Quality & Patient Safety Specialist
4 days ago
Elmira
Job Description Centralus Health Mission Our mission is to deliver high-quality care, empower our teams to succeed and improve the wellbeing of the communities we serve. Summary: The Quality and Risk Management Specialist plays a critical role in advancing high‑reliability care by supporting quality performance improvement, patient safety, regulatory compliance, and risk mitigation initiatives across the organization. This role applies clinical nursing expertise; deep knowledge of healthcare regulations, accreditation, and standards; and risk management principles to assess performance, identify opportunities for improvement, reduce harm, and ensure compliance with external requirements. The Specialist collaborates closely with clinical leaders, frontline staff, medical providers, legal counsel, and executive leadership to promote a culture of safety; support evidence‑based practice; and minimize organizational, clinical, and operational risk. Core Job Functions Quality Improvement & Patient Safety • Support organization‑wide quality improvement initiatives using recognized methodologies (e.g., PDSA, Lean, Six Sigma, performance improvement frameworks)., • Analyze quality indicators, patient safety metrics, and clinical outcomes to identify trends, gaps, and improvement opportunities., • Support patient safety programs including event reporting, near‑miss analysis, and harm prevention initiatives., • Facilitate root cause analyses (RCAs), failure mode and effects analyses (FMEA), and aggregate event reviews., • Assist with development, revision, and monitoring of clinical policies, procedures, and standards of care., • Support identification, assessment, and mitigation of clinical and operational risks across care settings., • Participate in risk assessments related to patient care, documentation, staffing, workflows, and regulatory changes., • Support readiness and ongoing compliance with federal, state, and accrediting body requirements (e.g., CMS, Joint Commission, state health departments)., • Assist with preparation for surveys, audits, and regulatory reviews, including tracer activities and document review., • Monitor regulatory changes and assist leadership in interpreting and operationalizing requirements., • Apply professional nursing judgment to evaluate quality, safety, and risk issues affecting patient care., • Serve as a clinical resource to interdisciplinary teams related to standards of care, documentation, and regulatory expectations., • Support initiatives related to nursing-sensitive indicators, professional practice standards, and evidence‑based care., • Collect, validate, analyze, and interpret quality, safety, and risk data from multiple sources., • Develop reports, dashboards, and summaries for committees, leadership, and governing bodies., • Support data integrity, abstraction, and submission requirements as applicable., • Support education and training related to quality improvement, patient safety, risk management, and regulatory compliance., • Promote just culture principles, transparency, and open communication regarding safety concerns., • Participate in and support quality, safety, risk, and performance improvement committees., • Assist with program evaluations, annual reports, and strategic quality planning., • Bachelor of Science in Nursing (BSN); Master's degree in Nursing, Healthcare Administration, Quality, or related field preferred., • Current, unrestricted Registered Nurse (RN) license in applicable state(s)., • Strong knowledge of healthcare regulations, accreditation standards, and patient safety principles., • Working knowledge of quality improvement tools and methodologies., • Ability to analyze data and translate findings into improvement actions., • Strong written and verbal communication skills., • Ability to collaborate effectively across disciplines and organizational levels., • Demonstrated critical thinking, discretion, and professional judgment., • Certified Professional in Healthcare Quality (CPHQ), • Certified Professional in Patient Safety (CPPS), • Office and clinical environment with regular interaction across care settings., • Occasional travel within the organization or to external meetings/surveys may be required., • Must adhere to confidentiality, safety, and compliance requirements at all times. Job Posted by ApplicantPro