Beth Israel Deaconess Medical Center

Teaching hospital delivering patient-centered medical care

Clinical Quality, Safety & Performance Improvement Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeMassachusetts, USA$90k - $135k /yr

About the Job

Requirements

Massachusetts Registered Nurse licensure is required.
A bachelor's degree in Nursing, Healthcare Administration, Public Health, Health Sciences, Quality Management, or a related healthcare field is required.
Acute care hospital experience is required.
Knowledge of healthcare quality management principles and performance improvement methodologies is required.
Working knowledge of patient safety, risk reduction, and quality improvement tools and techniques is required.
Knowledge of CMS Conditions of Participation, The Joint Commission standards, Massachusetts Department of Public Health regulations, and other applicable regulatory requirements is required.
Understanding of Quality Assessment and Performance Improvement principles and practices is required.
Strong analytical, organizational, and problem-solving skills are required.
Ability to interpret, analyze, and communicate complex performance and quality data is required.
Interpersonal, relationship-building, and collaboration skills are required.
Strong written and verbal communication skills are required.
Ability to facilitate multidisciplinary teams and lead improvement projects is required.
Ability to manage multiple priorities and meet deadlines in a fast-paced healthcare environment is required.
Proficiency in Microsoft Office applications, including Excel, Word, PowerPoint, and reporting tools is required.
Ability to maintain confidentiality and exercise sound professional judgment is required.
Commitment to valuing diversity and contributing to an inclusive working and learning environment is required.
Ability to travel throughout hospital departments and affiliated locations and participate in audits, surveys, investigations, and committee activities as needed is required.
Frequent sitting, standing, walking, computer use, and participation in meetings are required.
Vaccination against influenza is required as a condition of employment.

Responsibilities

Partner with nursing, physician, and operational leaders to improve patient outcomes, quality measures, and clinical performance.
Lead and support performance improvement initiatives using evidence-based methodologies such as Plan-Do-Study-Act, Lean, root cause analysis, and failure mode and effects analysis.
Analyze quality and clinical data to identify trends, risks, and opportunities for improvement.
Support the hospital's patient safety program through event review, investigation, and follow-up.
Collaborate with frontline staff and leaders to implement corrective actions that reduce harm and improve safety outcomes.
Promote a culture of safety and High Reliability Organization principles.
Coordinate the review and resolution of patient complaints and grievances while ensuring regulatory compliance.
Support accreditation readiness activities, including audits, tracers, surveys, and compliance monitoring.
Partner with clinical teams to improve patient experience, service recovery, and patient-centered care.
Develop and present quality, safety, patient experience, and performance reports for leadership and committees.
Provide education, coaching, and consultation to clinical teams regarding quality, safety, and regulatory requirements.
Serve as a resource to nursing and interdisciplinary teams on quality improvement and patient safety best practices.
Promote the organization's WE CARE values of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity.
Work in office and healthcare environments, interacting with physicians, staff, patients, families, hospital leaders, and external regulatory representatives.
Provide schedule flexibility when needed to support investigations, surveys, meetings, or organizational priorities.

Desired Qualifications

A master's degree in Nursing, Healthcare Administration, Public Health, Business Administration, or a related field is preferred.
One to three years of experience in healthcare quality, patient safety, performance improvement, risk management, patient relations, regulatory compliance, accreditation, or related healthcare operations is preferred.
Experience supporting quality improvement, regulatory readiness, patient safety, or patient experience initiatives is preferred.
Certified Professional in Healthcare Quality certification is preferred.
Certified Professional in Patient Safety certification is preferred.
Lean, Six Sigma, or related Performance Improvement certification is preferred.

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

The Clinical Quality, Safety & Performance Improvement Specialist supports hospital-wide initiatives focused on quality improvement, patient safety, regulatory compliance, accreditation readiness, and patient experience. Partnering with nursing, medical staff, and operational leaders, this role uses data, performance improvement methodologies, and clinical expertise to improve patient outcomes, strengthen safety culture, enhance the patient experience, and ensure regulatory compliance.

Job Description:

ESSENTIAL DUTIES & RESPONSIBILITIES (including but not limited to):

Clinical Quality & Performance Improvement

Partner with nursing, physician, and operational leaders to improve patient outcomes, quality measures, and clinical performance.
Lead and support performance improvement initiatives using evidence-based methodologies such as PDSA, Lean, RCA, and FMEA.
Analyze quality and clinical data to identify trends, risks, and opportunities for improvement.

