Performance Improvement Coordinator

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 leadership and committees in the identification, trending, and analysis of clinical quality issues and collaborates to facilitate resolution of these issues. Manages specific data for internal and external reporting and plays a key role in accreditation and survey processes within the organization.

**Please note: This is a regional Stroke Program Performance Improvement Coordinator Position

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education Required - Associates degree in healthcare or related field. Preferred - Bachelor’s degree in a healthcare or related field.

Work Experience Required - 5 years of related experience in healthcare or quality improvement.

Knowledge Skills and Abilities (KSAs) Knowledge of regulatory and accrediting standards. General knowledge and understanding of the principles and theories of quality management and continuous quality improvement. Expert knowledge of common statistical programs, spreadsheet and database management and word processing. Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. Must have computer skills and dexterity required for data entry and retrieval of information. Proficiency in using computers, software, and web-based applications. Excellent organizational and time management skills and presentation and facilitation capabilities. Strong team management and interpersonal skills. Ability to travel throughout and between facilities.

Job Duties 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 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 stroke program performance improvement, clinical patient safety and statistical analysis. 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.

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.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. There is no occupational risk for exposure to 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.

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Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.