Clinical Quality Specialist Resume Sample
Vince Bernhard
541 Kihn Unions,
New York,
NY
+1 (555) 711 8059
Work Experience
Clinical Quality Specialist
10/2016
-
PRESENT
Phoenix, AZ
- Works collaboratively with the DCQI in the reduction of readmission program and serves as a liaison for services related to heart failure, pneumonia, and AMI patient’s to avoid readmissions to the hospital
- Performs quality audits of clinical functions
- Analyzes performance data to evaluate the efficiency and effectiveness of clinical processes
- Works with clinical business units to develop and implement preventive and/or corrective action to remedy or prevent performance failures
- Tracks quality improvement activities, assesses trends and provides reporting to various departments and committees
- Reviews and assesses the documentation used in clinical business units to ensure compliance with the control of documentation requirement
- Facilitates process improvement in clinical business units
Principal Clinical Quality Specialist
07/2013
-
08/2016
Detroit, MI
- Ensures Clinical compliance to applicable US and International standards and Regulations by providing support for interpretation of regulations, performing gap analysis and lead activities to implement improvements
- Perform audits of institutions, contract research organizations, and SJM Clinical operations associated with clinical trials, studies and investigations to identify regulatory and business risks
- Maintaining and documenting the business process within the Quality System framework and the document management system
- Preparing project and process documentation consistent with standards and procedures outlined in the Quality System documentation
- Evaluation of regulations and ability to translate requirements into user friendly Standard Operating Procedures and Work Instructions
- Five to seven years business analyst experience or equivalent gained through a combination of formal training and progressive work experience, including project management experience
- Prior work experience with ISO 14155 and 13485 and US 21 CFR is required
- Previous leadership and team motivation skills to manage work timelines that requires effective delivery to internal Abbott customer
Clinical Quality Specialist / Nurse
05/2008
-
06/2013
Houston, TX
- Previous experience successfully working in a cross functional heavily matrixed work environment
- Assists with on-going Quality Improvement activities for clinical services to monitor clinical compliance with standards and regulatory requirements
- Responsible for Oversight and Performance Management of the Company’s Risk Monitoring effort with focus on specific regions including but limited to the following areas
- Georgia Nursing License Required
- Performs chart abstractions, chart audits, and documentation reviews to comply with organizational policies and accreditation requirements
- Provides education to providers and staff when deficiencies are identified in order to achieve higher compliance scores on quality measures for NGPG goals, payor objectives, and accreditation requirements
- Responsible for reviewing payor HEDIS and pay-for-performance reports; performs chart reviews and audits to identify issues, and collaborates with payors to correct identified issues; builds strong relationships with managed care (payor) representatives
- Investigates variances and potential risk issues, performing root-cause analysis where appropriate. Ensures that all variances are documented and investigated within established time frames. Prepares reports and identifies trends
Education
Upper Iowa University - Des Moines Center
2002 - 2007
Bachelor's Degree in Nursing
Professional Skills
- Demonstrated strong planning and problem-solving skills
- Excellent communication (verbal and written) skills and ability to work effectively on teams.
- Excellent communication (verbal and written) skills and ability to work effectively on teams
- Demonstrated excellent written/verbal communication and organization skills
- Strong administrative background, excellent computer skills, ability to manipulate tables and graphs in Word, Excel, Visio, PPT – MS Office programs
- Demonstrated exceptional leadership, communication, teaching, and basic management skills
- Strong analytical skills to collect, process, and analyze data
How to write Clinical Quality Specialist Resume
Clinical Quality Specialist role is responsible for training, insurance, research, reporting, planning, integration, administrative, health, organization, leadership.
