To assist with daily operations of the Quality & Risk Management processes as it relates to the Hospital Department, including evaluating quality and risk management issues and planning appropriate intervention under the Director’s guidance.
Essential Job Duties:
Actively participates in concurrent case review to assure that evidence-based best practices are implemented timely for core measures patients.
Responsible for the retrospective data abstracting of all of selected outcome indicators that are required for completion of Core Measure submission.
Assists with the medical staff Peer Review process by reviewing and preparing case summaries and time lines.
Assist the Director in providing risk management support to patients and investigating issues and conducting root cause analyses.
Manage, plan, organize, coordinate and improve functions associated with accreditation and regulatory compliance
Chair inpatient and emergency department performance improvement committees and serve as a member on related hospital committees.
Exhibits customer and service oriented behaviors in every day work interactions.
Demonstrates a courteous and respectful attitude to internal workforce and external customers.
Provides accurate and timely written and verbal communication of information in a manner that is understood by all.
Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome.
Able to use IT systems in an accurate and proficient manner.
Contributes toward effective, positive working relationships with internal and external colleagues.
Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organization.
Completion of an accredited school of nursing program (LVN or RN), preferred
Prefer at least 5 to 7 years of current experience in an acute care setting
Registered Nurse or Licensed Vocational Nurse, preferred
Healthcare accreditation or quality certification, preferred
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Such accommodations must be requested by the employee/applicant in order to be considered.
Required to stand; walk; sit; use hands to fingers, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; talk and hear; and may taste and smell. The employee is regularly required to lift, push and/or pull weights in excess of 10 pounds, with assistance. Visual abilities, auditory abilities, must be intact to perform duties.