Quality/Performance Improvement Specialist

Job Requisition #: JR57083

End Date: 6/29/2021

Location: Wilmington, Delaware

Position Type: Clerical/Administrative/Billing, Clinical (non-nursing), Nursing

Shift: Day Shift, No Rotation

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ChristianaCare is looking for a Clinical Quality Specialist who will partner with caregivers, leaders and payers ensures effective implementation of strategies to support value-based contracts and regulatory requirements are met or exceeded.

Quality Specialist will be responsible for : 

  • Maintains knowledge value-based contracts serving as a Subject Matter Expert (SME).
  • Assesses appropriate inclusion/exclusion of data based on defined data dictionary; assists in evaluation of data dictionaries and utilizes data specification and code to validate information being placed in new applications related to quality.
  • Establishes and performs quality control checks for assigned databases.
  • Analyzes data and make targeted recommendations on areas of focus for established benchmarks in the evaluation of effectiveness and impact and assist in developing strategies to improve performance. 
  • Educates staff about quality, cost and utilization metrics and specifics relating to their practice with innovative ways for performance improvement.
  • Establishes a systematic approach to all aspects of the project/program to include assessment and readiness, planning, training, implementation, coaching and sustainment.
  • Recommends resources to support the project and organizational, and/or clinical service line needs.
  • Evaluates and maintains clear documentation of project achievements based on established goals.
  • Assists in the identification of issues with data collection methods; assures methods for collection meet/exceed accreditation, regulatory, and institutional standards.
  • Presents progress reports/findings on a regular basis to appropriate constituencies.
  • Generates routine and ad hoc reports as directed within required time frame.
  • Maintains competency in EHR platforms, registries, and other applications specific to duties.
  • Advances knowledge of current computer software and demonstrates ability to learn and utilize new technology and/or software applications and assimilate them into daily work routine.
  • Attains and maintains proficiency in data abstraction and entry.
  • Utilizes basic understanding of ICD-10 and CPT coding.
  • Maintains a collaborative professional working relationship with peers, supervisors, clinicians, administrative staff, and external partners.
  • Maintains confidentiality of patient/members and staff information; compliant with HIPPA regulations.
  • Maintains required credentials; assume responsibility for ongoing professional growth.
  • Actively participates in system wide management activities, attends meetings and in-service/educational programs, and other activities as requested.
  • Perform assigned work safely, adhering to established departmental safety rules and practices; reports to supervisor, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.
  • Performs assignments that need to be completed, even when outside the scope of routine responsibilities; adaptable to changing departmental conditions.

Education Requirement:

  • Bachelor's degree in healthcare or related business field.
  • At least five years of work experience with at least two years in patient safety, quality or performance improvement
  • Organizational skills and project management required.
  • Knowledge of/or experience in any of the following is preferred: Outcome analysis, utilization management, clinical experiences in patient care processes, medical records, performance improvement, team facilitation and education (patient/staff) and physiology and disease processes.
  • Strong Excel skills preferred.
  • Knowledge of medical terminology and anatomy required

Why do WE offer careers full of possibilities?

For the Love of Health.

Inclusion & Diversity

At ChristianaCare, we’re committed to treating everyone with dignity and respect. We believe in a safe, inclusive work environment that fosters collaboration between caregivers from all walks of life. We know that each unique viewpoint is vital in delivering high-quality, safe patient care to everyone who walks through our doors. Our policies, benefits, hiring practices, employee resource groups, and corporate citizenship demonstrate our commitment to inclusion and diversity throughout our system.

Why do we embrace inclusion and diversity? For the Love of Health.

Our Values

We serve together in Love and Excellence. Our unique values, Love and Excellence are bold and powerful, and they are the reason why working for ChristianaCare is special. The behaviors associated with our values guide how caregivers interact with everyone they work with and make for an exceptional work experience. We believe that when you lead with Love, Excellence is inevitable.

Benefits

ChristianaCare’s comprehensive total rewards package is one of the most competitive in the region. We are proud to offer excellent benefits that reflect the organization’s commitment to being exceptional today and even better tomorrow.

At ChristianaCare, we provide access to high-quality and affordable benefits designed to meet our caregivers where they are. You can tailor your benefits to meet your needs now and adjust them as your priorities change.

Take advantage of ChristianaCare’s wide-ranging benefit offerings from supporting optimal health through medical, prescription, dental and vision coverage to valuable wellness and work/life programs, which include paid parental leave, coverage for infertility and assisted reproductive technologies, an employer-funded short-term disability program, and more.

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A Great Place To Live

Our region offers a diversity of cultures, lifestyles, sports and entertainment events, housing options and educational opportunities. Located on the I-95 corridor between Philadelphia and Washington, D.C., our location provides easy access to two international airports, employment opportunities in a tri-state area, and proximity to some of the nation's top universities and colleges, as well as beaches in MD, DE and NJ!

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We Serve Together

For the Love of Health

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