Clinical Quality Coordinator II - Quality Administration

Job Requirements

Position Summary:

To be fully engaged in providing Quality/No Harm, Customer Experience, and Stewardship by: measuring the functioning of important processes and services, identifying changes that enhance performance, ensuring the improvements are sustained, and maintaining a continuous level of patient safety and accreditation readiness with regulatory agencies.

Primary Accountabilities:

Engagement:

• Works closely and effectively with all members of the Quality and Outcomes Management team, and collaboratively with associates of all disciplines to ensure patient safety and quality.

Quality/No Harm:

• Coordinates and provides direction to the facility's quality committees, including medical staff, nursing and hospital based committees or others as assigned, by providing accurate and timely information and written communication

1. Acts as chair or facilitator
2. Documentation and dissemination of minutes
3. Preparation of agendas
4. Follow-up to open items

• Accurate reporting to other committees as required
• Provides accurate and timely clinical data to appropriate committees or groups and identifies opportunities for improvements

1. Collect data or oversee processes
2. Aggregate and analyze data
3. Provide benchmarks
4. Verify statistical measures

• Oversees collection, analysis and preparation of data for entry into specific databases and maintains the integrity of the information.
• Acts a resource for data abstraction and analysis as requested by departments and the medical staff.
• Performs analysis, reviews and summaries, and facilitates proper use of information
• Maintains all hard copy and or electronic files for a period of seven years related to accreditation standards and Performance Improvement activities.
• Maintains responsibility of knowledge and skill of clinical applications
• Coordinates and provides support to the clinical peer review process by providing accurate and timely information for quality initiatives

1. Accurate and timely medical records requests
2. Accurate and timely chart review and documentation
3. Follow-up with specific physicians
4. Develop focus studies as needed
5. Documentation to the Quality Improvement Organizations (QIOs) if required

• Facilitates Quality Improvement Teams per policy.

1. Knowledgeable of team models
2. Provide education to team members and staff
3. Acts as team facilitator or leader as requested

• Oversight for the Department Indicator monitoring and performance measurement for the corporate and facilities goals.
• Acts as a resource with regulatory agencies and makes recommendations for compliance, and prepares mandatory requirements as required

1. Joint Commission Readiness
2. Florida Medical Quality Assurance, Inc. (FMQAI)
3. Centers for Medicare and Medicaid Services (CMS)
4. Agency for HealthCare Administration (AHCA)

• Proactively seeks opportunities to identify and reduce risks to the safety of patients

1. Knowledgeable of the Failure Modes and Effects Analysis (FMEA) and Root Cause Analysis (RCA) processes
2. Utilizes documentation templates for the FMEA and RCA
3. Participates in risk reduction strategies

Customer Experience:

• Respects and assists all associates and customers appropriately.
• Maintains patient confidentiality as per professional ethics and HIPAA mandates.

Stewardship:

• Works within budgetary constraints.

Work Experience:

Qualifications Required:

• RN with at least 5 years acute care clinical experience
• Minimum of 4 years experience in clinical settings in quality improvement required
• Current license to practice nursing in the State of Florida required.
• Bachelor's degree nursing or related science preferred
• Demonstrated proficiency with computer software, word processing, graphics, spreadsheet, GroupWise and Microsoft Office
• Presentation skills and knowledge of presentation software required
• Strong interpersonal, communication, organizational skills
• Ability to maintain positive working relationships with all levels within the organization
• Analytical abilities required to recognize and resolve problems requiring technical or clinical interventions
• Able to prioritize work and manage time
• Able to work flexible hours for early and late meetings

Physical Demands:

• Ability to sit for long periods of time and perform typing skills using hand dexterity up to two hours at a time, 6-8 hours per day
• Ability to work flexible and/or long hours as required
• Must be able to bend and reach at all times
• Must be able to carry a minimum of 20 lbs.
• Must have visual acuity/near depth perception, visual acuity/far depth perception at all times
• Must be able to hear and speak clearly

Mental Demands:

• Ability to coordinate multiple tasks on an ongoing basis
• Ability to adapt to changing organizational requirements and business applications
• Ability to identify priorities

Benefits:

About Health First:

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.

Schedule:

Full-Time

Shift Times:

8:00am-4:30pm

Paygrade:

PG-PG-PG-PG-39