Overview Fairview is looking for a Clinical Quality Consultant to support our Fairview Northland Hospital and Fairview Lakes Hospital in Princeton, MN and Wyoming, MN. Job Summary: The Clinical Quality Consultant will work with a variety of constituencies. The Clinical Quality Consultant may liaison with medical staff committees. This includes collaboration with Medical Staff Chairpersons, Hospital Administrators, and Service Line Directors to create successful Medical Staff Committee Meetings and to promote alignment between the hospital and Medical Staff goals. This also includes facilitation of the peer review process. The Clinical Quality Consultant may assist hospital committees and taskforces, including membership, participation in the assignments, accountability for output, or chairperson in some cases. The Clinical Quality Consultant may manage elements of the Occurrence Reporting system, including quality referral investigation and resolution. The Clinical Quality Consultant may facilitate Root Cause Analysis of specific events where there has been variation from the established process of patient care. The Clinical Quality Consultant may also function as facilitator for Joint Commission Accreditation - establishing structure, mechanisms, and expectations so that the hospital maintains Joint Commission Accreditation. This function includes management within other domains of regulation and compliance, to the extent that those domains are necessary for Joint Commission accreditation. The Clinical Quality Consultant may also function as a consultant within the hospital for clinical quality process improvements. This function involves identification and implementation of practice standards, assistance in establishing goals and focus, advising on the necessary elements if successful process management, aid in establishing measurement design and reporting mechanisms, and assuring standards of administrative documentation are met. Schedule: 1.0 FTE (80 hours per pay period) day shift no weekends Location: Primarily based out of the Northland location with an expectation of being onsite at the Lakes location once per week ability to work from home one time per week About Fairview Fairview Health Services is an industry-leading, award-winning nonprofit that offers an entire network of healthcare services. Fairview is one part of M Health Fairview, a partnership between the University of Minnesota, M Physicians and Fairview Health Services. Together, we combine the University’s deep history of clinical innovation and training with Fairview’s extensive roots in community medicine. Our care portfolio includes community hospitals, academic hospitals, primary and specialty care clinics, senior facilities, facilitated living centers, rehabilitation centers, home health care services, counseling, pharmacies, and benefit management services. Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other.  Responsibilities Job Description Job Expectations: 1. Leadership in Investigations and Analysis: Lead investigations into complex quality and patient safety events to identify root causes and prevent recurrence. Use industry-standard tools and methodologies to analyze systems and identify areas of improvement. Facilitate Root Cause Analyses (RCA), including interviewing staff, documenting events, and developing corrective action plans. Ensure the successful implementation and monitoring of corrective actions to prevent future incidents. 2. Project Planning and Implementation: Assist in the development, coordination, and execution of safety projects aligned with the Patient Safety Strategic Plan. Apply principles of reliable design to ensure evidence-based care delivery and reduce preventable harm. Partner with facility leaders and experts to implement corrective actions and system changes that enhance patient safety. 3. Strategic Improvement Initiatives: Investigate complex patient safety, quality, and organizational issues to inform strategic priorities for improvement. Redesign systems and processes to enhance care quality and minimize errors. Manage and direct cross-functional, house-wide performance projects, ensuring the projects are completed successfully. Address resource barriers and collaborate with leadership to ensure full implementation of the improvement program. 4. Regulatory Knowledge and Compliance: Demonstrate a solid understanding of relevant regulatory requirements such as CMS, JCAHO, and HIPAA. Ensure that improvement strategies align with these regulations during the planning and implementation phases. 5. Collaboration and Communication: Collaborate with facility leaders, clinical teams, and system experts to ensure the successful execution of patient safety initiatives. Develop process and performance improvement plans in collaboration with stakeholders. Use data and evidence to drive decision-making and communicate progress and results to leadership. Key Skills and Competencies: Strong knowledge of patient safety and quality improvement methodologies. Ability to lead complex, multi-departmental projects. Expertise in regulatory standards and their application in quality improvement initiatives. Proficiency in data analysis and the ability to translate findings into actionable improvements. Excellent communication and interpersonal skills to engage with staff at all levels and foster a culture of safety. Qualifications Required Education Bachelor’s Degree Experience Three years of experience in a healthcare setting. Patient Safety experience a plus. Preferred Education Bachelor’s degree in Nursing Experience Five years clinical RN experience EEO Statement EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical.