MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Graduate of Nursing Program, BSN/BA required.

2.Masters of Science in Nursing and/or related field or expected date for completion of program of study. Will be referred to as a Clinical Quality Specialist until Master's Degree completed.

3. Current West Virginia State licensure as a registered nurse required.

EXPERIENCE:

1. Progressive clinical and/or managerial experience in area of specialty hired.

CORE DUTIES AND RESPONSIBILITIES:The statements described here are intended to describe the general nature of work being performed by people assigned to this position.They are not intended to be constructed as an all-inclusivelistof all responsibilities and duties.Other duties may be assigned.

1. Oversee Performance Improvement activities from design, implementation, and data analysis to display, reporting, and meeting preparation, maintaining close communication with physicians and appropriate management.

2. Collaborate with management and staff to ensure consistent application of quality process across the continuum.

3. Assist in the development and implementation of valid research tool and survey methodology.Assist QIC staff and management with planning data collection and retrieval to facilitate efficient and collection of meaningful and valid data as indicated.

4. Researches EBP and collaborates with QIC's, and Quality Improvement Director to establish protocols around specific service groups. Participate in preparing summaries and reports to PCC, Administration and other committees as identified.Assist in writing study results, findings, conclusions and related manuscripts. Edit data utilizing appropriate software packages.Recognize deficiencies in statistical data and take steps to validate and correct. Develop statistical analytical standards for data output to ensure high degree of accuracy.

5. Seek reliable sources and maintain currency and availability of information related to healthcare statistics, comparative databases, specialty medical organization standards and guidelines for benchmarking.

6. Participate in annual evaluation of the effectiveness of clinical quality, resource utilization and risk management programs by maintaining and providing overview and summary documents and year to year comparisons of studies undertaken and results.

7. Attend Quality Improvement Committees, Collaborative Practice committees and various meetings as assigned to present statistical feedback of data, defining trends and actions for improvement.

8. Responsible to manage the quality incident process and coordinate development of the quality improvement plan for areas of responsibility. Work with Corporate and Clinical Directors to implement communication and education strategies.

9. Provide staff support for Performance Improvement committees.

10. Participate in the continuous quality improvement activities of the department and institution.

PHYSICAL REQUIREMENTS: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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORKING ENVIRONMENT:The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SKILLS AND ABILITIES:

1. Analytical skills necessary in order to develop and assist in implementation of standards of care and standards of practice and evaluation of nursing care delivered to area of specialty.

2. Ability to assume responsibility for the best use of time and personal productivity in the interest of utilizing self as an important corporate resource.

3. Interpersonal skills necessary to communicate and coordinate programs with a variety of health care personnel, and outside individuals or organizations.

4. Ability to be scheduled for work based on operational needs of the department/hospital.

5. Possess the ability to deal tactfully and harmoniously with healthcare team and guests.

Additional Job Description:

Scheduled Weekly Hours:

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