To write great resume for clinical quality specialist job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Clinical Quality Specialist Resume
The section contact information is important in your clinical quality specialist resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Clinical Quality Specialist Resume
The section work experience is an essential part of your clinical quality specialist resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous clinical quality specialist responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular clinical quality specialist position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Clinical Quality Specialist resume experience can include:
- Responsible for investigating complaints related to quality of care (inpatient or outpatient), including chart reviews, interviews with involved staff and communicating with patients to identify and reach an appropriate resolution. Prepares reports and identify trends
- Assumes responsibility as administrator for population health management technology, to include ongoing optimization, maintaining strong relationship with vendor, training staff and providers on use of technology, and ongoing reporting functions
- Serves as Quality liaison for NGPG practices and providers, assisting in the development of performance improvement plans and projects. Facilitates problem-solving activities to resolve quality/risk issues
- Review and approve Clinical Study specific documents (Protocols, Informed consents, etc.) with regards to inclusion of local (Latin America and Canadian) regulatory requirements
- Maintain effective strategies, systems and procedures, ensuring compliance with applicable GCP standards
- Support audited groups in developing effective, risk based corrective actions
Education on a Clinical Quality Specialist Resume
Make sure to make education a priority on your clinical quality specialist resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your clinical quality specialist experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Clinical Quality Specialist Resume
When listing skills on your clinical quality specialist resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical clinical quality specialist skills:
- Maintains on the job knowledge and skills by participating in applicable training
- Demonstrated experience and leading a quality management program
- Able to work effectively and courteously with physician and non-physician personnel
- Three years of broad clinical experience. Experience in quality, risk management required
- Works with Clinical Operations to obtain evidence of deliverables and facilitates effectiveness checks as needed to ensure CAPA closure
- Process excellence, quality improvement, or other PI experience in a healthcare setting
List of Typical Experience For a Clinical Quality Specialist Resume
1
Experience For Principal Clinical Quality Specialist Resume
- Develops a calendar for monitoring quality indicators/quality check (QC) and provides routine reporting of variances to the appropriate Clinical Quality Assurance (CQA) staff and operational leadership
- Identifies areas of quality deficiency ensuring escalation to operational leadership and communication with appropriate CQA staff
- Provide guidance using objective data to reflect on performance reviews
- Establish ongoing enhancement of framework and expectations of interdisciplinary care and oversee care conferences
- Coordinates and facilitates quality review meetings with appropriate CQA staff and operational leadership
- Communicates with monitors and auditors as needed
2
Experience For Health Services, Clinical Quality Specialist Resume
- Monitors, coordinates, and assists with procedure modification for quality management as required
- Assists in development and modification of departmental work instructions and collaborates with appropriate CQA staff to ensure alignment with SOPs
- Educates research staff in quality improvement methods
- Establish and review compliance standards for direct guest care, modification of individualized care plans and documentation to improve clinical quality outcomes for group sessions, one-on-one coaching, and medical visits
- Conduct audits, review and analyze reports, identify healthcare gaps, and provide process improvement recommendations
3
Experience For Clinical Quality Specialist / Nurse Resume
- Evaluate, analyze, and manage data related to clinical quality to ensure that the clinical, behavioral, and medical personnel are operating in a manner consistent with the onsite clinic program’s compliance plan
- Objectively identify trends that warrant evaluation and develop corrective action plan with clinical operations
- Work with staff to advance quality improvement objectives. Motivates and inspires other team members. Mentor team members to guide and develop understanding for their functions/roles and drive for quality outcomes
- Determine and reevaluate clinical system configuration (ICUE) to best meet the needs of onsite coaching for both chronic condition management and disease prevention. Is accountable on providing integration across all Optum services
- Support auditees in developing effective, risk based corrective actions
4
Experience For Clinical Quality Specialist Hours Days Resume
- Good knowledge of principals of continuous quality improvement in health care
- Provide guidance, review content and oversee framework of Lunch and Learn presentations, cooking classes, and group classes
- Manage audit schedules, audit records, and CAPA tracking
- Coordinate with clinical operations and program management to develop program implementation plans
