Quality Improvement Specialist Resume Sample
Lyda Dooley
3532 Alysson Islands,
Boston,
MA
+1 (555) 854 7748
Work Experience
Quality Improvement Specialist
09/2015
-
PRESENT
Houston, TX
- Monitors and investigates all quality of care and collaborates with medical directors to determine impacts and next steps for actions
- Monitors provider quality complaints to identify trends and educational opportunities for improvement
- Participates in various QI committees and work groups convened to improve process and/or health outcomes, and contributes meaningful detail, based on functional knowledge
- Daily conduct research pertaining to quality concerns received and reports the findings to management
- Review, research and analyze each noted booking concern to determine the most appropriate source of intervention
- Provide written feedback to managers and supervisors concerning quality concerns pertaining to individual performance as well as any system or work flow improvements
- Maintain a log of quality improvement concerns and be able to report on them with suggested improvements
- Be able to review provider schedules and provide feedback concerning improvement for scheduling and access efficiencies
Surgical Quality Improvement Specialist
02/2010
-
07/2015
San Francisco, CA
- Maintain monthly statistics to track and communicate the number and type of concerns on a monthly basis to the Call Center management team
- Maintain monthly quality audit report
- Respond to questions and concerns respective to both internal and external customers
- As directed, review calls recorded through the NICE system for quality improvement telephone enhancements
- Be able to clearly and concisely present findings directly to managers and senior management
- Act as telephone back-up as warranted by the departments call volume
- Create remedy tickets as needed for technical issues
Stroke Systems of Care Quality Improvement Specialist
06/2006
-
01/2010
Chicago, IL
- Coordinates retrospective data collection to ensure databases as assigned are appropriately maintained
- Performs concurrent unit-based collection and abstraction of data and key metrics analysis as assigned
- Interprets performance and shares outcomes concurrently with Medical Staff, Patient Care Services staff, and other direct care givers to promote compliance with outcomes expectations
- Assists in the development and monitoring of performance improvement activities throughout hospital. Works in a collaborative manner with all departmental managers, staff, Case Management, physicians, and other allied health professionals
- Responsible to promote, monitor, and assist with evidence-based best practices to ensure regulatory compliance
- Participates in statewide quality efforts as assigned to include Virginia Cardiovascular Surgery Quality Initiative (VCSQI), Virginia Health Care Collaborative (VHQC), Anthem Q-HIP program, TJC Core Measures, Leapfrog, Institutes of Healthcare Improvement (IHI) and other applicable programs
- Assists to promote and maintain house-wide patient safety initiatives.
Education
Mountain State University - Center Township Campus
2001 - 2006
Bachelor's Degree in Nursing
Professional Skills
- Excellent interpersonal skills with strong skills in consulting and training
- Outstanding interpersonal skills, communication skills and ability to work collaboratively required
- Excellent coordination skills, including multitasking and setting priorities on work assignments
- Experience as a Project Manager or a combination of training and work experience utilizing or fostering the development of project management skills
- Strong interpersonal skills to effectively communicate with cross functional teams including staff at all levels of the organization, including research staff
- Demonstrates excellent communication skills (both written and verbal)
- Demonstrated critical thinking, problem-solving, interpersonal and analytic skills
How to write Quality Improvement Specialist Resume
Quality Improvement Specialist role is responsible for interpersonal, computer, analytical, organizational, analysis, powerpoint, software, research, training, microsoft.