Patient Safety & Risk Reduction

Support the hospital's patient safety program through event review, investigation, and follow-up.
Collaborate with frontline staff and leaders to implement corrective actions that reduce harm and improve safety outcomes.
Promote a culture of safety and High Reliability Organization (HRO) principles.

Patient Experience & Regulatory Compliance

Coordinate review and resolution of patient complaints and grievances while ensuring regulatory compliance.
Support accreditation readiness activities, including audits, tracers, surveys, and compliance monitoring.
Partner with clinical teams to improve patient experience, service recovery, and patient-centered care.

Data, Education & Collaboration

Develop and present quality, safety, patient experience, and performance reports for leadership and committees.
Provide education, coaching, and consultation to clinical teams regarding quality, safety, and regulatory requirements.
Serve as a trusted resource to nursing and interdisciplinary teams on quality improvement and patient safety best practices.

QUALIFICATIONS:

State of Massachusetts Registered Nurse (RN) licensure (required)

Education

Bachelor's degree in Nursing, Healthcare Administration, Public Health, Health Sciences, Quality Management, or related healthcare field required.
Master's degree in Nursing, Healthcare Administration, Public Health, Business Administration, or related field preferred.

Experience (preferred)

Minimum of 1-3 years of experience in healthcare quality, patient safety, performance improvement, risk management, patient relations, regulatory compliance, accreditation, or related healthcare operations.
Acute care hospital experience required.
Experience supporting quality improvement, regulatory readiness, patient safety, or patient experience initiatives preferred.

PREFERRED CERTIFICATIONS:

Certified Professional in Healthcare Quality (CPHQ)
Certified Professional in Patient Safety (CPPS)
Lean, Six Sigma, or related Performance Improvement certification

OTHER REQUIREMENTS:

Knowledge of healthcare quality management principles and performance improvement methodologies.
Working knowledge of patient safety, risk reduction, and quality improvement tools and techniques.
Knowledge of CMS Conditions of Participation, The Joint Commission standards, Massachusetts Department of Public Health regulations, and other applicable regulatory requirements.
Understand Quality Assessment and Performance Improvement (QAPI) principles and practices.
Strong analytical, organizational, and problem-solving skills.
Ability to interpret, analyze, and communicate complex performance and quality data.
Excellent interpersonal, relationship-building, and collaboration skills.
Strong written and verbal communication skills.
Ability to facilitate multidisciplinary teams and lead improvement projects.
Ability to manage multiple priorities and meet deadlines in a fast-paced healthcare environment.
Proficiency in Microsoft Office applications, including Excel, Word, PowerPoint, and reporting tools.
Ability to maintain confidentiality and exercise sound professional judgment.
Consistently promote a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in the organization's WE CARE values.
Demonstrated commitment and actions to valuing diversity and contributing to an inclusive working and learning environment

Physical & Environmental Requirements

This position requires frequent sitting, standing, walking, computer use, and participation in meetings throughout the organization. The incumbent must be able to travel throughout hospital departments and affiliated locations and participate in audits, surveys, investigations, and committee activities as needed.

Work is performed in a combination of office and healthcare environments with frequent interaction with physicians, staff, patients, families, hospital leaders, and external regulatory representatives. Occasional schedule flexibility may be required to support investigations, surveys, meetings, or organizational priorities.

Pay Range:

$90,000.00 USD - $135,000.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

About the Company

Beth Israel Deaconess Medical Center

Teaching hospital delivering patient-centered medical care

Beth Israel Deaconess Medical Center (BIDMC) serves as a teaching hospital in Boston affiliated with Harvard Medical School, offering a wide range of medical services across inpatient, emergency, outpatient, and urgent care. Its care model centers on delivering high-quality medical treatment to patients, supported by patient access initiatives like OpenNotes, which lets patients view clinicians’ notes online to improve understanding and engagement in their care. The hospital also supports education and research through its affiliation with Harvard, attracting funding for studies and training programs. BIDMC differentiates itself through its patient-centered approach, active patient engagement tools, and a broad network of urgent care centers and outpatient services that extend access to healthcare. The goal is to provide comprehensive, accessible, evidence-based medical care while advancing medical education and research.

Company size: 10,001+
Company stage: Grant
Total funding: $5.4M
Headquarters: Boston, MA
Founded: 1996

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