Quality Management Specialist

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. 

We provide: 

• Comprehensive health benefits that start day 1 
• Student Loan Repayment Assistance & Reimbursement Programs 
• Family-focused benefits  
• Wellness incentives 
• Ongoing mentorship, development, and leadership programs  
• And more 

Description

We're seeking a Quality Management Specialist (Registered Nurse / RN) responsible for chart review and data abstraction in support of quality measurement, analysis, and improvement across Emory Healthcare. Job responsibilities require detailed/expert knowledge of regulatory requirements/standards which may include core measures, accreditation, registries and other quality metrics. The Quality Management Specialist supports interventions through interdepartmental collaboration and planning, multi-disciplinary communication and implementation/analysis of new care delivery processes impacting quality metrics. This individual will:

• Serve as a resource for education and training regarding quality improvement, accreditation standards, internal process improvements and external regulatory requirements
• Assist in achieving goals of high quality, cost effective patient care and services, while demonstrating compliance with Joint Commission, CMS and other regulatory agencies.
• Collaborate with Leadership on recommendations for sustainable processes and system improvements to maintain quality metrics and/or accreditation related objectives.
• Participate in collaborative efforts with the Director by providing complete, accurate and timely feedback on status of compliance and collaboration for improvement of quality metrics and/or accreditation standards.
• Reports unusual or questionable situations to CQO/CMO and/or Leadership.
• Provide daily feedback to frontline caregivers to facilitate the completion of time.
• Facilitate compliance with quality metrics through collaborative planning, coordination, implementation, and evaluation of new care delivery processes, documentation processes and data.
• Assists the organization in maintaining preparedness for accreditation and licensure surveys.
• Participates in professional activities and organizations to maintain knowledge of current trends, practices, and developments.
• Identify specific patient populations requiring Core Measure and registry documentation (ex. HF/AMI/Pneumonia/SCIP, NSQIP, STS, and ACC) utilizing electronic processes and when indicated, concurrent chart reviews.
• Perform daily chart review and documentation of core measures, registry and selected quality indicators.
• Responds to requests to data aggregation and analysis.
• Serve as a resource to IS for integration of electronic processes impacting quality metrics/data.

MINIMUM QUALIFICATIONS:

• Bachelor's in Nursing.
• Preferred 5 years, minimum 3 years of experience working in a complex healthcare work environment.
• In lieu of degree, minimum seven years of experience working in a complex healthcare work environment.
• Must have a valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board.
• Knowledge of Quality Improvement Methodology, Data Collection and Analysis and Improvement techniques.
• Knowledge of reporting requirements for other external agencies that hospitals submit data to including, but not limited to, Anthem, Leapfrog, and United Healthcare. Publicly reported data (understanding of the rules).
• Understanding how data impacts hospital finance, accreditation, and patient care workflows.
• Is familiar and can speak to benchmarks related to performance and registry or external sources.
• Understanding of TJC/CMS and clinical registry data including how to interpret benchmarks, odds ratios, and statistical control processes.
• Microsoft Office tools (Word, Power Point, Excel, Teams, OneDrive, Sharepoint) required.
• Proficient in Epic EMR.
• SPECIFIC COMPETENCIES: Health Data Analytics: Apply procedures for the governance of data assets (understanding data abstraction specifications).

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at [email protected]. Please note that one week's advance notice is preferred.