- Work with internal and external resources to better leverage existing products (I.E. investigate and research ways to leverage technology to improve the guest’s clinical outcomes)
- Conduct system, study, site and vendor audits
- Key Relationships: R&D Clinical Operations, North America Region Global Product Surveillance Department, North America Region North America Quality (ie. Compliance Quality Regulatory Affairs), Clinical Quality Consultants and Contractors, External Regulatory Agencies
5
Experience For Senior Clinical Quality Specialist Resume
- Medical and clinical research terminology
- Active RN GA license required
- Professional research certification
- Knowledge of developmental stages
List of Typical Skills For a Clinical Quality Specialist Resume
1
Skills For Principal Clinical Quality Specialist Resume
- Excellent organizational skills, customer service skills and critical thinking
- Health care and insurance industry experience, including regulatory and compliance CPHQ certification
- Experience in a clinical research organization/sponsoring company/biotech and/or quality department
- Three (3) years of related work experience in critical care or comparable high acuity patient care setting
- Clinical Research Certification strongly desired
2
Skills For Health Services, Clinical Quality Specialist Resume
- Clinical operational experience in a highly matrix environment
- Knowledge and experience of Quality Management Tools
- Three (3) years' experience in acute care (clinical background)
- Experience in a clinical trial environment
- Working knowledge of GCP regulations/ guidelines (ICH, US FDA, ISO)
3
Skills For Clinical Quality Specialist / Nurse Resume
- Working knowledge of GxP regulations/ guidelines (ICH, US FDA, ISO)
- Assists staff in gathering and reporting CAPA metrics
- Communicate and assist staff in creating action plans based on patient satisfaction scores
- Quality improvement and auditing or related in healthcare field
- Completion of Lean/DMAIC project leader training, Green Belt or equivalent within the first 12 months of hire into position
- At least three years as a staff nurse in acute care nursing
- At least three to five years as a staff nurse in acute care nursing- Cardiology focus
4
Skills For Clinical Quality Specialist Hours Days Resume
- Able to meet deadlines while independently managing multiple concurrent project/tasks
- Assists in tracking performance measurements
- Assists department personnel with documenting compliance issues such as SOP deviations and CAPA responses
- Authors/reviews summary reports, memos and standard operating procedures
- Develop and track key quality performance metrics to identify trends and mitigate emerging quality issues
- Evaluates and improves existing processes with limited guidance
- Current, unrestricted Registered Nurse (RN) licensure is required in state of practice
- Perform screenings of medical records for timeliness and comparative data
- Generate reports and gather need quality data for meaningful use attestations
5
Skills For Senior Clinical Quality Specialist Resume
- Prepare reports and work with office supervisors in functions that assist the office staff with the timeliness of data retrieval
- Provide clerical support for Regional Director and Medical director as needed
- Licensed as a Registered Nurse to practice in the State of Maryland
- Project Manager certification (PMP)
- Registered Dietitian or Registered Nurse required
- Population health management with an emphasis on chronic condition management
- Work collaboratively with physicians and other healthcare professionals at all levels
- One year in Quality Assessment/Improvement
6
Skills For Clinical Quality Specialist Per Diem Days Resume
- Clinical experience as a Registered Nurse with progressive responsibilities, including regulatory agency standards (Joint Commission, CMS Conditions of Participation, Louisiana Administrative Code, OSHA, etc.), data analytics, and quality
- Registered Nurse, Respiratory Therapy or Pharmacy with the Florida Department of Health
- Able to proactively follow through on assigned tasks and provide periodic updates
- Able to independently troubleshoot problems and act to address critical issues in a timely and appropriate manner
- Able to work collaboratively with other Quality team members, and all clinical and non-clinical members
- Licensed Registered, Basic Life Support Certification
- Acts as liaison between the Clinical Departments in Latin America and Canada and the CCQC personnel
- Provide review of clinical quality system policies and procedures aligned with relevant global and local regulations and standards
- Helps Identify opportunities for clinical quality process improvement initiatives
7
Skills For Clinical Quality Specialist Senior Resume
- Partners with superiors to ensure escalation of compliance issues to management and/or the business unit as applicable
- Support internal and regulatory inspections
- Secure and utilize external consultant resources to ensure audits are completed on time and with excellence
- Partner with key customer groups in clinical Operations to develop and meet quality objectives
- Serves as a clinical resource for continuous compliance with the rules, regulations, and laws of local, state, and federal regulatory agencies
- Collaborates with management in monitoring and evaluating quality of care and patient outcomes based upon standards of care as well as the findings of nursing research, hospital policies/procedures, and applicable patient care protocols
- Experience and knowledge of Medicaid programs and Population Health
8
Skills For Clinical Quality Specialist Quality & Outcomes Management Resume
