Aug 12, 2021

Clinical Performance Improvement Specialist (RN) - Risk Management

  • Conway Medical Center
  • Conway, SC, USA
Full Time General Nursing

Job Description

Position Summary:
The Clinical Performance Improvement Specialist (CPIS) is responsible for providing statistical, analytical and process improvement methodology support for hospital departments, committees, services, teams, and medical staff clinical improvement initiatives with emphasis on clinical areas where experience and education as an RN is effectively applicable. The CPIS is primarily responsible for assisting with the determination of plans and facilitating improvement efforts with evidence-based care delivery and national clinical quality improvement projects including, but not limited to: Premier’s QUEST; CMS Value-Based Purchasing; Hospital Inpatient Quality Reporting Program (IQR); Hospital Outpatient Quality Reporting Program (OQR); Partnership for Patients; etc. Additional responsibilities include, but are not limited to: screening of Medical Staff Quality Committee cases, leading clinical Root Cause Analyses, retrospective record review for determination of quality of care concerns, etc. The CPIS will receive assignments in the form of broad boundaries and customer end results and expectations needed and to be met and incumbent utilizes critical thinking and analytical skills to produce/meet outcome. The CPIS must be willing to report back to work during any emergency situation, this includes if needed during inclement weather, mass casualty, internal disaster, etc. The CPIS will complete other duties as assigned.
All organizational staff, including this position are specifically required as a condition of continued employment to make advance preparations for their families and pets in the event of weather emergencies such as Hurricanes and flooding threats. Any staff member can be determined as essential staff required to report to the facility during these events. In many cases this means reporting and sleeping at the facility before, during and after a weather emergency. By signing this job description, the staff member accepts this responsibility of readiness to report to work during any designated emergency staffing situation. CMC staff members operate as one team meeting the healthcare needs of our communities, thus this position will on occasion complete other duties as assigned beyond those designated in this primary job description which may include “float” coverage at an alternate facility, department or assignment.

  • Associates degree (ADN) in nursing required.
  • Bachelor’s degree (BSN) in nursing preferred.
  • A minimum of two (2) years direct clinical nursing work experience in the acute care setting required.
  • Prior experience in working under the following programs and standards preferred:
    • Centers for Medicare and Medicaid Services Conditions of Participation (CoPs);
    • Det Norske Veritas National Integrated Accreditation for Healthcare Organizations (DNV NIAHO) standards;
    • ISO 9001, etc.
  • Prior experience working on LEAN, Six Sigma, CQM teams and performance improvement initiatives preferred.
  • Healthcare system\hospital quality based experience preferred.
  • Licensed as a Registered Nurse in the State of South Carolina in good standing required.
  • Certified Lean Six Sigma Green Belts by theInternational Association for Six Sigma Certification (IASSC) preferred.
Special Skills:
  • Ability to work effectively and collaboratively with nursing colleagues, physicians, department heads, and member of executive leadership required.
  • Demonstrated proficiency with Microsoft outlook, word, Excel, Explorer and PowerPoint required.
  • Exemplary core customer service skills strongly required.
  • Strong organizational skills required.
  • Strong verbal and written communication skills required.
  • Ability to consistently exercise independent judgement required.
Working Conditions:
  • Stress level high due to multiple demands frequently occurring simultaneously.
  • Physical surroundings generally pleasant and comfortable
  • Generally contained office type environment
  • Most work performed while sitting, however, a moderate amount of walking and moving around within a confined area occurs
Physical Requirements:
Light-Medium - While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert 15 to 20 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or 5 to 10 pounds of force frequently, and/or greater than negligible up to 5 pounds of force constantly to move objects. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to hear to process instructions and safety code and alarms required. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job and will be assessed by post offer Employee Health fit-for-duty review.