**JOB SUMMARY** Partners with and helps key stakeholders’ teams to implement reporting and quality improvement projects in help of BSWH’s strategy to deliver high-quality, safe care and achieve excellence in accordance with regulatory statues, policies and procedures. **ESSENTIAL FUNCTIONS OF THE ROLE** + Performs concurrent and retrospective medical record review to investigate quality and/or patient safety concerns and to identify performance improvement opportunities. + Helps and/or facilitates quality and patient safety initiatives to improve safety and foster an environment of service excellence through successful interventions, data testing and development of action plans. + Develops and disseminates ongoing and ad hoc reports to ensure clinicians, administrators, medical staff committees and corporate teams receive timely and accurate data to meet their needs in ensuring quality care and patient safety within their departments. + Partners in the development and presentation of educational materials designed to educate staff and management about patient safety processes. + Identifies regional, system, and industry best practices, providing feedback to managers and team members. + Participates on quality improvement teams as requested by leadership. + Participates in unit and/or facility huddles. + Helps the ZERO Harm rounding process as directed by leadership. + Helps and/or facilitates departmental processes that ensure facility compliance with regulatory body requirements. **KEY SUCCESS FACTORS** + Basic knowledge of patient safety and quality improvement values and concepts + Basic knowledge of Texas, Joint Commission and CMS standards + Verbal, social, and written communication skills + Competent in the use of computers, and related software applications + Able to establish and maintain effective combined working relationships + Able to help and help patient safety and quality improvement initiatives + Able to examine data and prepare reports + Able to appropriately prioritize tasks to meet desired deadlines + 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 - Associate's or 2 years of work experience above the minimum qualification + EXPERIENCE - 2 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.