Employment Type:

　　Full time

　　Shift:

　　Description:

　　Great opportunity for a CQI Specialist to work in an organization that focuses on treating the whole person, physically, emotionally and spiritually.

　　We are seeking a CQI Specialist who is dedicated to providing exceptional care to those we serve at Loyola Medicine. In return, we provide a supportive atmosphere where you can grow your career and make a lasting impact.

　　As part of the Center for Clinical Excellence, the Regulatory and Policy CQI Specialist designs, directs, and facilitates implementation of effective systems to evaluate compliance throughout Loyola University Health system. Reports to the Regional Director of Regulatory & Accreditation. Scope includes coordination with Hospital and Ambulatory leadership. Coordinates strategies, education, and monitoring to promote a culture of quality and patient safety and to assure ongoing regulatory compliance.

　　REGULATORY COMPLIANCE: Assesses compliance with standards and

　　National Patient Safety Goals as required by the Joint Commission and

　　regulatory agencies (CMS, IDPH). Monitors changes in the standards and

　　is the organization’s expert resource. Coordinates implementation of

　　actions required for ongoing survey readiness. Performs the annual

　　focused standards assessment and monitors ongoing organizational

　　compliance with the standards through the continuous survey readiness

　　program. Plans and coordinates on-site survey processes and the

　　organization’s response to survey findings.

　　MEASUREMENT & ANALYSIS: Establishes key metrics, measurement

　　processes, and data analysis to monitor progress toward project goals.

　　Regularly communicates outcomes selected for measurement or

　　improvement by teams; coordinates processes to aggregate data for

　　trending, analyzes trends and develops recommendations for future

　　interventions. Conducts Failure Mode Effects Analysis (FMEA) to identify

　　and mitigate potential risk points.

　　We offer our employees:

　　Benefits from Day One

　　Competitive compensation

　　Career Development

　　Tuition Reimbursement

　　On Site Fitness Center

　　Educational Stipend

　　Referral rewards

　　Our Promise to You:

　　Joining Loyola Medicine is being a part of an organization that treats the human spirit in our patients and in our colleagues. We are a part of a community which believes in giving back to those we serve.

　　We seek colleagues with:

　　Education :

　　Required: Bachelors

　　Preferred: Masters and/or Certification in healthcare quality or six sigma

　　Our Commitment to Diversity and Inclusion

　　Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

　　Our Commitment to Diversity and Inclusion

　　Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

　　Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

　　EOE including disability/veteran