tools to assess performance
- Collaborate with hospitals in the development and implementation of established action plans, clinical protocols and surveillance strategies
- Provide continuous change management support to promote a culture of learning and quality
- Create post-simulation documentation to include
- BART or BLS/CPR certification at time of hire with commitment to get BART within 6 months of hire date
- Build relationships with hospital staff to establish an open, collaborative and quality-driven environment
present
Houston, TX
Quality Improvement Specialist Behavioral Health
Houston, TX
Heidenreich Inc
present
Houston, TX
Quality Improvement Specialist Behavioral Health
present
- Develop and present recommendations and alternatives for management and executive review
- Assist in developing department strategic action plans including identification of objectives, goals and strategies
- Develop and implement effective analysis, research and evaluation of quality management metrics
- Design, create and implement behavioral Health Quality Improvement projects and initiatives
- Develop, analyze and monitor new, routine and ad hoc reports using multiple data sources and systems
- Provide analytical support and expertise when compiling and reporting information
- Assume responsibility for data integrity among various internal groups and / or between internal and external sources
Education
Education
Bachelor’s Degree in Related Field
Bachelor’s Degree in Related Field
University of Georgia
Bachelor’s Degree in Related Field
Skills
Skills
- Ability to interact with all members of the surgical team and administrative staff in a professional and courteous manner
- Strong attention to detail
- Ability to identify basic problems and procedural irregularities, collect data, establish facts and draw valid conclusions
- Intermediate Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
- Knowledge of Performance Improvement methodology and Outcomes Management
- Advanced Ability to create, review and interpret treatment plans
- Intermediate Ability to work in a fast paced environment with changing priorities
- Intermediate Knowledge of healthcare delivery
- Intermediate Knowledge of community, state and federal laws and resources
- Intermediate Ability to multi-task
15 Quality Improvement Specialist resume templates
Read our complete resume writing guides
1
Clinical Quality Improvement Specialist Resume Examples & Samples
- BS, RN or LPN
- 4 - 6 years of clinical experience in critical care or med-surgical experience
- Hedis/Qarr experience
- Quality improvement experience in a managed care environment
- Six Sigma Yellow or Green Belt
2
Claims Quality Improvement Specialist Resume Examples & Samples
- Ability to work as an effective team player, supporting and communicating with peers; recognise the contribution of others to ensure achievement of team goals
- Strong relationship management and negotiation skills
- Ability to assimilate large amounts of written communications and accurately be able to identify themes, gaps, inconsistencies and trends
- Ability to communicate with all stakeholders in a professional, empathetic, transparent and conciliatory manner
- Superior people development and hands-on coaching / debriefing skills
- Solid understanding of claims management principles, standards and practices; internal systems, processes, policies and delegations of authority
- Broad knowledge of one or more specialty areas including medical, financial or legal
- Some exposure to strategically assessing medical and/or disability claims an advantage
- Understanding of the Risk Insurance market and associated products
- Coaching or mentoring experience is an advantage
3
Quality Improvement Specialist Resume Examples & Samples
- Bachelor's degree in Engineering, Technology or closely related field
- Five years of experience implementing and managing one of the following Quality Management Systems: ISO 9001, TS16949, or AS9100
- Excellent skills in consulting and training
- Working knowledge of at least one of the following
4
Quality Improvement Specialist Resume Examples & Samples
- Monitors quality improvement initiatives including, but not limited to, development and implementation of preventive health and chronic disease outcome improvement interventions such as: newsletter articles, member education and outreach interventions, provider education, member outreach interventions, medical record reviews, focus groups, and surveys
- Monitors and investigates all quality of care and collaborates with medical directors to determine impacts and next steps for actions. Monitors provider quality complaints to identify trends and educational opportunities for improvement
- Analyzes, updates, and modifies procedures and processes to continually improve QI operations
- Collects and summarizes performance data and identifies opportunities for improvement