- Strong Quality background with Quality tools: PDSA, RCIP
- Supports management and staff in utilizing Performance Improvement tools
- Assists research staff in maintaining FDA compliance
- Identifies opportunities for improvement, and facilitates the development of action plans in collaboration with staff and management
- Plays a leadership role in Quality Assurance activities, utilizing a multidisciplinary model. Makes recommendations for change in practice to improve patient outcomes
- Serves as a clinical resource when opportunities for improvement or correcting deficiencies are noted, and Develops action plan as appropriate
9
Skills For Rn Clinical Quality Specialist Quality & Outcomes Management Hour Days Resume
- Attends monthly unit and hospital Quality Assurance meetings and reports information back to department in a timely manner
- Collaborates with management in designing activities to assist the staff in acquiring, maintaining, or increasing competence in his/her role responsibilities, including designated mandatory in-service requirements for all staff
- Participates in the development, implementation, and evaluation of education/orientation programs for staff and patients
- Participates in the development, implementation, evaluation and revision of order sets, policies, and other documentation
- Monitors documentation on patient record based on standards and policies
- Monitors outcomes of process/system changes, and reports variances to appropriate management and staff
- Maintains knowledge of current trends health care delivery
10
Skills For RN Clinical Quality Specialist Resume
- Leads Policy & Procedure management process
- Performs chart audits, Provides analysis & recommends change as necessary
- Stays current on any LMS courses that are required by the facility or state for licensure
- Plans, develops, and implements both classroom and clinical training programs to enhance the quality movement at PCMC. Regularly assesses training program needs looking for areas of improvement and makes identified improvements to the program as indicated
- Daily concurrent chart review, on the medical units, for data collection and identification of Core Measure improvement processes for medical and nursing staff educational needs. Organizing accumulated data into the Meditech and COMET systems, while using data as foundation for, no less than monthly, Core Measures team
- Prepares for and hosts external sponsor / IRB audits
- Investigates and responds to Corrective and Preventive Action (CAPA) requests in collaboration with Clinical Operations and CQA
- Reviews monitor letters for issue escalation and quality performance issues
Related to Clinical Quality Specialist Resume Samples
Quality Assurance Specialist Resume Sample
Work Experience
• Creative problem solver who determines a root cause analysis
• Dynamic high energy leader who can work independently
• Displays attention to detail with ability to understand/write assembly instructions
• Understanding or familiarity of ANSI, ASTM, CPSC...
Professional Skills
• Verbal and written communication skills, p...
• Effectively transfer thoughts and express ...
• + Excellent communication skills, as well ...
Quality Control Specialist Resume Sample
Work Experience
• Assists the AML Quality Control Manager with the administration of a Quality Control Program. Maintains SAR and/or QC filing standards and procedures, and recommends changes and/or alternatives for process improvements
• Reviews all completed/closed cases to ensure that the appropriate decisions/re...
Professional Skills
• Communication skills: Writing skills, read...
• Analytical skills, strong interpersonal an...
• Demonstrated successful experience coordin...
Quality Specialist Resume Sample
Work Experience
• Provide reliable and timely assessment of the level of compliance of products against external and internal requirements
• Execute audits as per approved plan
• Report and investigate any product non-conformance
• Act as single point of contact with thi...
Professional Skills
• Strong interpersonal skills with proven ab...
• Strong analytical skills and skills in dat...
• Good written and verbal commination skills...
Senior Testing Resume Sample
Work Experience
• Proactively report critical issues and risks to management
• Update changes and maintain all documentation related to the manual / automated testing process
• Coordinate the test set-up for all assigned projects including environments, change control, and pre-defined data
&nb...
Professional Skills
• Proven ability to diagnostic and problem s...
• Good oral and written communication skills...
• Superior management skills and supervisory...
Lead, Quality Control Resume Sample
Work Experience
• Team members, Managers, and other departments to partner in the delivery of key accountabilities
• Internal business partners across operating groups to consult/advise/service in the delivery of key accountabilities
• Maintains Good Drivers Safety Record: Maintain a valid dri...
Professional Skills
• Strong troubleshooting skills to understan...
• Two to 3 years’ experience independently r...
• Experience with Aerosol testing and medica...
Software Quality Engineering Resume Sample
Work Experience
• Monitor SQE’s tasks and progress, reviewing games under development for technical risks, providing mitigation plans where/if possible and managing quality
• Work with Software Department Leadership to define and report relevant metrics
• Research and implement state-of-the-ar...
Professional Skills
• Excellent verbal and written communication...
• Strong interpersonal communication skills ...
• Good written and oral communication skills...