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Become A Quality Improvement Specialist

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Working As A Quality Improvement Specialist

  • $68,170

    Average Salary

What Does A Quality Improvement Specialist Do At Ascension Health

* Coordinates quality, risk and/or patient safety aspects of The Joint Commission continuous readiness program.
* Collaborates with multidisciplinary team on problem identification and resolution, cost containment issues, implementation of new services and systems/ performance measures.
* Supports activities related to quality and risk reduction initiatives and compliance with patient safety standards.
* Analyzes and reports on data collected from a variety of sources.
* Develops detailed quality financial reports for specific groups and service lines.
* Accurately reviews medical records to support data collection for regulatory and registry measures, medical staff peer review, OPPE and FPPE using Common cause Analysis (CCA) taxonomy.
* Outcomes database management including, when applicable, data entry, report generation and interpretation

What Does A Quality Improvement Specialist Do At Alameda Alliance for Health

* Prepare site review training curriculum for Network Management and Delegated Provider Oversight staff including pre and post testing, and interpreter reliability certification audits.
* Conduct certification and recertification audits according to DHCS timelines.
* Conduct, participate, and/or lead facility site review audits, using the DHS/Alliance Site Survey Tool, to assure compliance with local, federal, and state standards.
* Act as a resource to site review staff.
* Represent the Alliance at DHCS site review workgroup meetings and other state meetings regarding the facility site review process.
* Oversee the preparation and submission of facility site review data to the state.
* Consult with the Medical Director and the Senior Manager, Quality Oversight about urgent quality of care issues and possible reporting requirements.
* Use clinical experience and judgment to assess completeness and appropriateness of provider medical record entries, including history and physical examinations, initial health assessments, progress notes, provider response to lab, and diagnostic study results and consultation reports.
* Use clinical experience and judgment when using a medical record audit tool to measure provider compliance with medical record standards pertaining to legibility, identification, signatures/authentication, mid-level protocols (if applicable), and content; screen for potential and actual quality issues and sentinel events.
* Prepare complete and accurate reports on facility site reviews on a timely basis.
* Identify trends, patterns and opportunities for improvement from provider facility site review processes.
* Communicate findings with Alliance and provider staff and make recommendations for quality improvement activities and monitoring.
* Follow policies and procedures regarding reporting of quality issues and assists in the preparation of reports and summaries for peer committees.
* Educate providers and office staff about quality improvement processes and corrective action interventions, to facilitate their compliance with Alliance, federal, state, and NCQA standards.
* As per DHCS policy, assign a corrective action plan to a provider when site review scores do not meet minimum DHCS standards.
* Collaborate with provider to ensure provider implements corrective action plan per DHCS policy.
* Complete other duties and special projects as assigned.
* Potential Quality Issues (PQI) and Provider Preventable Conditions (PPC): · Identify, analyze, and resolve PQI and PPC potential quality of care and service issues.
* Prepare cases for Medical Director to review.
* Assign a corrective action plan to a provider when directed by the Medical Director.
* Collaborate with provider to ensure the provider successfully implements the corrective action plan.
* Work with the Medical Director to ensure the timely processing of PQI.
* Notify the Medical Director immediately about PQI events that are adverse, high risk or may result in a delay of medically necessary care.
* Identify risk or potential risk situations and opportunities for improvement through monitoring and evaluation of the PQI process.
* Prepare PQI reports.
* Conduct scheduled Facility Site Reviews.
* Consult and review complaints, grievances, and other quality issues.
* Oversee submission of FSR data to the state.
* Train and act as resource for staff performing facility site reviews.
* Frequent offsite travel by automobile is required.
* Comply with the organization’s Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls

What Does A Quality Improvement Specialist Do At Centene Corporation

duties as assigned

What Does A Quality Improvement Specialist Do At St. Joseph Health

Performs other duties as assigned

What Does A Quality Improvement Specialist Do At University of Rochester


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Quality Improvement Specialist jobs

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Quality Improvement Specialist Career Paths

Quality Improvement Specialist

Quality Improvement Specialist Demographics


  • Female

  • Male

  • Unknown



  • White

  • Hispanic or Latino

  • Asian

  • Unknown

  • Black or African American

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Languages Spoken

  • Spanish

  • French

  • Italian

  • German

  • Hindi

  • Urdu

  • Portuguese

  • Greek

  • Gujarati

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Quality Improvement Specialist

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Quality Improvement Specialist Education

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Real Quality Improvement Specialist Salaries

Job Title Company Location Start Date Salary
Quality Continuous Improvement Senior Specialist Rolls-Royce Energy Systems Houston, TX Dec 27, 2011 $80,000
Quality Improvement Project Specialist Com. On Med. Care DBA Partnership Healthplan of Ca Fairfield, CA May 10, 2015 $71,718
Quality Improvement Specialist Beth Israel Deaconess Medical Center, Inc. Boston, MA Jun 16, 2015 $62,400
Quality Improvement Specialist Icon Central Laboratories, Inc. New York, NY Oct 01, 2013 $60,000 -
Quality Improvement Specialist Katherine Shaw Bethea Hospital Dixon, IL Apr 09, 2015 $58,436
Quality Improvement Specialist Affinity Home Health Services LLC Las Vegas, NV Sep 17, 2014 $57,121
Quality Improvement Specialist Reele Corp. Torrance, CA Sep 02, 2012 $54,262
Quality Improvement Specialist Gundersen Lutheran Administrative Services Inc. Onalaska, WI May 12, 2013 $51,729 -

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Top Skills for A Quality Improvement Specialist


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Top Quality Improvement Specialist Skills

  1. Procedures
  2. Patient Safety
  3. Guidelines
You can check out examples of real life uses of top skills on resumes here:
  • Revised policies and procedures in accordance with changes in local, state and federal laws and regulations.
  • Conducted quality improvement products related to specialty pharmacy operations, utilization management and patient safety initiatives.
  • Developed training material including program guidelines, policies and procedures, and quality assurance checklists.
  • Established and maintain effective relationships with healthcare providers and related groups.
  • Assisted in building training presentations based on quality audits.

Top Quality Improvement Specialist Employers

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Quality Improvement Specialist Videos

Career Advice on becoming a NVQ Assessor by Denise C (Full Version)

Palliative Care: Improving Quality of Life for People with Serious Illnesses

Health Information Technology: Key to Quality Improvement