CLINICAL QUALITY IMPROVEMENT SPECIALIST

Legal EntityAultman Health FoundationPosition SummaryThe Clinical Quality Improvement (CQI) Specialist supports hospital-wide performance improvement efforts by ensuring that teams consistently apply evidence-based CQI principles, utilize data appropriately, and sustain measurable improvements in patient outcomes. The Specialist serves as an internal consultant-guiding clinical leaders, care teams, and interdisciplinary groups through structured improvement processes, run chart interpretation, and effective CQI methodology.QualificationsRequiredBachelor's degree in Nursing, Healthcare Administration, Public Health, or related field.3+ years of experience in clinical quality, patient safety, performance improvement, or similar role.Working knowledge of QI methodologies and analytical tools.Ability to interpret run charts, understand variation, and communicate data effectively.PreferredMaster's degree (MPH, MHA, MSN, MBA or related).Certifications: CPHQ, Lean Six Sigma Green Belt/Black Belt, CPPS.Experience facilitating multidisciplinary hospital improvement teams.Familiarity with electronic health records and quality analytics platforms.SkillsStrong analytical and data interpretation skillsAbility to coach and educate diverse clinical teamsSkilled facilitator with excellent communication abilitiesProblem'solving and root'cause analysis expertiseKnowledge of clinical workflows and hospital operationsCommitment to patient safety, clinical excellence, and continuous improvementResponsibilities & ExpectationsQuality Improvement LeadershipEnsure hospital departments consistently adhere to established Quality Improvement (QI) principles, standards, and methodologies (e.g., PDSA, Lean, Six Sigma).Guide teams in defining problems, developing aims, mapping current workflows, and designing reliable future-state processes.Facilitate project charters, improvement team meetings, and barrier'removal discussions.Data Interpretation & Run Chart ExpertiseDevelop, maintain, and interpret run charts, control charts, and other QI data displays to help teams monitor performance and identify trends, shifts, or variations.Translate quantitative data into actionable insights to support informed decision-making.Assist leaders and frontline staff in understanding variation and applying rules for run chart analysis in daily management and improvement work.Education, Coaching & Methodology SupportProvide hands'on coaching and educate hospital teams on QI methods, including but not limited to PDSA testing, root cause analysis, workflow redesign, and reliability science.Support training sessions for new leaders, frontline staff, and physicians on core QI competencies.Serve as a subject'matter expert in QI tools such as fishbone diagrams, 5 Whys, Pareto charts, standard work creation, and process mapping.Mentor departments on how to structure improvement projects, develop measures, and sustain gains.Project Facilitation & Performance MonitoringLead and support system' and unit-level improvement initiatives focused on patient safety, clinical outcomes, operational efficiency, and regulatory measures.Ensure alignment of improvement work with organizational priorities, accreditation standards, and strategic goals.Track progress of assigned projects, assist with barrier identification, and guide corrective actions.Stakeholder Engagement & CommunicationCollaborate with clinical leaders, physicians, nursing staff, and ancillary teams to promote a culture of continuous improvement.Communicate project outcomes, data insights, and improvement recommendations to leaders and committees in a clear, actionable format.Participate in and support hospital governance structures (Quality Council, Safety Committees, etc.).Sustainment & StandardizationDevelop and maintain QI documentation, tools, templates, and training materials.Support teams in hardwiring successful interventions through standard operating procedures, monitoring plans, and performance dashboards.Additional responsibilities as assignedWorking Conditions8:00am - 5:00pm M-F or hours as required by the job. Occasional weekends and off -shifts.Subject to frequent interruptions and changes in priority of duties throughout the day. Occasional local/regional travel to/from physician offices.Hazardous Exposure CategoryCategory III - Includes tasks that involve no exposure to blood, body fluids, or tissues and Category I tasks are not a condition of employment. The normal work routine involves no exposure to blood; body fluids or tissues (although situations can be imagined or hypothesized under which anyone anywhere might encounter potential exposure to body fluids.) Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid or to be potentially exposed in some other way.Physical AddendumDemandsFrequencyRemarksLifting 0-10 lbsOccasional 10-33%Lifting 10-20 lbsOccasional 10-33%Lifting 20-35 lbsNeverLifting 35-50 lbsNeverLifting 50-75 lbsNeverLifting 75-100 lbsNeverLifting over 100 lbsNeverForward ReachingOccasional 10-33%Overhead ReachingNeverStandingOccasional 10-33%WalkingOccasional 10-33%SittingContinuous 66% of the dayClimbingNeverStairs/LadderOccasional 10-33%Bending/StoopingOccasional 10-33%Twisting/TurningOccasional 10-33%Kneeling/SquattingNeverCrawlingNeverPushing/Pulling 0-10 lbsOccasional 10-33%Pushing/Pulling 10-20 lbsNeverPushing/Pulling 20-35 lbsNeverPushing/Pulling 35-50 lbsNeverPushing/Pulling 50-100 lbsNeverPushing/Pulling over 100 lbsNeverCarrying 0-10 lbsOccasional 10-33%Carrying 10-20 lbsOccasional 10-33%Carrying 20-35 lbsNeverCarrying 35-50 lbsNeverCarrying 50-100 lbsNeverCarrying over 100 lbsNeverGrasping/repetitive sustainedNeverFine motor coordinationOccasional 10-33%Vision: Near/Far/ColorContinuous 66% of the dayHearing: ordinary conversation/otherFrequent 34-65%All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, gender identity, sexual orientation or protected veteran status. AultCare is an EEO/AA Employer M/F/Disability/Vet.AultCare/AHS will provide reasonable accommodations to employees or applicants with disabilities, as defined by the Americans with Disabilities Act, who are otherwise qualified to safely perform the essential functions of the job, with or without accommodation, unless such accommodation would constitute an undue hardship on AultCare/AHS or poses a direct threat to the health and safety of the individual or others that cannot be sufficiently mitigated by reasonable accommodation. Any applicant or employee who requires an accommodation to perform the essential functions of his or her job or to enjoy equal benefits and privileges of employment should notify the Aultman Human Resource Department and request such an accommodation.

Created: 2026-04-15