- Serves as knowledge expert for continuous quality improvement activities, QIPS, PIPs and QIAs
- Monitors and analyzes outcomes to ensure goals, objectives, outcomes, accreditation and regulatory requirements are met
- Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, AAAHC, URAC, NCQA,EQRO)
- Conducts internal auditing of compliance with regulatory and accreditation standards
- Supports the implementation of the quality reporting infrastructure
- Pursues methods to ensure receipt of data required for trending and reporting of various QI work plan metrics, performs adequate data/barrier analysis, develops improvement recommendations, and deploys actions as approved
- Assists in activities to prioritize clinical and service improvement initiatives
- Participates in various QI committees and work groups convened to improve process and/or health outcomes, and contributes meaningful detail, based on functional knowledge. Completes follow-up as assigned
- Manages and monitors assigned quality studies
- Investigates and incorporates national best practice interventions to affect greater rate increases
- Ensures that documentation produced and/or processed complies with state regulations and/or accrediting body requirements
- Ensures assigned contract/regulatory report content is accurate and that submission adheres to deadline
- Performs other duties as assigned
- Completes Licensed Health Care Risk Management certification program
- Performs annual update on Plan Risk Management Program Description
- Coordinates the regular and systematic review of all potential adverse incidents in accordance with state statute
- Completes AHCA Code 15 Reports for confirmed adverse incidents
- Submits an annual AHCA adverse incident summary report
- Presents summary reports of reported AHCA Code 15 adverse incidents through the quality committee structure and Board of Directors
- LI-CW1
- Required A High School or GED with a current unrestricted RN license
- Preferred A Bachelor's Degree in Healthcare, Nursing, Health Administration, Public Health or related health field
- Required 2+ years of experience in Quality Improvement
- Required 3+ years of experience in Managed Care
- Required Other Experience in compliance and accreditation
- Required Other Knowledge of federal and state regulations/requirements
- Advanced Demonstrated written communication skills
- Advanced Demonstrated interpersonal/verbal communication skills
- Intermediate Ability to multi-task
- Intermediate Ability to work in a fast paced environment with changing priorities
- Intermediate Ability to effectively present information and respond to questions from families, members, and providers
- Advanced Ability to create, review and interpret treatment plans
- Intermediate Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
- Intermediate Knowledge of healthcare delivery
- Intermediate Knowledge of community, state and federal laws and resources
- Intermediate Demonstrated time management and priority setting skills
- Intermediate Ability to implement process improvements
- Required Intermediate Microsoft Excel
- Required Intermediate Healthcare Management Systems (Generic)
- Required Intermediate Microsoft Word
- Required Intermediate Microsoft Outlook
5
Quality Improvement Specialist, RN Required Resume Examples & Samples
- Monitors quality improvement initiatives including, but not limited to, development and implementation of preventive health and chronic disease outcome improvement interventions such as: newsletter articles, member education and outreach interventions, provider education, member outreach interventions, medical record reviews, focus groups, and surveys
- Monitors and investigates all quality of care and collaborates with medical directors to determine impacts and next steps for actions. Monitors provider quality complaints to identify trends and educational opportunities for improvement
- Collects and summarizes performance data and identifies opportunities for improvement
- Serves as knowledge expert for continuous quality improvement activities, QIPS, PIPs and QIAs
- Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, AAAHC, URAC, NCQA,EQRO)
- Supports the implementation of the quality reporting infrastructure
- Assists in activities to prioritize clinical and service improvement initiatives
- Manages and monitors assigned quality studies
- Investigates and incorporates national best practice interventions to affect greater rate increases
- Performs annual update on Plan Risk Management Program Description
- Completes AHCA Code 15 Reports for confirmed adverse incidents
- Submits an annual AHCA adverse incident summary report
- Presents summary reports of reported AHCA Code 15 adverse incidents through the quality committee structure and Board of Directors
- Required A High School or GED with a current unrestricted RN license
