Quality Management Specialist I (Lpn/Rn) - Hospital Peer Review

University Of Miami Miller School Of Medicine Miami , FL 33196

Posted 2 days ago

Position Number: P100037204Department / Hospital: UHealth

  • Patient Safety & Quality Office

The University of Miami is considered among the top tier institutions of higher education in the U.S. for its academic excellence, superior medical care, and cutting-edge research. At the U, we are committed to attracting a talented workforce to support our common purpose of transforming lives through teaching, research, and service.

Through our values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity and Teamwork (DIRECCT) we strive to create an environment where everyone contributes in making UM a great place to work. We are one of the largest private employers in Miami-Dade County; home to more than 13,400 faculty and staff from all over the world.


  • Patient Safety & Quality Office has an opportunity for a Quality Management Specialist I (LPN/RN) - Hospital Peer Review. The Specialist is responsible for the overall quality clinical database and information management, compliance, evaluation, and communication of Medical Care Review processes that impact performance, accreditation, and/or patient safety quality outcomes for the University of Miami Health System.

    Accountable to work in close interdepartmental collaboration with the Medical Staff Office for the Health System on behalf of the UHealth Patient Safety and Quality Department. Support multidisciplinary quality improvement, accreditation, quality performance, and regulatory functions, working both independently and as a team member for the enterprise-wide Quality Management System. Collaborate closely with departmental directors and peers in the application of clinical knowledge and expertise; advanced critical thinking, coaching and teaching, skills and knowledge of performance improvement tools, techniques and processes to a variety of federal or state mandated quality reporting programs.

    Train and education staff and providers individually, in small groups, or in large workshop settings. Maintain general knowledge of quality performance, accreditation for the Quality System and support ad hoc quality specialist assignments as requested.

Ensure data entered into peer review database is accurate, and clinically validated. Ensure accuracy of clinical summaries, data trending, reports and analysis.

Identify which cases meet established criteria for clinical case review through assessment of information from various data systems. Coordinate and effectively communicate with staff and committee members to ensure screening and scoring presentation of select cases for peer review is performed systematically and consistently. Manage quality aspects of the medical care peer review process in collaboration with the Medical Staff Office.

Manage databases, information, and other resources in order to provide necessary documentation and communication. Perform trend analysis. Work closely with the Quality Management leadership team, and serve as a primary liaison with the Medical Staff leadership team.

Initiate and take responsibility for all quality peer review follow up items, processes, and activities. Accountable for peer review processes that supports medical staff reappointment, advancement, and clinical quality. Provide auxiliary support as needed, e.g., clinical database coordination; team/task force development and facilitation; maintenance of policies and procedures and continuous accreditation readiness.

Meet deadlines and be responsible to ensure communication / training of new regulations that impact assigned functions and reporting systems to identified stakeholders. Provide support and expertise to perform general functions for the department as requested, that include staff education, committee support, continuous accreditation preparedness, quality assurance, data collection and validation, chart review, medical staff peer review and credentialing, and OPPE and FPPE.

Minimum requirements are a Bachelors Degree in Nursing, Health Science, Public Health, Health Informatics or a related healthcare field, required, from an approved or accredited nursing education program that meets State requirements for licensure eligibility.

Minimum State of Florida Practical Nurse (LPN) or Registered Nurse (RN); or ability to obtain a Florida licensure by endorsement in first six months of position start date. Preference given to Clinical Nurse Specialist (CNS). Clinical licensure must be kept clear and active for duration of employment.

Minimum 3 years clinical nurse work experience in a clinical or healthcare environment with an Associates Degree; Minimum 1 year clinical nurse work experience in a clinical or healthcare environment with a Bachelors Degree.

Work experience needs to include at least 2 years direct experience working in Healthcare Quality, and a minimum of 6 months work experience inclusive of OPPE / FPPE.

Public speaking experience strongly preferred.

Proficiency with Microsoft Office Suite programs, Excel, PowerPoint, Word. Working knowledge of accreditation, regulatory, licensing and other standards, requirements, and guidelines applicable to hospitals and hospital-based clinics, including but not limited to TJC, CMS, AHCA, Commission on Cancer, and professional nursing standards.

Preference given to any combination of the following experiences:

Coursework, continuing education completion of quality and patient safety, clinical informatics, patient centered outcomes, quality improvement, and related topics.

Acute care experience, in clinical specialty, within the last two years.

National Certification in area of clinical specialty.

Familiar with aspects of care, standards of care metrics for accreditation and maintenance.

Experience with EpicCare Ambulatory Core EMR (EpicCare Ambulatory, Care Everywhere, MyUHealthChart, Workbench)

Previous working experience with any of the following programs preferred: Sequel, ProDiver, Care Discovery, Tableau, NetAccess, Cerner, Sovera and/or Vizio

Experience with spreadsheets and database software.

Evidence of ability to draw on knowledge from the following areas: Measurement of patient needs and nursing workload, continuous process improvement processes, performance improvement, service excellence, systems for patient safety, healthcare quality.

Knowledge of the principles and practices of value-based care, including familiarity with barriers to high-value care.

Knowledge of the principals and practices of value-based decision-making, health care payment / reimbursement, and delivery models.

Any appropriate combination of relevant education, experience and/or certifications may be considered.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean.

Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical and dental benefits, tuition remission, vacation, paid holidays and much more. The University of Miami is an Equal Opportunity/Affirmative Action-Veteran/Disability Employer. Come join us!

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University of Miami School of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer

  • Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
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Quality Management Specialist I (Lpn/Rn) - Hospital Peer Review

University Of Miami Miller School Of Medicine