**JOB SUMMARY** **100% Onsite position - College Station, TX** Provides consultant expertise and leadership to teams to achieve improved outcomes and sustainable change to help BSWH strategy to deliver high-quality, safe care and achieve excellence by regulatory statutes, policies and procedures. **ESSENTIAL FUNCTIONS OF THE ROLE** + Serves as a Peer Review Specialist for Medical Staff and facilitates Peer Review committee. + Performs patient record quality reviews. + Serves as an internal consultant for quality and patient safety initiatives and small to medium scale projects through BSWH. + Facilitates, coordinates, and provides project management for quality improvement teams, strategic planning sessions, and other organizational meetings and committees as requested and needed. + Coaches and mentors teams and managers in the provision of quality, patient safety and other regulatory issues. + In partnership with teams and managers, develops multidisciplinary indicators and identifies opportunities for improvement, to monitor and evaluate the quality of care and services provided to patients based on evidence-based practices, regulatory and accrediting agency requirements, and data testing of high-risk problem prone, and high-volume processes. + Identifies regional, system, and industry best practices, providing feedback to managers and team members. + Provides subject matter expertise and comprehensive measurement testing for quality improvement initiatives across the organization. + Prepares and submits timely scheduled and ad hoc status reports on the progress of work teams to various stakeholders to keep them apprised of progress, potential barriers, lessons learned, and related topics for all strategic improvement priorities. + Works with applicable staff to use appropriate audit strategies, data extraction, skilled observation, surveys, focus groups or other tools to obtain relevant information to improve care and quality of service. + Participates in design, development, and implementation of facility learning forums. + Participates in unit and/or facility huddles. + Helps the ZERO Harm rounding process as directed by leadership. + Maintains awareness of the latest developments, advancements, and trends in the field of quality improvement reporting and testing by attending seminars/workshops, reading professional journals, and active participation in professional organizations. **KEY SUCCESS FACTORS** + Possess strong communication skills with Providers and Senior Medical leadership. + Extensive knowledge of tools and techniques of quality performance measurement and data testing + Extensive knowledge of Texas, Joint Commission and CMS standards + Extensive knowledge of trends, developments, and research in providing high-quality safe care + Skilled facilitator, coach, consultant, influencer, management and strategic thinking skills + Skilled in the use of computers, and related software applications + Exceptional verbal, social and written communication skills + Able to mentor, train and develop instructional materials to educate leadership and staff in quality, patient safety, regulatory issues + Able to work collaboratively and effectively with a wide range of stakeholders, and across organizational lines and teams + Able to identify and deploy required project management processes, tools, and templates needed to successfully drive initiatives + Able to partner with key stakeholders to identify impediments to success and recommend and implement corrective actions and/or mitigation + Able to work alone or with varying levels of direct or indirect supervision and guidance + Able to appropriately prioritize tasks to meet desired deadline + Provider Peer Review experience preferred. + Familiar with OPPE and FPPE processes. + Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS),or role-appropriate certification preferred + Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred. **BENEFITS** Our competitive benefits package includes the following + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level **QUALIFICATIONS** + EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification + EXPERIENCE - 4 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.