- Required 2+ years of experience in Quality Improvement
- Required 3+ years of experience in Managed Care
- Required Other Experience in compliance and accreditation
- Required Other Knowledge of federal and state regulations/requirements
6
Quality Improvement Specialist, Associate Resume Examples & Samples
- Monitors and investigates all quality of care concerns and collaborates with medical director to determine impact and next steps for actions. Monitors provider quality complaints to identify trends and educational opportunities for improvement
- Monitors quality improvement initiatives including, but not limited to, development and implementation of preventive health and chronic disease outcome improvement interventions such as: newsletter articles, member education and outreach interventions, provider education, member outreach interventions, medical record reviews, focus groups, and surveys
- Analyzes, updates, and modifies procedures and processes to continually improve QI operations
- Collects and summarizes performance data and identifies opportunities for improvement
- Monitors and analyzes outcomes to ensure goals, objectives, outcomes, accreditation and regulatory requirements are met
- Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, AAAHC, URAC, NCQA, EQRO)
- Conducts internal auditing of compliance with regulatory and accreditation standards
- Pursues methods to ensure receipt of data required for trending and reporting of various QI work plan metrics, performs adequate data/barrier analysis, develops improvement recommendations, and deploys actions as approved
- Participates in various QI committees and work groups convened to improve process and/or health outcomes, and contributes meaningful detail, based on functional knowledge. Completes follow-up as assigned
- Manages and monitors assigned quality studies
- Investigates and incorporates national best practice interventions to affect greater rate increases
- Ensures that documentation produced and/or processed complies with state regulations and/or accrediting body requirements
- Ensures assigned contract/regulatory report content is accurate and that submission adheres to deadline
- Completes Licensed Health Care Risk Management certification program
- Performs annual update on Plan Risk Management Program Description
- Coordinates the regular and systematic review of all potential adverse incidents in accordance with state statute
- Completes AHCA Code 15 Reports for confirmed adverse incidents
- Submits an annual AHCA adverse incident summary report
- Presents summary reports of reported AHCA Code 15 adverse incidents through the quality committee structure and Board of Directors
- High School Diploma or GED with a current unrestricted RN license is required
- A Bachelor's Degree in Healthcare, Nursing, Health Administration, Public Health or related health field is preferred
- 3+ years of experience in a clinical acute care, case management, disease management, clinical compliance, public health, home health or clinical nurse position is required
- 2+ years of experience in Managed Care is required
- Other Knowledge of federal and state regulations/requirements is required
- 1+ year of experience in Quality Improvement is preferred
- Other Experience in compliance and accreditation is preferred
- Demonstrated written communication skills
- Demonstrated interpersonal/verbal communication skills
- Ability to work in a fast paced environment with changing priorities
- Ability to effectively present information and respond to questions from families, members, and providers
- Ability to create, review and interpret treatment plans
- Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
- Knowledge of healthcare delivery
- Knowledge of community, state and federal laws and resources
- Demonstrated time management and priority setting skills
- Ability to implement process improvements
- Healthcare Management Systems (Generic)
- Microsoft Word
7
Dshs Performance & Quality Improvement Specialist Resume Examples & Samples
- Demonstrate independent judgment in assessing and determining a service provider's ability to meet the needs of clients
- Ability to facilitate group discussions and make public presentations
- Ability to mediate conflicting and/or confrontational interactions
- Demonstrate sensitivity to cultural diversity
- Listen, observe, communicate, interview, understand, confront and engage in problem solving and conflict resolution with clients, families and providers
- Work collaboratively and independently in the office and community
- Possess basic computer skills, including use of email, word processing and internet access
- Present a professional image in your grooming and attire
- Ability to multi-task in a fast-paced work environment
- Willing and able to travel as required
8
