Job Overview
Employment Type
Full-time
Compensation
Salary
Range $61,300.00 - $75,400.00
Work Schedule
Standard Hours
Benefits
Health Insurance
Dental Insurance
Paid Time Off
Retirement Plan
Professional Development
Employee wellness programs
flexible spending accounts
Job Description
The hiring organization is a healthcare service provider specializing in emergency medical services (EMS), dedicated to delivering high-quality patient care and maintaining rigorous clinical standards. With a strong commitment to regulatory compliance, patient safety, and continuous improvement, the organization supports the broader community by ensuring EMS operations meet or exceed state and federal guidelines. It maintains a professional work environment utilizing advanced quality management software, electronic patient care reporting systems, and data analytics platforms to support its clinical and operational objectives. The organization prioritizes accreditation readiness and fosters collaboration across multiple departments, including Clinical Services, Operations, Education, Compliance, and Executive Leadership, to achieve exceptional patient outcomes and operational excellence.
The role of the Clinical Quality Improvement (CQI) Specialist is vital to the organization’s mission of promoting clinical excellence and adherence to regulatory standards. This exempt, salaried position supports the Clinical Quality Improvement Program by conducting thorough quality assurance activities such as patient care report audits, clinical documentation reviews, and compliance monitoring. The CQI Specialist’s responsibilities include investigating clinical and operational compliance issues, developing quality metrics, generating reports, and contributing to performance improvement initiatives. This role plays an integral part in ensuring that patient care documentation meets rigorous standards and that clinical operations comply with Medical Director protocols, local EMS authorities, and applicable regulations, specifically within California.
In addition to quality assurance, the role encompasses regulatory compliance support, including preparing for inspections, audits, accreditation reviews, and supporting ongoing regulatory initiatives. The CQI Specialist leverages data analytics tools, such as the ESO reporting system, to identify trends, gaps, and opportunities for clinical and operational improvements. The Specialist is also responsible for complaint and incident management, encompassing documentation, investigation, and resolution of issues with collaboration from clinical and operational leadership.
Further, the CQI Specialist works closely with Clinical Education teams, providing feedback and assisting in remediation and performance improvement efforts. The role also includes monitoring employee certifications and credentials to ensure compliance with organizational and regulatory guidelines. Maintaining strict confidentiality and adhering to HIPAA and related privacy regulations is central to this position’s duties.
The ideal candidate will bring a strong analytical mindset, excellent communication skills, and a commitment to quality improvement and patient safety. This position requires proficiency in project management, the ability to manage multiple priorities in a fast-paced environment, and advanced skills in Microsoft Office applications. The CQI Specialist routinely interacts across various departments and plays a pivotal role in achieving the organization’s goals of quality, safety, and patient care excellence. This role reports directly to the Director of Clinical Services or Regional Clinical Director and demands a professional presence, integrity, and sustained dedication to continuous improvement in EMS clinical quality.
The role of the Clinical Quality Improvement (CQI) Specialist is vital to the organization’s mission of promoting clinical excellence and adherence to regulatory standards. This exempt, salaried position supports the Clinical Quality Improvement Program by conducting thorough quality assurance activities such as patient care report audits, clinical documentation reviews, and compliance monitoring. The CQI Specialist’s responsibilities include investigating clinical and operational compliance issues, developing quality metrics, generating reports, and contributing to performance improvement initiatives. This role plays an integral part in ensuring that patient care documentation meets rigorous standards and that clinical operations comply with Medical Director protocols, local EMS authorities, and applicable regulations, specifically within California.
In addition to quality assurance, the role encompasses regulatory compliance support, including preparing for inspections, audits, accreditation reviews, and supporting ongoing regulatory initiatives. The CQI Specialist leverages data analytics tools, such as the ESO reporting system, to identify trends, gaps, and opportunities for clinical and operational improvements. The Specialist is also responsible for complaint and incident management, encompassing documentation, investigation, and resolution of issues with collaboration from clinical and operational leadership.
Further, the CQI Specialist works closely with Clinical Education teams, providing feedback and assisting in remediation and performance improvement efforts. The role also includes monitoring employee certifications and credentials to ensure compliance with organizational and regulatory guidelines. Maintaining strict confidentiality and adhering to HIPAA and related privacy regulations is central to this position’s duties.
The ideal candidate will bring a strong analytical mindset, excellent communication skills, and a commitment to quality improvement and patient safety. This position requires proficiency in project management, the ability to manage multiple priorities in a fast-paced environment, and advanced skills in Microsoft Office applications. The CQI Specialist routinely interacts across various departments and plays a pivotal role in achieving the organization’s goals of quality, safety, and patient care excellence. This role reports directly to the Director of Clinical Services or Regional Clinical Director and demands a professional presence, integrity, and sustained dedication to continuous improvement in EMS clinical quality.