To write great resume for quality improvement specialist job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Quality Improvement Specialist Resume
The section contact information is important in your quality improvement specialist resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Quality Improvement Specialist Resume
The section work experience is an essential part of your quality improvement specialist resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous quality improvement specialist responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular quality improvement specialist position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Quality Improvement Specialist resume experience can include:
- Reports/participates in Quality Committee, Patient Safety Committee and associated task force committees, applicable Medical Staff Committees, and other committees as assigned
- Strong organizational and project management skills including development of project parameters, goals, time lines and outcome measurement
- Demonstrated working experience in health plan business
- Facilitate pathway creation, including assistance with evidence and guideline review, evidence synthesis, research, and data analysis
- Executive level communication skills (verbal and written)
- Effectively communicate and present information in response to questions from all audiences
Education on a Quality Improvement Specialist Resume
Make sure to make education a priority on your quality improvement specialist resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your quality improvement specialist experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Quality Improvement Specialist Resume
When listing skills on your quality improvement specialist resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical quality improvement specialist skills:
- Demonstrates ability to utilize project management skills - organization, priority setting, and delegation, managing multiple projects
- Demonstrates ability to utilize project management skills - organization, priority setting, delegation and managing multiple tasks
- Demonstrated competence with computer skills and skilled in using Microsoft applications Excel, Word, PowerPoint, Access, Outlook and using the Internet
- Strong organizational skills with ability to handle multiple projects and changing priorities and deadlines
- Excellent computer skills- all MS Office, with a strong working knowledge of and proficiency in Excel
- Effective verbal and written communication skills and strong analytical ability
List of Typical Experience For a Quality Improvement Specialist Resume
1
Experience For Surgical Quality Improvement Specialist Resume
- Verifies implementation of effective strategies for improvement that were designed to measure and improve outcome measures
- Skilled in communication both verbal and written
- Skilled in team dynamics
- Skilled in negotiation of projects and programs
- Develops thorough project plans based on administrative priorities. (100%)
- Develops thorough project plans based on administrative priorities
2
Experience For Clinical Quality Improvement Specialist Resume
- Experience in developing and evaluating policies and procedures within a health care setting, either inpatient or outpatient
- Work with report writers to validate and troubleshoot data in Epic
- Participates in testing and validating the new / existing Business User applications, as necessary
- Assessing and interpreting customer needs and requirements; interacting with customers around quality needs
- Collecting and analyzing data from various sources (e.g. electronic health records, client surveys, operational data)
- Implementing a new quality management and document control system for the lab, when it becomes available
- Build the capacity of project staff and health workers for QI through facilitating QI trainings, learning sessions, coaching and mentoring
- Coordinates implementation of training programs and delivers training as assigned
- Conducts incident reporting training and technical support in a region and/or service line
3
Experience For Stroke Systems of Care Quality Improvement Specialist Resume
- Utilizes multiple external benchmarking systems in project analysis and planning. (100%)
- Utilizes multiple external benchmarking systems in project analysis and planning
- Responsible for maintaining the integrity of the data by entering information into the appropriate quality documentation system
- Assists in the planning, coordination, and evaluation of QI learning and education sessions related to quality initiatives
- Maintains a working knowledge of each product including, but not limited to, benefit plans, limitations, and additions
- Collaborates with other internal training experts on training program delivery
4
Experience For Clinical Patient Safety & Quality Improvement Specialist Resume
- Assists with the design, creation, and updating of training aids, such as manuals, handouts, course exercises, and visual aids
- Ensures that agency training curriculum meets local, state and/or federal training requirements
- Creates tools for departments to use for tracking QI activities, trends and patterns, and identifying opportunities for improvement
- Provides, as requested, consulting services to non-Mount Carmel owned health care entities for purposes of building targeted relationships
- Creating/Revising QA SOPs, manuals, and documents
5
Experience For Research Compliance Education & Quality Improvement Specialist Resume
- Work well with others in a demanding and changing environment
- Works to expand knowledge of quality by bringing new ideas and concepts to SRMC
- Conducts or assists with the provision of QI and risk management training to appropriate personnel in acquired companies
- Generate and send letters regarding quality improvement programs to providers on a regular basis
- Knowledge of municipal finance and accounting
- Assess current operations on an ongoing basis and implement required changes
- Collects data from one or more sources including encounters, claims, and other data sources to improve identified quality outcomes and population health goals
- Completes member outreach to close gaps in care. Maintains quality customer service at all times with patients, exhibiting courteous and professional behavior
6
Experience For Senior Clinical Quality Improvement Specialist Resume
- Prepares routine reports and other ad-hoc reports utilizing disparate systems
- Accomplishes workload timely to meet reporting requirements
- Contribute to the development of a monitoring and evaluation system for the MNCH-FP project
- Maintain an adequate level of productivity and accuracy in auditing transactions
- Gather requirements for special projects related to quality or gathering useful information
7
Experience For RN, Quality Improvement Specialist Resume
- Participate in HEDIS strategies, measurement, reporting activities, and improvement activities
- Accurately abstract clinical and adminstrative data elements in support of quality improvement activities and external reporting requirements
- Proficiency in using Excel to capture and communicate data
- Proficiency in the use of computer programs including MS office: Word, Excel, Outlook, PowerPoint
- Assist in improving current QA processes
- Conducting internal audits
- Implementing a new quality management and document control system for the lab, when it becomes available
- Dependable and has the ability to act with discretion maintaining levels of strict confidentiality
- Represents an assigned region and/or service line within a state on the state's QI Team and participates in regional leadership team meetings
8
Experience For Dshs Performance & Quality Improvement Specialist Resume
- Facilitates and verifies implementation of state-specific continuous quality improvement plans
- Provides quality assurance / improvement technical assistance and subject matter expertise with local process improvement initiatives
- Facilitates communication with local operations managers to elicit feedback and disseminate information, as directed through a state plan
- Monitors quality improvement goals and tracks outcomes and measurements
- Reviews incident data and prepares and analyses trended reports for local operations managers and QI Manager
- Conducts internal investigations of incidents and/or allegations per local protocol and as assigned
- Conducts regular reviews of program operations and services to appraise levels at which programs are in compliance with established external and internal standards
9
Experience For Clinical Quality Improvement Specialist Days Resume
- Monitors compliance with contractual obligations, state and federal regulations, accreditation standards and internal operating practices
- Conducts audits and supports operations to prepare for licensing / certification reviews
- Support Operations with implementing local customer engagement activities
- Support local customer engagement survey process through promotion, planning, completion, data collection, etc
- Partners with local operations and QI Manager to design correction plans for findings of noncompliance
- Conducts audits to verify completion of correction plans in response to surveys
10
Experience For Stroke Clinical Quality Improvement Specialist Icon Days Resume
- Completes Network Performance Audits, as assigned and reviews compliance with Network and state-specific consumer funds policies
- Partners with local operations to implement and verify service model-specific policies and procedures
- Obtain a Level 1 Fingerprint Clearance Card
- Generate and send courtesy reminder letters to patients as needed
- Attend regular meetings with Health Plans and Vendors to keep up with program changes and requirements
List of Typical Skills For a Quality Improvement Specialist Resume
1
Skills For Surgical Quality Improvement Specialist Resume
- Project management experience and demonstrated analytic skills required
- Excellent writing, research, analytical and time management skills
- Demonstrated teaching/education/in-service skills
- Strong time management, influencing and communication skills required
- Strong interpersonal and team building skills required
2
Skills For Clinical Quality Improvement Specialist Resume
- Demonstrated ability to communicate clearly, effectively and professionally in person and in writing
- Possess strong analytic and technical skills with the ability to translate data into useable information as well as identify and
- Highly organized and have strong interpersonal and presentation skills
- Strong administration, written and verbal communication skills and thorough knowledge of data information systems
- Demonstrated, interpersonal, organizational, and written and verbal communication skills required
- Excellent data analysis skills and ability to present data in an organized manner
- Excellent written and verbal communication skills required to professionally interact with providers and office staff
- Self-motivated with strong organizational and project management skills
- Strong individual initiative skills to identify and manage outcome driven behavior / process change
3
Skills For Stroke Systems of Care Quality Improvement Specialist Resume
- Strong computer/application skills required
- This can include: clinical research coordinator/program manager experience, IRB experience, or Industry experience
- Attentional to detail, organizational, fact-finding, critical thinking and problem solving skills
- Two (2) years of experience in a health care setting and one (1) year of experience in an analytical setting is required
- Proficient in computer skills (e.g., Microsoft Office Suite including Word, PowerPoint, Access, Excel, Visio)
- Well-developed computer skills in statistical data analysis and report writing
4
Skills For Clinical Patient Safety & Quality Improvement Specialist Resume
- Demonstrated skill and proficiency in leadership, interpersonal relations, and coaching to improve performance
- Eight years of experience in healthcare quality improvement or equivalent combination of education, training and experience
- Capability to communicate effectively and efficiently at all levels within an organization on initiatives, projects and progress
- Proven experience in Quality and/or Operations in the Healthcare field
- Good knowledge of the Zimbabwe’s district health system including demonstrable experience of working in MNCH-FP interventions
5
Skills For Research Compliance Education & Quality Improvement Specialist Resume
- Intermediate computer skills (Microsoft Word, Excel, Outlook and Internet) with the ability to navigate a Windows environment