Quality Improvement Specialist Behavioral Health Resume Examples & Samples
- Provide analytical support and expertise when compiling and reporting information
- Assume responsibility for data integrity among various internal groups and / or between internal and external sources
- Develop, analyze and monitor new, routine and ad hoc reports using multiple data sources and systems
- Facilitate Quality Meetings
- 2+ years of behavioral healthcare experience
- Intermediate computer skills (Microsoft Word, Excel, Outlook and Internet) with the ability to navigate a Windows environment. Create, edit, save and send documents utilizing Microsoft Word
- Demonstrated ability to manage multiple projects simultaneously
- Ability to collect, analyze, and present data
- 1 + plus year of managed care experience
- Prior experience creating reports related to quality improvement / performance outcomes
9
Hedis Nurse / Quality Improvement Specialist Resume Examples & Samples
- Current unrestricted RN license
- 2+ years of experience in Quality Improvement
- 3+ years of experience in Managed Care
- Experience in compliance and accreditation
- Knowledge of federal and state regulations/requirements
- Ability to create, review and interpret treatment plans
- Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
- Healthcare Management Systems proficiency
- Experience with Microsoft Word, Outlook, and Excel
- Bachelor's Degree in Healthcare, Nursing, Health Administration, Public Health or related health field
10
Health Services Consultant Quality Improvement Specialist Resume Examples & Samples
- A Bachelor's degree or higher
- Completion of quality improvement course(s) and/or certification(s), such as LEAN or Six Sigma
- Two (2) or more years (full-time equivalency) of experience working with and implementing LEAN principles
- Demonstrated experience in rule and policy drafting and development for a federal or state government agency
11
Quality Improvement Specialist Resume Examples & Samples
- Bachelor's Degree Required. BSN preferred
- Minimum two years experience in hospital surgery department, surgery clinic, clinical research or medical records. Clinical chart review and abstraction experience required
- Successful completion of applicable required certification and training programs to include, but not limited to, ACS BQIP SCR training/certification within 6 months of hire
- 5 years of clinical experience in an acute care setting
- Experience with databases, data entry and/or database management preferred
- Effective communication skills, both verbal and written
- Effective interpersonal skills
- Ability to maintain confidentiality
- Ability to adapt to multiple and changing priorities
- Knowledge of licensure regulations, Joint Commission on Accreditation of Healthcare Organization and state/federal standards
- Knowledge of Performance Improvement methodology and Outcomes Management
- Statistical analysis skills
- Demonstrated problem solving, data assembly and action planning ability leading to the development of actions plans that will prove helpful in achieving measurable objectives
- Ability to organize, formulate, educate and facilitate problem solving teams
- Demonstrative ability to work without supervision towards a desired outcome
- Expertise in Excel, PowerPoint, Ms Word, Database management
- Ability to interact with all members of the surgical team and administrative staff in a professional and courteous manner
12
Senior Clinical Quality Improvement Specialist Resume Examples & Samples
- Gathering and analyzing data
- Creating reports and annual core documents for customers
- Ensuring compliance with relevant accreditation standards, which includes
- 3+ years experience in a health care setting
- MS Office suite of software proficiency
- Behavioral health experience
- 2+ years' experience developing and implementing performance improvement projects, or using data to develop intervention strategies to improve outcomes
- Masters
- QI experience
- Experience with NCQA and URAC
- Experience extracting data in SQL / Oracle environment
- Prior experience creating reports related to quality improvement / performance outcomes
13
Quality Improvement Specialist, Associate Resume Examples & Samples
- LI-SM1
- Required a current unrestricted RN license
- Preferred Bachelor's Degree in Healthcare, Nursing, Health Administration, Public Health or related health field
- Required 3+ years of experience in a clinical acute care, case management, disease management, clinical compliance, public health, home health or clinical nurse position
- Required 2+ years of experience in Managed Care
- Required knowledge of federal and state regulations/requirements
- Preferred 1+ year of experience in Quality Improvement
- Preferred experience in compliance and accreditation
- Intermediate demonstrated written communication skills
