Full-time, 40 hours/week 
Monday - Friday, Variable shift 8AM - 4:30PM work hours may include evenings and weekends
Hybrid Akron, OH

Summary:

The Senior Performance Improvement & Quality Assurance (QA) Nurse is responsible for leading quality improvement (QI) initiatives, monitoring clinical performance metrics, and ensuring compliance with quality standards in ACHC. This role focuses on optimizing patient outcomes, reducing care variability, and implementing evidence-based best practices across ACHC network. The nurse will work closely with providers, care coordinators, data analysts, and leadership to drive quality assurance, enhance population health strategies, and improve pediatric care delivery.

Responsibilities:

1. Lead quality assurance (QA) and performance improvement (PI) programs to enhance care delivery within ACHC.
2. Develop and implement clinical quality measures), evidence-based protocols, and best practices to improve pediatric patient outcomes.
3. Conduct root cause analyses (RCA), gap analyses, and Plan-Do-Study-Act (PDSA) cycles to identify and address performance deficiencies.
4. Monitor HEDIS, NCQA, and CMS quality metrics, ensuring compliance with payer and regulatory requirements.
5. Evaluate clinical workflows and documentation to ensure adherence to quality standards, reducing variations in care.
6. Utilize data analytics tools (e.g., Epic, Tableau, Power BI, Excel, SQL) to track key performance indicators (KPIs), quality metrics, and population health trends.
7. Assist in identification of high-risk pediatric patients, gaps in care, and opportunities for intervention using claims data and electronic health record (EHR) insights.
8. Generate quality improvement reports and dashboards, presenting findings to clinical teams and leadership.
9. Provide real-time feedback and performance coaching to care teams to improve adherence to quality initiatives.
10. Develop and lead education sessions, workshops, and training programs for ACHC staff on quality improvement methodologies and best practices.
11. Mentor nurses, case managers, and care coordinators in implementing patient-centered, high-quality care strategies.
12. Collaborate with providers, care managers/coordinators, and social workers to enhance care coordination and reduce hospital readmissions.
13. Support the integration of social determinants of health (SDOH) screening tools and interventions into pediatric care plans.
14. Identify and address patient safety concerns, adverse events, and near-misses through structured incident reviews.
15. Ensure ACO compliance with state and federal regulations, payer requirements, and accreditation standards (e.g., Joint Commission, NCQA).
16. Assist in audit preparation, external reporting, and regulatory submissions related to quality performance.
17. Maintain knowledge of Medicaid, managed care, and alternative payment models (APMs) to align quality initiatives with reimbursement structures.

Other information:

Technical Expertise:

Full Time

FTE: 1.000000

Status: Fixed Hybrid

About Akron Children's

More Than a Job. It’s loving what you do - and why you do it. Akron Children’s Hospital is ranked among the best pediatric hospitals by U.S. News & World Report, but it’s our compassionate approach to treatment that sets us apart. It’s creating special high-fives. Thinking of new ways to spark a smile. Holding hands to offer comfort. And working to get a giggle that brightens a room. The minute you walk into Akron Children’s, you can sense that people here love what they do. From visits with the Doggie Brigade, to the balloons and smiles in the halls, the sights and sounds are all about one thing: the children. We are the largest pediatric healthcare system in Northern Ohio and one of the fastest growing in the country. Akron Children’s has two hospital campuses in Northeast Ohio: one in Akron and the other in Boardman in the Mahoning Valley. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we’re making it easier for today’s busy families - regardless of where they live - to find the high-quality care they need. No matter which of our locations you choose, you’ll see that when you give the most, you get more—...support, rewards and satisfaction. CAREER OPPORTUNITIES: It’s making the most of your days. Our passion is felt every day in the way people care at every level. Whether you are working with children face-to-face, or behind the scenes supporting the care and services we deliver, you impact futures. Visit us and see why it’s more than just a place to work. It’s a family. Apply today at careers.akronchildrens.org.

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