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Summary

Major Job Functions

The following is a summary of the major essential functions of this job.  The incumbent may perform other duties, both major and minor, that are not mentioned below.  In addition, specific functions may change from time to time:

• Implementing and assisting with projects related to clinical quality improvement (QI), quality measurement and QI research
• Assisting with design and implementation of QI projects in a variety of clinical settings
• Creates graphs, charts, PDCA’s, Gantt chart, pareto etc. to provide staff and leadership with data needed to facilitate change
• Works with the Quality team to develop activities related to VBP, HAC, HRRP, Care Compare data to decrease financial implications
• Data collection, database development and basic statistical analyses from information gathered in patient surveys, electronic health records, hospital administrative databases, and other sources
• Works with all levels of leadership and front-line staff to facilitate and support the development and integration of evidence-based best practices at the department/program level
• Works collaboratively with assigned teams to improve quality outcomes, patient safety, and satisfaction, and decrease costs through reduction of unnecessary process variability
• Actively participates in regulatory surveys to provide relevant data as necessary and maintains constant preparation
• Other duties as assigned

Minimum Qualifications

The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training: 

• Bachelor’s degree in nursing, computer science, biostatistics or other healthcare related field required
• Master’s degree preferred
• Certification (CPHQ) or other related quality certification preferred

Work Experience: 

• 2 years of healthcare related experience required
• Experience in working with The Joint Commission and CMS standards preferred
• Working knowledge of EPIC, BI, MIDAS, Microsoft Office, and SPSS preferred

Knowledge, Skills, and Abilities Required: 

• Proficiency in reading, writing, and speaking the English language
• Knowledge of theories, principles, and methods utilized in the development health quality databases and analysis of health quality data preferred
• Must be independent, efficient and have exceptional interpersonal skills as interaction with patients, families, and medical staff is necessary

Physical Requirements: 

• Ability to move throughout the Health System without difficulty
• Stand and sit for long periods of time

Required Licenses and Certifications

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity