Job Description

Sr Specialist, Quality Review

Cancer care is all we do

Hope in healing

Cancer Treatment Centers of America® (CTCA®) takes a unique and integrative approach to cancer care. Our patient-centered care model is founded on a commitment to personalized medicine, tailoring a combination of treatments to the needs of each individual patient. At the same time, we support patients’ quality of life by offering therapies designed to help them manage the side effects of treatment, addressing their physical, spiritual and emotional needs, so they are better able to stay on their treatment regimens and get back to life. At the core of our whole-person approach is what we call the Mother Standard® of care, so named because it requires that we treat our patients, and one another, like we would want our loved ones to be treated. This innovative approach has earned our hospitals a Best Place to Work distinction and numerous accreditations. Each of us has a stake in the successful outcomes of every patient we treat.

Job Description:

Job Summary/Purpose:

Under the direction of the Director of Quality and Risk Management (Director), contributes to the organization’s quality management, performance improvement and accreditation readiness activities.   Works with the Director, leaders, the medical staff and stakeholders, to develop and implement processes focused on the improvement of patient outcomes and healthcare delivery.

Job Responsibilities:

  • Performs collection, compilation, analysis and reporting of assigned quality metrics.
  • Makes recommendations for improvements for unacceptable variances in metric performance.
  • Abstracts and submits data to The Joint Commission /Centers for Medicare and Medicaid Services for assigned metrics.
  • Abstracts, audits and submits data from the Electronic Health Records, EHR to meet scheduled timeframes for Enterprise-wide or facility specific quality dashboards.Completes an analysis of data and works with leaders to provide action plans to address variances
  • Maintains schedule of reports needed to support various organization and medical staff committees, including Quality Patient Safety Committee, MEC, Medicine Department and Surgery Department meetings.
  • Completes assigned functions to support additional organization committees including, but not limited to:Commission on Cancer, Infection Control, Credentialing, Utilization Review, and Peer Review.
  • Participates with the Medical Staff Office in the .Submits required data to the Medical Staff Office in a timely manner to meet deadlines.Audits to ensure accuracy of data submitted.
  • Prepares analytical charts and reports for presentation to the organization’s leaders as assigned by the Director.
  • Collaborates with leaders and the medical staff to identify areas for improvement and development of action plans for implementation.
  • Reviews medical records to identify areas of concern requiring action by the Risk Manager and/or need for possible peer review.Reports potential peer review records to the Director and as assigned, to the Medical Staff leaders.
  • Supports the Director and Medical Staff leaders in peer review activities.Completes assigned duties in a timely manner.
  • Facilitates teams to accomplish quality and patient safety goals.
  • As assigned by the Director, facilitates LEAN quality improvement activities.
  • Collaborate with the Risk Specialist on shared/overlapping processes
  • Participates in the organization’s accreditation readiness activities:
    • Complete assigned duties on time;
    • Maintain knowledge of current and potential new/revised regulations and standards;
    • Assist in the onsite survey process;
    • Maintains documents required for regulatory surveys;
    • Participate in internal mock surveys including compiling and reporting data to the Readiness committee on results.

Minimum Qualifications:

  • Minimum of three (3) years of current work experience in an acute care setting is required.
  • Prior experience in record review, data collection, analysis and reporting are preferred.
  • Bachelor of Science in Nursing is preferred.
  • Registered Nurse in the state of Arizona currently or can obtain licensure by time of hire.
  • Certified Professional in Healthcare Quality (CPHQ) is preferred.
  • LEAN or Six Sigma training is preferred.

We win together

Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you’re ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us. 

Visit: to begin your journey.

Application Instructions

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