Major Responsibilities:

Responsible for designing and implementing a continuous quality improvement program for imaging services. Quality indicators support ACR, DNV, and TJC accreditations, CMS (PQRS) quality measures, and other key quality indicators. Recommends changes to improve quality and reduce cost of imaging services based upon the results of quality measurement and improvement activitiesInvestigates and collaborates with others to mitigate clinical quality, HIPAA privacy, regulatory compliance, and patient safety issues. Monitors compliance with imaging quality indicators, supervises data collection, statistical analysis, and evaluation, produces actionable information and reports for imaging operational leadership, and presents findings and conclusions to appropriate hospital and medical group committees.Leads small teams in standard policy, guideline, protocol, workflow development and implementation, all modalities, for the system department. Coordinates operational implementation of standard practice. Supports department leaders in the implementation of best practices. Researches best practices. Collaborates with the clinical and radiologist subject matter experts in standardizing to best practices. Collaborates with interdisciplinary partners. Documents standard practice.Produces quality solutions that standardize imaging services across the system. Partner with Epic, PACS, and Informatics teams to ensure that the electronic workflow, to supports the delivery of high quality, cost effective radiology services.Facilitates the development and maintenance of standard education including but not limited to: Annual essential education, onboarding, cross-training standardization/criteria, and competencies. Provides quality and compliance related orientation and educational materials/ presentations for staff, physicians, and leadership.Acts as conduit between Advocate Aurora stakeholders and Imaging Services including but not limited to: Radiologists, Pharmacy, Nursing, IP, Supply chain, HIT, HTM, Compliance, Privacy, Education, Revenue Cycle (pre- and post-service).Coordinates tracking of required CMEs and quality indicators for radiologists. Supports the medical group Imaging Peer Review Committee in monitoring and continually improving the quality of diagnostic interpretations. Uses radiology reports, patient records, lab reports, and other sources of medical information to correlate and compare radiographic interpretations.Promotes effective professional relationships with physicians, directors, and caregivers to ensure open communication that is conducive to problem solving. Maintains current knowledge of applicable federal and state requirements relating to accreditations standards.

Licensure, Registration, and/or Certification Required:

Registered Technologist (RT) registration issued by the American Registry of Radiologic Technologists (ARRT), orNuclear Medicine Technologist certification (CNMT) issued by the Nuclear Medicine Technology Certification Board (NMTCB), orMedical Sonographer (RDMS) registration with Abdomen issued by the American Registry of Diagnostic Med Sonography (ARDMS), orMedical Sonographer (RDMS) registration with OB/GYN issued by the American Registry of Diagnostic Med Sonography (ARDMS), orVascular Technologist (RVT) registration issued by the American Registry of Diagnostic Medical Sonographers (ARDMS), or

Education Required:

Bachelor's Degree in Radiology or related field.

Experience Required:

Typically requires 5 years of experience in clinical data analysis with impact on varied imaging modalities.
Clinical experience in Imaging Services/Radiology with proven leadership experience.

Knowledge, Skills & Abilities Required:

Knowledge in clinical compliance and quality improvement processes.Knowledge of compliance requirements and standards for imaging in a clinic and/or hospital environment that includes: DNV, Mammography Quality Standards Act (MQSA), Joint Commission on Accreditation of Healthcare Organizations (TJC), American College of Radiology (ACR), Nuclear Regulatory Agency (NRC), and federal, state and local guidelines.Excellent verbal and written communications and oral presentation skills.Demonstrated ability to work with physicians and other professionals in a direct, positive manner.Excellent organizational skills and ability to set priorities.Maintain knowledge of innovation in medical imaging technology, available safety-minded products, and contemporary practice issues and trends within medical imaging and related fields.Possess strong analytical skills along with the ability to create charts, graphs and presentations using Excel, Word and PowerPoint.

Physical Requirements and Working Conditions:

Generally exposed to a normal office environment.Must be able to maintain a safe work environment while working remotely.Must have home internet with appropriate bandwidth and speed to support working remotely.Must be able to operate all equipment essential to performing the job.Must have clear speech, vision and hearing.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.