- Progressively responsible work experience, in areas related to quality or performance improvement, with experience in management of large projects
- Skill in effective use of quality and outcomes management tools
- Plan outcomes for a work group session and manage group dynamics to effectively reach a positive meeting outcome
- Clinical experience in critical care/med-surgical experience required
- Effectively communicate process gaps, continuous improvement solutions, and status updates at all levels within an organization
- Improving QA practices that are currently in place to create a more efficient and effective process
- Experience developing and implementing performance improvement projects, or using data to develop intervention strategies to improve outcomes
6
Skills For Senior Clinical Quality Improvement Specialist Resume
- Past experience with training and mentoring Six Sigma Greenbelts
- Experience with training and mentoring Six Sigma Greenbelts
- Experience working with multiple systems and databases with thorough understanding of data as it relates to clinic operations workflow
- Five years of manufacturing/business consulting experience
- One-two years of experience working in the quality function in a healthcare or managed care setting
- Experience in healthcare related field performing or supporting outpatient related care delivery processes or other health information technology
- 1 – 3 Years of experience in the following: project management, data management & reporting, utilization management
- Skilled in engaging stakeholders and facilitating accurate requirements to capture and manage stakeholder's expectations
7
Skills For RN, Quality Improvement Specialist Resume
- Skilled in engaging stakeholders and facilitating accurate requirements to capture and manage stakeholder’s expectations
- Previous experience with: Acute Care; Appeals; Chart / Concurrent Review; Denials; Discharge Planning; and, Enrollment
- Quality Improvement experience in a Managed Care setting
- Experience with Medical Records Review and Utilization / Case Management in a Managed Care setting
- Experience leading improvement projects in a large industrial organization or operational management
- Experience performing quality analysis
- At least two (2) years healthcare experience in an acute care setting
8
Skills For Dshs Performance & Quality Improvement Specialist Resume
- Experience with interpreting clinical guidelines, national quality metrics, and health services research
- Experience checking eligibility benefits and referrals within an electronic system required
- Two years’ experience evaluating call quality
- Two years’ experience coaching in a call center environment
- One year experience training agents on topics related to quality assurance/control
- Experience in Nursing, Respiratory, Radiology and Trauma
- Experience working in a health care facility
- Employment experience facility maintenance estimating
9
Skills For Clinical Quality Improvement Specialist Days Resume
- Knowledge of and experience with process improvement theories and methods, adult learning principles, and data analysis methods
- Experience in a health care setting
- Some diagnosis (ICD-9) coding experience
- Healthcare quality experience, working with national recognitions programs
- Aggregates and analyzes Press Ganey results using spreadsheet for validity of results used in presentations
- Experience as a Quality Improvement Specialist
- Demonstrated ability to function as a team player and work independently $
- Excellent communication skilsl (written and verbal)
10
Skills For Stroke Clinical Quality Improvement Specialist Icon Days Resume
- Previous experience with Uniform Assessment System (UAS)
- Experience in Quality Improvement / Measures
- Ensures that CQI teams utilize data driven, rapid improvement methods to implement effective and sustainable improvement throughout the organization
- Extensive experience planning and implementing programs in the health care setting
- Work collaboratively to prioritize work to meet quality and contractual goals
List of Typical Responsibilities For a Quality Improvement Specialist Resume
1
Responsibilities For Surgical Quality Improvement Specialist Resume
- Implements clinical, service and/or business supported initiatives that impact the quality or effectiveness of health care delivery and/or health care services provided to members
- Evaluates initiatives on operations or health care delivery and effectively identifies and communicates change process and impact of these initiatives
- Experience and proven success in project management, QI standards, clinical chart review and abstraction, and regulatory requirements
- Experience leading continuous improvement projects in a transactional function (Finance, HR, IT, Sourcing, etc)
- Assist EMS agencies, hospitals, and skilled nursing facilities in developing improvement plans
- Evaluate effectiveness of Collaborative QI activities
- Strong analytical ability. Knowledge of statistical control methods, hypothesis tests, and process capability metrics (DPMO and CpCpk)
- Conduct research and communicate clinical literature findings, guidelines and evidence-based practices to be implemented
2
Responsibilities For Clinical Quality Improvement Specialist Resume
- Demonstrate initiative and responsibility
- Three years’ experience in quality improvement or other related social services field is required
- Triages quality of care concerns and assigns cases to Patient Experience Specialists
- Knowledge of hospital and healthcare systems and/or experience in an academic cancer center
- Valid Ohio Driver's License and ability to travel to multiple Mount Carmel sites throughout Central Ohio
- Monitoring and implementing changes based on updates to ISO/IEC 17025 accreditation and the AOAC Accreditation Guidelines for Laboratories
- Performing a gap analysis of the quality management system and creating policies and procedures to address those findings
- Reviewing and revising QA SOPs, quality manuals, and other quality oriented documents
3
Responsibilities For Stroke Systems of Care Quality Improvement Specialist Resume
- Assessing and promoting data integrity
- Acting as a liaison to other departments regarding outcome metrics, data analysis, improvement strategies, and evaluation of results
