(Nursing) Clinical Quality Specialist

(Nursing) Clinical Quality Specialist

At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world.

We have been widely recognized for our exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in our community. With tremendous growth opportunities, great benefits, and flexible work schedules, it is no wonder why we are consistently recognized as a Great Place To Work.

Position Summary :

The Clinical Quality Specialist assesses and recommends quality and clinical performance improvement processes to

assure that the highest standards of quality outcomes can be achieved. This position will provide clinical expertise and

support to all departments by assisting with applying performance improvement methodologies and facilitating plans for

improvement.

Essential Functions and Responsibilities Include the Following :

1. Understands and adheres to the WPH Performance Standards, Policies and Behaviors.

2. Acts as a resource for performance improvement, regulatory compliance and the nationally endorsed

hospital quality measures.

3. Accurately abstracts Quality Measures from medical records for internal and external measure sets (CMS, TJC, P4P,

GWTG, Sepsis, NSQIP, MBSAQIP, CJR, and any additional quality programs).

4. Leads performance improvement activities.

5. Performs / facilitates review of clinical quality of care issues through investigation, tracking, and initiation of provider

interventions.

6. Leads incident investigations including “interdepartmental reviews (IDR)”, “root cause analysis,” “near miss”, critical

events and sentinel events.

7. Demonstrates appropriate utilization of resources necessary to obtain valid and reliable data entry.

8. Performs all other related duties as assigned.

Education & Experience Requirements :

Bachelor’s degree in related healthcare field required. If an RN must have a BSN. Master’s Degree preferred.

5 years clinical experience in nursing, radiation therapy, respiratory therapy, or another related clinical field.

Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) are required if Quality Specialist will be

participating in the Stroke Program.

Receive CPHQ Certificate (Certified Professional in Healthcare Quality) from the National Association for

Healthcare Quality (NAHQ) within preferably 3 years after being in the position and no more than 5 years in the

position.

Knowledge of Microsoft Office Suite preferred (Word, Excel, PowerPoint, Outlook)

Clinical Quality Specialist responsible for abstracting surgical quality charts are required to obtain Surgical

Clinical Reviewer –(SCR for the NSQIP / MBSAQIP Program) within three months.

Core Competencies :

Teamwork and collaboration are essential, as is the ability to work independently to complete tasks.

Excellent communication skills are required with all team members including but not limited to, Senior Staff and

Administration, Physicians, Nurses, Clinical Staff.

Problem-solving skills and attention to detail are required.

Must be able to plan and remain organized with multiple tasks due.

Physical / Mental Demands / Requirements & Work Environment :

May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may

be exposed to are listed in the hospital’s SDS (Safety Data Sheet) data base and may be accessed through the

hospital’s Intranet site (Employee Tools / SDS Access). A copy of the SDS data base can also be found at the

hospital switchboard, saved on a disc.

Ability to remain in stationary position 90% of the time.

Constantly utilizes / operates computer to access information.

Able to communicate / teach physicians and other hospital employees quality issues, best practices, and regulatory

requirements.

Primary Population Served :

Check appropriate box(s) below :

Neonatal (birth – 28 days)

Patients with exceptional communication

needs

Infant (29 days – less than 1 year)

Patients with developmental delays

Pediatric (1 – 12 years)

Patients at end of life

Adolescent (13 – 17 years)

Patients under isolation precautions

Adult (18 – 64 years)

Patients with cultural needs

Geriatric (>

65 years)

Bariatric Patients with weight related comorbidities

Non-patient care population

All populations

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of

White Plains Hospital.

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