- Intermediate demonstrated interpersonal/verbal communication skills
- Intermediate ability to multi-task
- Intermediate ability to work in a fast paced environment with changing priorities
- Intermediate ability to effectively present information and respond to questions from families, members, and providers
- Advanced ability to create, review and interpret treatment plans
- Intermediate ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
- Intermediate knowledge of healthcare delivery
- Intermediate knowledge of community, state and federal laws and resources
- Intermediate demonstrated time management and priority setting skills
- Intermediate ability to implement process improvements
- Required intermediate Microsoft Excel, Word, Outlook
- Required intermediate Healthcare Management Systems (Generic)
14
Research Compliance Education & Quality Improvement Specialist Resume Examples & Samples
- Experience in development and implementation of educational programs for professionals
- Experience in performing compliance audits
- Knowledge of principles of responsible conduct of research
- Ability to analyze and apply regulations and policies related to research
- Excellent communication skills and organizational abilities, and ability to interact with process owners, faculty and staff across the University at a variety of levels and positions
- Ability to plan and prioritize tasks, work with minimal direction, and meet deadlines
- Experience in communicating information of sensitive and confidential nature both internally and externally as appropriate
- 3-5 years of experience in supporting systematic research compliance programs in a University setting preferred
15
Clinical Patient Safety & Quality Improvement Specialist Resume Examples & Samples
- 10 years and experience working as a professional in a healthcare environment
- Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications
- Must have computer skills and dexterity required for data entry and retrieval of information
- Strong project management, change management and process improvement skills
- Effective interpersonal skills including the ability to work effectively in groups and across organizational lines influencing stakeholders at all levels
- Excellent judgment and analytical skills to interpret clinically significant information
- Excellent organization skills including the ability to set priorities and work independently
- Must be proficient with Windows-style applications, various software packages specific to role and keyboard
- Process Improvement experience
- Root Cause Analysis experience
16
Stroke Clinical Quality Improvement Specialist Icon Days Resume Examples & Samples
- Current CA RN license with a minimum of 3 to 5 years of work experience in an acute hospital setting
- Demonstrated experience in the application of Performance Improvement tools including: Lean, PDSA, data collection and analysis, and report writing
- Super user in ability to navigate the electronic medical health record
- Experience in education and coaching
17
Stroke Systems of Care Quality Improvement Specialist Resume Examples & Samples
- Graduate degree in public health, community health, nursing, or related health field, preferred
- Experience interpreting state regulations in health care facilities to ensure quality patient care. Knowledge of Massachusetts PSS regulations preferred
- Experience in or working knowledge of healthcare delivery systems and knowledge of the stroke care continuum
- Direct experience in developing or leading quality improvement teams that include the monitoring of health outcome data for program improvement and decision-making
- Experience in the development and implementation of policy, systems and change concepts. Extensive experience planning and implementing programs in the health care setting
- Experience guiding providers in forming collaborative systems within practice areas
- A working knowledge of public health approaches to controlling and preventing chronic diseases in both healthcare and community – based settings
- Experience facilitating change and driving large, diverse groups to consensus. Knowledge and experience working with EMS, hospital, SNF, and/or primary care providers preferred
- Ability to translate quantitative data into meaningful, actionable recommendations
- Experience developing partnerships, teams and coordinated activities
- Experience and comfort level presenting to large groups
- Experience and significant competence working with vulnerable and diverse populations
- Experience in planning and evaluating community/public health programs and implementing population-level health promotion interventions
- Ability to work closely with evaluation staff to understand data needs
- Knowledge of the Affordable Care Act, Chapter 224, and other major health policies that shape the healthcare system in Massachusetts