- Reporting on outcomes and improvement initiatives in a way that is understandable and operable to the intended audience
- Creates reporting documents for departments to use for tracking QI activities, trends and patterns, and identifying opportunities for improvement
- Assist with tracking, compiling and reporting EPSDT program and project metrics
- Handles all incoming and outgoing correspondence pertaining to this project
- Assists in building mechanisms for sharing best practices among funded sites and domains
4
Responsibilities For Clinical Patient Safety & Quality Improvement Specialist Resume
- Participates in program planning, and report writing
- Supports developing and maintaining processes for activities within the QI department
- Arrange and facilitate meetings and calls as required by project deliverables including taking minutes
- Help develop SMG capacity to be a learning organization through targeted and thoughtful program evaluation and data tracking related to improvement projects
- Trains and educates all levels of staff regarding eCompass training
- Identifies training needs and develops/implements training programs to address those needs
- Provide QI coaching to hospitals via site visits, one-to-one calls, email, conference calls and meetings
5
Responsibilities For Research Compliance Education & Quality Improvement Specialist Resume
- Guide hospitals in the development of stroke systems of care, including pre-hospital, post-hospital and primary care provider collaboration
- Assist hospitals in developing improvement plans
- Facilitate workouts, action item calls, and brainstorming sessions with cross-functional teams
- Partner with Functional VPs and Finance leaders to incorporate project savings into long-range financial plans and operating budgets
- Deliver Lean Six Sigma training
- Energetic, Self-starter capable of taking initiative
6
Responsibilities For Senior Clinical Quality Improvement Specialist Resume
- Coordinate system and quality demonstrations and testing
- Provide on-going support to end users on business/systems/quality performance
- Determine/recommend appropriate clinical improvement and monitoring activities
- Identifies and assists in resolving areas of non-compliance, and facilitates improvement and integration of standards into work processes and systems
- Use data to inform quality improvement strategies including workflow development, EMR tools, clinical education, and data integrity work
- Present findings on any trends to relevant teams and leadership and educate others on clinical quality and interpreting data
- Prepare presentations, reports, briefing materials and other requested deliverables for programs and projects
7
Responsibilities For RN, Quality Improvement Specialist Resume
- Attends meetings pertaining to the Patient Satisfaction Project
- Acts as the liaison between BIMC, Continuum and Press Ganey regarding implementation of HCAPAS
- Identify non-compliance with state, federal and Health Plan standards when investigating appeals and grievances, and intervene as appropriate
- Facilitates client-specific and clinical type training, in addition to new hire
- Report outcomes and quality monitoring results to management
- Assist with managing databases, policies and procedures related to assigned areas
- Participates in work group or meetings with industry groups, community coalitions, contracted providers or provider groups, vendors, regulators, accrediting bodies or other entities to assure programs goals, accreditation and regulatory requirements are met
8
Responsibilities For Dshs Performance & Quality Improvement Specialist Resume
- Assists in identify areas of improvement for the department and participates in development of clinical and non-clinical performance improvement projects
- Provides feedback on policies and procedures
- Develops, prepares reports, data or other materials for management. Responsible for data management and integrity
- Uses QI models and methodology to support organizational change
- Guide grant participants in the development of Plan, Do, Study, Act (PDSA) cycles; assist hospitals in developing strategies for improvement, and identifying best practices from high performing sites
- Monitor health outcome data to support quality improvement strategies for clinical decision-making
- Conduct gap analyses to identify opportunities for improvement
- Interpret data and provide feedback to assist hospital organizations to identify process and outcome improvement opportunities
- Maintains regular communication with the Coverdell team, evaluators, contractors and other subject matters experts at the Department of Public Health
9
Responsibilities For Clinical Quality Improvement Specialist Days Resume
- Maintains contact with assigned facilities/systems/providers to assess barriers, needs and progress towards implementation of strategies and achieving quality improvement goals
- Works with Coverdell team and provides input for all quality improvement activities
- Participates in national, regional and state meetings as requested
- Lead high impact Lean Six Sigma projects that improve transactional processes for Finance, HR, and Shared Services
- Utilize DMAIC methodology and Lean tools to deliver projects that enhance customer satisfaction, drive process clarity, increase business productivity and reduce cost
- Partner with business leaders to identify continuous improvement project opportunities and build project pipeline (BB, GB, Kaizen)
- Lead the efforts to develop value stream maps, develop customer focused KPIs, and fix process gaps
- Mentor Green Belts through their projects
10
Responsibilities For Stroke Clinical Quality Improvement Specialist Icon Days Resume
- Certified Lean Six Sigma Black Belt (DMAIC methodology)
- Identify, define and document quality improvement for business processes or systems in need of improvement
- Evaluate system vs. work flow improvements and communicate to customers
- Develop and present processes and work flow models to end users for analysis and evaluation
- Communicate and negotiate with Allina on hardware, software and network needs/ requirements
- Provide support for other projects, quality improvement projects and initiatives as assigned
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