Job Description

Employment Status:
Full time
Job Function:
Business Professional
327001 Quality Control-Mgmt
Shift Hours / Days:
Monday- Friday, 8-4:30pm
Hours / Pay Period:

We Fight Cancer: Care That Never Quits®

Cancer Treatment Centers of America® (CTCA®) delivers an extraordinary patient experience we call Patient Empowered Care®. We deliver state-of-the-art, high quality care through an integrative model where a team of experts puts patients at the center of their own care. Every day, you will help patients win the fight against cancer. Every day is challenging and rewarding beyond your imagination.

A Culture of Teamwork, Empowerment & Development

CTCA provides Stakeholders with exceptional support and easy access to a wide range of tools and resources they need to bring the best of themselves, every day. Our benefits, wellness, and compensation programs lead the market. We provide extensive training and career development opportunities that encourage professional and personal growth—it is a point of pride. We empower our Stakeholders to deliver the highest standard of care, which we call the Mother Standard®.

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.
  • Completes other duties as assigned.

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.

The Best Place to Work

We call ourselves Stakeholders because we all have a stake in the care and success of every patient. Today, CTCA Stakeholders deliver healing and hope to patients fighting complex and advanced cancer in Atlanta, GA, Chicago, IL, Philadelphia, PA, Phoenix, AZ and Tulsa, OK.  Each of our hospitals earned a Best Place to Work distinction and receives numerous accreditations that celebrate our culture of clinical quality, innovation, high performance and wellness.

Beyond The Resume, What We Look For

We select people with talent—people who thrive in an environment of continuous improvement. We are creative and resourceful problem solvers. We are inventors and innovators. As a CTCA Stakeholder, you make the difference in the life of a patient.

Do you see yourself working with a passionate team in a dynamic, high growth environment?  Visit  to begin your journey.