- Understanding of the complex interactions between health and the social determinants of health to maintain or improve health
18
RN, Quality Improvement Specialist Resume Examples & Samples
- Graduate of an accredited nursing program
- License to practice professional nursing in the State of Texas
- PALS certification is required within the first 2 years of employment
- LI-MS
19
Clinical Quality Improvement Specialist Resume Examples & Samples
- Facilitate a team though the creation of material to simulate a quality improvement process using a model related to CDS to include Test Plans and Clinic Scenarios
- Assist the team in understanding the decisions to apply and the measurements of the simulation
- Create post-simulation documentation to include
- Bachelor's degree or equivalent experience
- Minimum 5 years experience
- Experience leading a clinical quality improvement team or teams over multiple projects
- Experience creating, implementing and/or evaluating Clinical Decision Support or other clinical interventions
- Clinical practice or health care research experience, especially combined with quality improvement and/or patient safety duties
- Experience facilitating problem-solving workgroups
- Experience with VA VistA/CPRS (or RPMS) system
- Past or current VA Access
20
Clinical Quality Improvement Specialist Resume Examples & Samples
- Must be a graduate from an accredited school of nursing
- RN license issued by the State of California
- BART or BLS/CPR certification at time of hire with commitment to get BART within 6 months of hire date
- Minimum five (5) years of RN experience
- MSN or Master’s Degree in a health related field
- Expertise in Performance Improvement, Core Measures, committee coordination and regulatory standards
- Experience in Critical Care
- Experience with the Sepsis Core Measure
- Experience in Neonatology
21
Clinical Quality Improvement Specialist Resume Examples & Samples
- Bachelor's degree in nursing, healthcare, quality improvement or other related field, or an equivalent combination of education and work experience
- 2-5 years of experience in clinical practice, healthcare consulting or project management
- Demonstrated ability to effectively manage and build relationships within complex networks
- Strong attention to detail and excellent organizational skills
- Excellent interpersonal communication and team-building skills
- Ability to travel 20-50 percent of the time
- Clinical background in quality and performance improvement (e.g. HAI prevention)
- Experience with project management, consulting, mentoring, and leading multidisciplinary project teams
- Knowledge of quality improvement methodology and tools
- Competence in statistical analysis and report writing
- Experience with clinical process or performance improvement and technical skills related to Electronic Health Records (EHR)
22
Quality Improvement Specialist Resume Examples & Samples
- Accountable for the preparation and support of wholly owned facilities, relative to regulatory and licensure compliance
- Responsibility includes multi-site locations and requires travel to each of the facilities – off site time 60% or more weekly
- Assists in scheduled/unannounced surveys by regulatory agencies
- Facilitates process / system improvement across departments and/or multiple service areas
- Serves as a role model to demonstrate openness to new ways of thinking
- Serves as a QI liaison with external agencies (CMS, ODH, TJC, etc) as well as Trinity Health System
- Provides consultation for practical application of performance improvement
- Manages medical staff dynamics to facilitate effective discussions and participation in quality improvement, service excellence and patient safety
- Works with diverse groups, settings and varied kinds of complexities
- Develops and/or assists in conducting educational programs or in-services related to quality /process improvement as needed or requested by the organization
- Serves as project manager as needed for organizational endeavors
- Provides, as requested, consulting services to non-MCHS owned health care entities for purposes of building targeted relationships
- Education: Baccalaureate Degree in Nursing required
- Masters in Nursing preferred
- Licensure / Certification: Registered Nurse
- Experience: Minimum of five (5) years recent hospital practice. Clinical and management experience preferred
- Knowledge of quality management methodologies, performance improvement principles and designs
23
Quality Improvement Specialist Resume Examples & Samples
- 3+ years of Managed Care experience; 2+ years of Quality Improvement experience
- High School Diploma / GED
- NYS Registered Nurse (RN) license
- Knowledge of Federal and State regulations / requirements
- Working knowledge of Healthcare Management Systems
- Microsoft Office/Suite proficient (Excel, Outlook, Word, etc.)
