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JOB SUMMARY: The Senior Quality Specialist is a staff of the Total Quality Management Department & is responsible for coordinating quality improvement activities throughout the organization. This individual plays an integral role in monitoring key organization quality improvement indicators, ensuring that QI indicators are reported and documented. Assisting and educating staff to organizational compliance with accreditation and regulatory standards as well as coordinating organizational quality improvement initiatives and processes. The Quality Improvement Specialist is responsible for reporting quality improvement data, investigating quality improvement complaints and adverse occurrences, and performing quality improvement studies. DUTIES AND RESPONSIBILITIES/ACCOUNTABILITIES: 1. Coordinate, attend and support the Hospital Quality Improvement Committee structure, functions, and monthly meetings. 2. Assist in the monitoring compliance with all accreditation and regulatory standards. 3. Assistant coordinate the implementation of organizational wide quality improvement processes. 4. Assisting the evaluation of the effectiveness of quality improvement program. 5. Coordinate and assist in planning and providing organization-wide education pertaining to accreditation standards, regulatory standards, and quality improvement policies and procedures and processes. 6. Monthly report quality improvement initiatives and data. 7. Coordinate and conduct quality improvement

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