Clinical Quality Specialist at Sanford Health - Sioux Falls, SD

Role Overview

Sanford Health is seeking a Clinical Quality Specialist to join our team in Sioux Falls, South Dakota. As a Clinical Quality Specialist, you will play a crucial role in ensuring the delivery of high-quality care to our patients. You will be responsible for assisting with quality improvement reviews, conducting chart reviews, and collaborating with internal and external departments to optimize workflow and patient outcomes. This position offers an excellent opportunity to contribute to a leading healthcare system and make a positive impact on the lives of others.

Day in the Life

A typical day for a Clinical Quality Specialist at Sanford Health may involve:

• Conducting chart reviews to identify potential quality risk issues and adverse events.
• Documenting findings accurately and referring cases for medical director review.
• Performing Healthcare Effectiveness Data and Information Set (HEDIS) record reviews.
• Collaborating with information technology (IT) to ensure file accuracy.
• Coordinating record requests with providers or vendors.
• Reviewing medical visit files to identify individuals requiring outreach for medical services.
• Assisting members in coordinating appointments for services.
• Completing tracking documentation of medical record requests, chart reviews, and medical visit appointments.
• Participating in quality improvement initiatives and committees.
• Serving as a liaison for accrediting or governing agencies (if applicable).

Why Sioux Falls, South Dakota?

Sioux Falls offers a blend of Midwestern charm and modern amenities. It is a growing city with a strong economy, affordable cost of living, and excellent schools. Residents enjoy a high quality of life with access to numerous parks, recreational activities, and cultural attractions. The city is also known for its friendly community and welcoming atmosphere.

Career Path

Sanford Health is committed to providing opportunities for career growth and development. A Clinical Quality Specialist may advance to positions such as:

• Senior Clinical Quality Specialist
• Quality Improvement Manager
• Director of Quality
• Clinical Nurse Manager

Sanford Health also provides opportunities for continuing education, professional development, and leadership training to help employees reach their full potential.

Salary & Benefits

The salary range for a Clinical Quality Specialist at Sanford Health in Sioux Falls, SD is estimated to be $65,000 - $95,000 per year. Sanford Health also offers a comprehensive benefits package, including:

• Health, dental, and vision insurance
• Health savings account
• Company-matched 401(k) retirement plan
• Paid time off
• Education assistance
• Scholarships and sponsorships
• Continuing education
• Employee wellness programs

Sanford Culture

Sanford Health is dedicated to the work of health and healing. We are committed to providing compassionate, high-quality care to our patients and residents. We value teamwork, collaboration, and respect. We strive to create a positive and supportive work environment where employees can thrive.

How to Apply

To apply for the Clinical Quality Specialist position at Sanford Health in Sioux Falls, SD, please submit your resume and cover letter through our online application portal. We look forward to reviewing your application!

FAQ

1. What are the qualifications for this position? A graduate from a nationally accredited nursing program is preferred, including CCNE, ACEN, or NLN CNEA. A Bachelor's degree in Nursing is also preferred, along with a minimum of five years of nursing experience.
2. What are the key responsibilities of a Clinical Quality Specialist? Key responsibilities include conducting chart reviews, assisting with quality improvement initiatives, and collaborating with internal and external departments to optimize patient care.
3. What is the salary range for this position? The estimated salary range for this position is $65,000 - $95,000 per year.
4. What benefits does Sanford Health offer? Sanford Health offers a comprehensive benefits package, including health, dental, and vision insurance, a 401(k) retirement plan, paid time off, and education assistance.
5. What is the work environment like at Sanford Health? Sanford Health fosters a positive and supportive work environment where employees can thrive.
6. What are the opportunities for career advancement? Sanford Health provides opportunities for career growth and development, including advancement to senior-level positions.
7. Is continuing education available? Yes, Sanford Health offers opportunities for continuing education and professional development.
8. What skills are important for this role? Important skills include clinical quality assurance, risk management, data analysis, critical thinking, and communication.
9. What is the application process? To apply, submit your resume and cover letter through our online application portal.
10. What is the mission of Sanford Health? Sanford Health is dedicated to the work of health and healing.