Job Requirements
- Associate degree required
- Bachelor’s degree preferred
- minimum three years of EMS, healthcare quality, clinical education, compliance, or related experience
- experience conducting chart reviews, audits, quality assurance activities, or clinical investigations preferred
- experience with ESO reporting and analytics strongly preferred
- experience supporting accreditation or regulatory compliance initiatives preferred
- current CPR certification required
- current California EMT or Paramedic certification preferred
- valid driver’s license with acceptable driving record
- strong knowledge of EMS operations, clinical protocols, and patient care documentation
- knowledge of California EMS regulations and ICEMA requirements
- strong analytical, investigative, and problem-solving skills
- excellent written and verbal communication skills
- ability to prepare professional reports and presentations
- strong project management and organizational skills
- ability to manage multiple priorities in a fast-paced environment
- advanced proficiency with Microsoft Office applications
- ability to work independently and collaboratively across departments
- ability to maintain confidentiality and exercise sound professional judgment
Job Qualifications
- Associate degree in EMS, Healthcare Administration, Nursing, Public Health, Quality Management, or related field
- Bachelor’s degree preferred
- minimum three years of EMS, healthcare quality, clinical education, compliance, or related experience
- experience conducting chart reviews, audits, quality assurance activities, or clinical investigations preferred
- experience with ESO reporting and analytics strongly preferred
- experience supporting accreditation or regulatory compliance initiatives preferred
- current CPR certification required
- current California EMT or Paramedic certification preferred
- valid driver’s license with acceptable driving record
- strong knowledge of EMS operations, clinical protocols, and patient care documentation
- knowledge of California EMS regulations and ICEMA requirements
- strong analytical, investigative, and problem-solving skills
- excellent written and verbal communication skills
- ability to prepare professional reports and presentations
- strong project management and organizational skills
- ability to manage multiple priorities in a fast-paced environment
- advanced proficiency with Microsoft Office applications
- ability to work independently and collaboratively across departments
- ability to maintain confidentiality and exercise sound professional judgment
Job Duties
- Conduct focused, random, and targeted patient care report audits to evaluate documentation quality, protocol compliance, and patient care outcomes
- review clinical incidents, patient complaints, protocol deviations, and unusual occurrences
- identify opportunities for improvement and recommend corrective actions
- monitor compliance with medical director protocols, local EMS authority requirements, and organizational clinical standards
- participate in root cause analyses and performance improvement reviews involving adverse clinical events
- develop, implement, and complete monthly, quarterly, and annual compliance reports for local, regional, state, and organizational stakeholders
- monitor compliance with California EMS regulations, ICEMA requirements, Medicare documentation standards, and company policies
- assist in preparing for regulatory inspections, audits, accreditation reviews, and quality assessments
- support organizational readiness for accreditation and regulatory compliance initiatives
- develop and monitor clinical, response-time, documentation, and regulatory compliance metrics
- utilize ESO and other reporting systems to identify trends, performance gaps, and opportunities for improvement
- prepare quality improvement reports, dashboards, and presentations for leadership review
- analyze operational and clinical data to support evidence-based decision making
- track corrective action plans and monitor effectiveness of implemented improvements
- respond to, document, investigate, and follow up on complaints, incident reports, protocol exceptions, and response-time exceptions
- maintain documentation and records related to quality investigations
- collaborate with operations, training, compliance, and clinical leadership to resolve identified concerns
- ensure timely completion of required reporting and follow-up activities
- collaborate with clinical education personnel to identify educational opportunities based on quality review findings
- assist with development of remediation plans and performance improvement initiatives
- provide constructive feedback to field personnel regarding documentation and protocol compliance
- support implementation of new clinical protocols and quality initiatives
- assist in monitoring employee certifications, licenses, credentials, and regulatory requirements
- ensure compliance with organizational, local, regional, and state credentialing requirements
- support processes related to credential verification and renewal tracking
- maintain confidentiality of all patient, employee, quality assurance, and company information
- comply with HIPAA and all applicable federal, state, and local privacy regulations
- adhere to organizational information security and cybersecurity requirements
- protect the integrity and confidentiality of quality improvement activities and investigations
- demonstrate complete knowledge and compliance with company policies and procedures
- support organizational goals related to quality, safety, compliance, and patient care excellence
- maintain professional conduct and serve as a positive representative of the organization
- participate in committees, projects, and special assignments as directed
- perform other duties as assigned by the CQI Manager, Medical Director, or Clinical Leadership
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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