Travel: Clinical Quality Coordinator (RN)

Job Summary:

The Clinical Quality Coordinator will support the Quality/Risk Management Department in conducting ongoing performance improvement activities for the organization. The primary functions of this position consist of performance/process improvement for targeted initiatives, collection/abstraction and aggregation of data. The Clinical Quality Coordinator position requires strong clinical analytical skills, problem solving skills, ability to prioritize and manage multiple time-sensitive deliverables. The Clinical Quality Coordinator is also responsible for development and coordination of reports relative to Medical Staff and hospital wide performance improvement activities.

II.

Technical and Job Specific Skill:

1.

Telephone Skills — Must demonstrate hospital telephone etiquette by answering the phones promptly, courteously and by identifying department and self.

2.

Policy/Procedures — Is aware of and follows all hospital and department policies and procedures.

3.

Teamwork — Promotes positive co-worker relationships through teamwork and cooperation. Understands and supports the needs of individuals in other departments and promotes conflict resolution. Shares information, work knowledge and experience with co-workers, physicians, and students in a non- threatening manner. Offers assistance and promptly responds to requests.

4.

Productivity — Maintains and is accountable to defined schedules to ensure the timely reporting of standard reports. Appropriately prioritizes work activities. Responds to difficult situations with self-control and a positive attitude. Makes decisions independently and knows when to ask for assistance. Exercises good judgment and arrives at sound decisions.

5.

Organizational Performance lmprovement Activities —

A.

Conducts assigned PI activities utilizing hospital’s PI methodology and communicates progress, obstacles and outcomes to Director.

B.

Conducts concurrent review of clinical quality measures (CMS, TJC, and other core measures) other publicly reported measures

C.

Supports the Organization in understanding, Performance Improvement concepts, Joint Commission standards, CMS regulatory requirements and other standards of compliance.

D.

Supports Tenet initiatives for outcomes management coordinating Medical Record review, data collection and presentation of findings.

E.

Supports ancillary departments in the collection and analysis activities.

F.

Collects & aggregates data, develops and generates reports as determined by the Director of Clinical Quality Improvement.

G.

Conducts chart reviews on identified patient care issues

6.

Medical Staff Performance Improvement/Peer Review Activities (if assigned)

A.

Participates in the design, implementation and the ongoing evaluation of the physician peer review program in collaboration with physician leaders and Medical Staff Department.

B.

Collaborates with Committee Chairs in developing meeting agendas and setting priorities and in leading improvement efforts related to Peer review.

C.

Conducts assigned collection, aggregation and reporting of Medical Staff Performance Improvement measures as approved by the Medical Staff Departments.

D.

As assigned collects and abstracts data for Medical Staff Performance Improvement activities such as OPPE and FPPE activities.

E.

As assigned prepares and generates Peer Review Summary reports.

F.

As assigned provides Monitoring and Statistical reports to Medical Staff Committees.

7.

Participates in regulatory activities and surveys, using working knowledge of CMS/Joint Commission, and Title 22 standards.

8.

Performs any other duties or responsibilities as assigned.

Traininq and Experience:

1.

Current CA RN License.

2.  Minimum of 2 years experience in Quality/Risk Management at an acute care hospital

3.  Knowledge of Core measures, TJC accreditation and patient care evaluation methodology, including criteria development and data analysis techniques preferred.

4.  Demonstrated effective verbal and written communication skills to both small and large groups.

5.  Proficient in the use of computers, including Micro-Soft Office Products ( Excel, Word, Access, PPT).

6.  Familiarity with the peer review process

7.  Proficient at: Conducting Internet searches for clinical guidelines/standards of practice. Appropriate display of graphical and statistical information.

Contact: (none)

If you have any questions regarding this new position please contact (none) at (none).