RN Performance Improvement Coordinator

Pursue Your Purpose

Exceptional care starts with exceptional people. For us, this is more than a job it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to discover your passion, reach your potential, and Pursue Your Purpose. Exceptional care starts with exceptional people and teams. Together we are leading the way.

This job collaborates with department managers and committees in the identification, trending and analysis of clinical quality issues and facilitates resolution of these issues in a collaborative fashion. Plays a key role in accreditation and survey processes within the organization as well as the Advanced Certification Specialty programs, where applicable. The performance improvement and regulatory responsibilities of this role primarily support the stroke program, with job duties focused on stroke program operations, stroke metrics, regulatory readiness and performance improvement initiatives.

Education

Required - Graduate of an accredited school of nursing.

Preferred - Bachelor's degree in nursing.

Work Experience

Required - 3 years of experience as a professional nurse in an acute care setting.

Preferred - 5 years of experience as a professional nurse in an acute care setting.

Certifications

Required - Current registered nurse (RN) license in the state of practice.

Knowledge Skills and Abilities (KSAs)

• Proficiency in using computers, software, and web-based applications.
• Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Knowledge of regulatory and accrediting standards.
• General knowledge of quality management and continuous quality improvement.
• Ability to work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability) and travel throughout and between facilities.

Job Duties

• Conducts report analysis on occurrences, outcomes and other indicators.
• Participates in various organization committees and councils to provide data analysis, trended reports and direction for performance improvement initiatives.
• Provides education to the organization related to performance improvement, clinical patient safety and statistical analysis.
• Acts as a resource to the organization for all regulatory requirements, including conducting regularly scheduled Joint Commission Mock Surveys and facilitates organizational continued Joint Commission readiness.
• Participates in risk management through the identification, trending and follow up of clinical issues.
• Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
• Performs other related duties as required.
• Coordinate day-to-day stroke program activities to support safe, timely, evidence-based care and consistent implementation of stroke standards, protocols, order sets, pathways, and program expectations.
• Maintain ongoing readiness for stroke certification and regulatory requirements by supporting documentation review, tracer activities, surveyor materials, and compliance with organizational, Joint Commission, and applicable regional or state stroke system standards.
• Collect, validate, monitor, analyze, and report stroke quality data, including treatment timelines, documentation compliance, clinical outcomes, complications, transfers, registry measures, internal scorecards, and leadership reports.
• Identify performance trends, care gaps, workflow barriers, and improvement opportunities using chart review, data analysis, event review, and multidisciplinary feedback; lead or support action plans to improve stroke care delivery and patient outcomes.
• Serve as a stroke program resource and liaison for multidisciplinary stroke teams.
• Support clinical workflow reliability across the stroke continuum through stroke program meetings and program leader collaboration

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Duties performed routinely require exposure to blood, body fluid and tissue. The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain diseases. There may be an occupational risk for exposure to all communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.