Registered Nurse (RN), Quality Management Specialist

Company Description

University of Maryland Upper Chesapeake Health (UM UCH) offers the residents of northeastern Maryland an unparalleled combination of clinical expertise, leading-edge technology, and an exceptional patient experience.

A community-based, integrated, non-profit health system, our vision is to become the preferred, integrated health system creating the healthiest community in Maryland.  We are dedicated to maintaining and improving the health of the people in our community through an integrated health delivery system that provides high quality care to all.  Our commitment to service excellence is evident through a broad range of health care services, technologies and facilities.  We work collaboratively with our community and other health organizations to serve as a resource for health promotion and education.

Today, UM UCH is the leading health care system and second largest private employer in Harford County. Our 3,500 team members and over 650 medical staff physicians serve residents of Harford County, eastern Baltimore County, and western Cecil County.

University of Maryland Upper Chesapeake Health owns and operates:

University of Maryland Upper Chesapeake Medical Center (UM UCMC), Bel Air, MD
The Upper Chesapeake Health Foundation, Bel Air, MD
The Patricia D. and M. Scot Kaufman Cancer Center, Bel Air, MD
The Senator Bob Hooper House, Forest Hill, MD

Job Description

Quality Management Specialist - RN, full time, days, 8am-5pm

Exempt position

JOB SUMMARY: Under general supervision, this role drives clinical excellence to achieve quality outcomes and objectives. Conducts medical record reviews and identifies areas for improvement and adherence to best practices. Facilitates Medical Peer Reviews, Ongoing Professional Practice Evaluations (OPPE), and for-cause Focused Professional Practice Evaluations (FPPE). Conducts quality data analysis, reviews, and reporting to maintain regulatory requirements and driving clinical outcomes on Pay for Performance Quality programs.

• Facilitates the overall Ongoing Professional Practice Evaluation (OPPE) and for cause Focused Professional Practice Evaluation (FPPE) activities for the Medical Staff for assigned service lines, performs initial analysis using Medical Staff-approved indicators and creates reports of results for appropriate audiences
• Effectively analyzes data to identify trends in peer review and performance metrics and communicates in a timely manner with the Director of Quality and appropriate Medical Staff leader
• Acts as a partner to assigned Medical Staff Chairs and Peer Review Committee Chairs, and facilitates effective Medical Staff departmental Peer Review committee processes to promote knowledge sharing, collaborative learning, and quality improvement among medical staff.
• Facilitate the development and implementation of the Quality Management departmental objectives, including contributing to an engaging workplace environment. 
• Participate in root cause analysis and/or regulatory activities
• Collaborate with interdisciplinary teams to develop and implement quality improvement initiatives.
• Performs retrospective chart audits to identify opportunities to improve performance including clinical and/or documentation processes and share findings with relevant stakeholders
• Supports clinical improvement projects by participating in various work groups or Quality Projects to achieve the desired outcomes, specifically related to PPC/MHAC, PSI, Mortality etc.
• Works directly with Medical Staff and/or department leadership to monitor progress, ensure timely implementation of identified strategies and sustainability of improvements
• Utilize available data sources to run, benchmark, and interpret data related to quality outcomes.
• Performs other duties as assigned

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

Education & Training: Bachelor’s degree in healthcare required. Graduate of an accredited RN program. Active RN license to practice in the State of Maryland required.

Certifications in Healthcare Quality or related field is preferred.

Work Orientation & Experience: Minimum of two (2) years healthcare experience required. Experience with Maryland’s Quality based reimbursement programs preferred.  Previous quality management, risk management, patient safety, or performance improvement experience preferred.  Proficient with QI methodologies, applications and theory. Years of experience can substitute educational requirements if applicable.

Skills & Abilities:  1. Strong clinical knowledge and experience in an acute care setting. 2. Abili