Position Title

Position Summary / Career Interest:

• Guide facilities through the implementation of EBP standards and system-defined best practices.
• Validate clinical compliance, documentation accuracy, and process adoption.
• Coach rural teams, clinical champions, and operational leaders on EBP expectations and best practices.
• Conduct workflow assessments in clinics and hospitals to identify efficiency gaps and improvement opportunities.
• Recommend and help implement workflow redesign strategies that support EBP, standardization, and operational efficiency.
• Lead and facilitate change management activities to ensure the successful adoption of new processes, tools, and technology.
• Provide education and training to staff on revised workflows and change readiness.
• Facilitate system and facility-level improvement projects using Lean, Six Sigma, PDSA, and other QI methodologies.
• Support the creation and monitoring of performance goals and action plans.
• Help standardize clinical and operational processes across all facilities.
• Lead on-site and virtual improvement workshops, rapid improvement events, and performance reviews.
• Lead development, optimization, and maintenance of EHR-based registries for clinical and operational metrics.
• Ensure accurate data capture, mapping, and system alignment with registry requirements.
• Generate, interpret, and distribute timely reports for facilities and system leadership.
• Validate data integrity and ensure accuracy of dashboards, scorecards, and incentive-related metrics.
• Collaborate with IT, analytics team, and vendor partners to troubleshoot and enhance registry performance.
• Build strong, productive relationships with hospital leadership, clinic managers, quality leaders, and frontline teams.
• Serve as a liaison between system quality leadership and facility-level teams.
• Participate in system committees, collaborative groups, and project teams focused on improvement and standardization.
• Extensive travel (up to 75-90%), including overnight stays and travel to rural clinics and community hospitals.
• Ability to work independently while traveling with minimal on-site supervision.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

• Bachelors Degree in Nursing, Healthcare Administration, Public Health, or related field.

• Master's Degree
• 5 or more years of healthcare experience, certification in quality or PI, familiarity with CMS, Joint Commission, and national quality metrics.

• Proficiency in Microsoft Office and Teams

Time Type:

Job Requisition ID:

Important information for you to know as you apply:

• The health system is an equal employment opportunity employer.  Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.  See also Diversity, Equity & Inclusion.

• The health system provides reasonable accommodations to qualified individuals with disabilities.  If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link [email protected].

• Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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