Senior Specialist - Performance Improvement

Job Description

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Senior Specialist - Performance Improvement
ID# 53692
Entity  Sharp Grossmont Hospital
City  La Mesa
Department  Quality Assurance- SGH
Category  Specialty Nurse Jobs
Type  Full Time
Shift  Days


This position is located in La Mesa, San Diego County.
8-hour shift; 8:00 am- 5:00 pm, weekends as needed
Required Skills and Qualifications
  • Bachelor’s Degree in an appropriate health related field
  • Current unencumbered CA Registered Nurse license 
  • Three to five years clinical experience in healthcare and leadership experience 
  • Experience in leadership that promotes collaborative teamwork          
  • Knowledge and understanding of principles of healthcare risk management
  • Knowledge of TJC, DHS, IMQ Regulations and laws and requirements imposed on healthcare organizations
  • Knowledge of general principles of quality improvement, infection control, safety, corporate compliance and HIPAA
  • Operational knowledge in a variety of computer software applications, including relational database, MS Office, Cerner
  • Ability to perform statistical analysis on a variety of data types from a variety of data sources
  • Ability to effectively interact, in oral and written forms, with medical and hospital staff, as well as patients, families, visitors, attorneys and the community at large

Preferred Skills and Qualifications
  • Master’s Degree
  • Risk reduction/management experience
  • Previous case review and experience in performance improvement (PI)
The Peer Review Specialist serves as quality department representative on medical staff peer review committees working collaboratively with physician leaders to facilitate accurate, appropriate and timely processing of peer review cases.  Maintains efficient work processes to provide timely peer review results to the organization.  Facilitates provider-specific profiles to be utilized for ongoing professional practice evaluation and re-credentialing of healthcare providers. Conducts proactive risk assessment of high-risk processes and facilitates development of action plans and implementation strategies to prevent risk.  Works with the Director of Quality Improvement & Physician Services and other organizational leaders to create and facilitate an education/communication action plan related to pro-active risk reduction through performance improvement initiatives.  The peer review specialist assists in review and identification of any sentinel events and near misses identified through proactive risk assessments or quality variance reporting and brings them forward for review by the administrative and sentinel event review team.
The Quality and Patient Safety Department is a busy, dynamic department that drives performance improvement, physician peer review and patient safety activities.
Sharp Grossmont Hospital is the largest not-for-profit, full-service acute care hospital in the region with 542 beds. The hospital has outstanding programs in heart care, orthopedics, rehabilitation, robotic surgery, mental health, stroke care and women’s health. In addition, the hospital’s Emergency and Critical Care Center is one of the most technologically advanced emergency and intensive care facilities in the nation.
Sharp Grossmont Hospital is nationally recognized as a MAGNET®-designated hospital for patient care and nursing practices. This designation is the “gold standard” for patient care and nursing excellence and is the highest honor awarded by the American Nurses Credentialing Center.
Physical Requirements may be discussed at the time of interview
Sharp HealthCare is proud to be an Equal Opportunity/Affirmative Action Employer (M/F/D/V).
Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.
Keywords: 53692,  Senior Specialist- Performance Improvement, RN