JOB SUMMARY: The Quality RN Coordinator reports to the Director of Quality and will perform and provide a variety of services related to the administrative function of MMHS. Will prepare reports in final form, submit ORYX data, submit Core Measure data, schedule meetings, take meeting minutes, monitor event reports, participate in safety and security rounds, conduct research, and special assignments as directed by the manager. Assists in supporting and coordinating CMS, Joint Commision and other related surveys.
PERFORMANCE DIMENSIONS AND TASKS
ESSENTIAL FUNCTION
1. Provides ongoing quality assurance support and resource information to the Director of Quality regarding Title 22, CMS, The Joint Commission, EMTALA, HIPAA, and other regulatory compliance.
2. Assists the Director of Quality with the implementation of the performance improvement plan by MMHS.
3. Participates in the development of meaningful criteria to evaluate the quality and appropriateness of the patient care provided.
4. Participates in the development of criteria to evaluate and measure patient risk minimization efforts.
5. Participate in the corrective action plans to be implemented when indicator measurement is below the predetermined threshold.
6. Assists in revisions of the risk management and quality assurance policies and procedures to reflect current methodology.
7. Assists the Director of Quality in meeting the quality assurance goals and objectives.
8. Assists in the central processing system by which quality assurance data is collected, analyzed, and reported.
9. Assists in the standardization of reports, questionnaires and assists in comparative studies, data analysis, and interpretation.
10. Performs regular monitoring and tracers of the hospital and clinic sites to assure safety, quality of care, CMS, and The Joint Commission compliance.
11. Performs as a principal facilitator of process management for performance improvement through various activities in committees, workgroups, tracers, teams, and one-on-one coaching and education.
12. Performs various complex clerical tasks, utilizing knowledge of office systems and procedures, facility regulations, and interdepartmental functions.
13. Operates computer and peripheral equipment to test and run routinely scheduled programs
14. May perform typing, photocopying, and collating.
15. Assists in the timely collection and submission of Core Measure data and ORYX data to the facilities vendor or CMS.
16. Communicates effectively to the Director of Quality and solves problems efficiently and effectively.
17. Builds and maintains effective working relationships with others. Deals with patients, physicians, employees, and visitors in a friendly and cordial manner.
18. Understands and communicates various software applications and evaluates departmental processes.
19. Shall attend staff meetings and record minutes for the Director of Quality.
20. Shall compose and route routine correspondence for the Director of Quality.
21. Participates in complaint investigations and reporting when necessary.
22. Prepares confidential and special reports, including periodic statistical reports for the Director of Quality.
23. Assists in Joint Commission, CDPH, CMS, and Title 22 surveys.
24. Assists in the maintenance of the Policy and Procedure system.
25. Assists in the maintenance of the event reporting system.
26. Performs other duties as assigned.
QUALIFICATIONS
Education: Registered nurse graduate from an accredited program, Required.
Advanced degree in a health care related field, Desirable.
A Bachelor’s degree with appropriate knowledge, experience, and skills, Desirable.
Experience: Proficiency preferred using Microsoft Office applications including Word, Excel, and PowerPoint. Excellent interpersonal and communication skills. Strong leadership qualities (task completion, change management, motivation). Ability to organize and manage multiple projects. Experience with identified Quality Improvement model/program.
3 years of patient services experience in clinics or Hospital, Required.
Experience in electronic health record documentation, review and data analysis, Strongly Desired.
Licensing Requirements: Current CA Registered Nurse license
Language Requirements: None
Physical Demands: Must be able to sit for 6 hours and stand/walk for 2 hours or more per day. Must be able to bend, reach overhead and kneel. Must be able to push/pull up to 50 pounds. Manual dexterity is necessary for each and skillful use of the hands when working with equipment.
Special Demands: Ability to work well with others and to perform a variety of assigned duties.
DISCLAIMER: The preceding job description has been designed to indicate the general nature and level of work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