- Solid assessment, clinical, and documentation skills
- Patient oriented
- Great interpersonal skills
- Excellent communication skills (written and verbal)
- Strong attention to detail
- Highly organized
- Able to multitask efficiently and effectively
- Bachelor's Degree in Healthcare, Nursing, Health Administration, Public Health, or related Health field
24
Quality Improvement Specialist, Associate Resume Examples & Samples
- Required: High School or GED, with a current unrestricted RN license
- Preferred: Bachelor's Degree in Healthcare, Nursing, Health Administration, Public Health or related health field
- Required: 3+ years of experience in a clinical acute care, case management, disease management, clinical compliance, public health, home health and/or clinical nurse position
- Required: 2+ years of experience in Managed Care
- Preferred: 1+ year of experience in Quality Improvement
- Required: Knowledge of federal and state regulations/requirements
- Preferred: Experience in compliance and accreditation
- Healthcare Management Systems
- LI-JC1
25
Clinical Quality Improvement Specialist Days Resume Examples & Samples
- Current CA RN license with a minimum of 5 years experience in acute hospital setting
- Bachelor’s degree required, preferably in a health-related field
- Demonstrated experience in the application of Performance Improvement methods, including Lean, PDSA, data collection and analysis, and report writing
- Experience in providing training, education, team facilitation and coaching
- Excellent interpersonal, communication skills and presentation skills. Can develop presentations using data and results to groups with varied needs
26
Surgical Quality Improvement Specialist Resume Examples & Samples
- Bachelor of Science Degree strongly preferred with minimum of five to seven years of acute care and/or quality experience in a hospital setting
- Strongly prefer: RN and/or Masters Degree in Public Health or Healthcare Administration
- Responsible, reliable, detail-oriented, able to drive a project, and able to work both independently and in a team
- Strong English oral and written communications skills
- Ability to manage projects, establish goals and drive a process
- Clinical education and/or experience
- Experience with performance improvement
- Experience with lean six sigma
- Experience with project management
- Experience in creating and managing Gantt charts, flow charts, other project management tools
- Experience with clinical informatics
- Ability to interact with faculty professionally and credibly gain their respect and confidence
- Ability to develop, implement and monitor systems that will support the goals and objectives of the Department
- Must be knowledgeable and up-to-date with trends in the use of clinical systems
- Demonstrated skill in using software including word processing, spreadsheets and data base management programs
- Demonstrated skill in designing and implementing databases for secondary use of clinical, operations and administrative data
- Knowledge of principles of ambulatory care administration and the continuum of care
- Ability to evaluate and implement new software programs, computer hardware and networks
- Ability to establish and maintain cooperative and collaborative working relationships with members of the health care team
- Ability to build effective relationships with clinicians
- Ability to concisely and clearly provide recommendations, analyze and prioritize work assignments that can be translated into work plans and roadmaps comprehensible to all levels of stakeholders
- Strong written and verbal presentation skills, including remote, tele- and net presentation skills
- A creative thinker with high energy and enthusiasm
- A team player and consensus builder who promotes the concept of people working together versus individual performance
- Ability to build confidence, trust and mutual respect with clinical stakeholders, in particular the practicing physician community
- Experience with leading multidisciplinary improvement teams with demonstrated success
- Expertise in various aspects of patient care delivery including accreditation and regulatory standards
27
Quality Improvement Specialist Resume Examples & Samples
- Coordinates quality, risk and/or patient safety aspects of The Joint Commission continuous readiness program
- Collaborates with multidisciplinary team on problem identification and resolution, cost containment issues, implementation of new services and systems/ performance measures
- Supports activities related to quality and risk reduction initiatives and compliance with patient safety standards
- Analyzes and reports on data collected from a variety of sources. Develops detailed quality financial reports for specific groups and service lines
28
Quality Improvement Specialist Resume Examples & Samples
- Georgia state Registered Nurse license
- High school diploma or GED
- 2 years of experience in Quality Improvement in a managed care setting
- Ability to implement process improvements
- Knowledge of Healthcare Management Systems, Microsoft Excel, Word and Outlook
- Demonstrated written communication skills, interpersonal/verbal communication, ability to multitask and work in a fast paced environment with changing priorities
- Ability to effectively present information and respond to questions from families, members and providers
- Ability to create, review and interpret treatment plans
- Ability to identify basic problems and procedural irregularities, collect data, establish facts and draw valid conclusions
- Knowledge of healthcare delivery
- Knowledge of community, state and federal laws and resources
- Bachelor's Degree in Healthcare, Nursing, Health Administration, Public Health or related health field
