Work Shift:

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview:

Performance Improvement Coord

JOB CODE:40313

FLSA Exemption Status: Exempt

SUMMARY (BASIC PURPOSE OF THE JOB)

MINIMUM REQUIREMENTS

Education: Bachelor’s Degree in Nursing, Healthcare Administration, or other healthcare-related field; or ten years of healthcare quality experience.

Experience: Five years Staff RN/LPN experience in acute care environment with three years experience in quality management or other discipline with substantially similar responsibilities.

Other Credentials: Registered Nurse - NJ

Knowledge and Skills: Highly analytical with strong grasp of both qualitative and quantitative data skills necessary in finding solutions to difficult and complex problems. Uses initiative and independent judgment to manage multiple projects simultaneously. Excellent coaching, organizational, interpersonal, verbal and written communication, and conflict resolution skills.

Special Training: Intermediate to advanced computer skills. Experience with data analysis and management of clinical databases.

Mental, Behavioral and Emotional Abilities:

Usual Work Day:8 Hours  

REPORTING RELATIONSHIPS

Does this position formally supervise employees? No

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS

• Facilitates and supports performance improvement (PI) and patient safety initiatives or assigned area to promote clinical excellence and patient safety.
• Performs complex analysis and trending of data through review of reported events, case screening, and data abstraction.
• Prepares and designs meaningful reports that include statistical analysis, interpretation, monitoring and benchmarking of clinical data.
• Attends in-service training sessions and seminars to maintain and improve knowledge of performance improvement techniques.
• Designs and maintains database system for compilation and reporting of program metrics with incorporation of benchmarks and comparative data.
• Develops meaningful dashboards and reports for departments, divisions, committees and staff.
• Utilizes with a high degree of competence PI methodology and PI tools such as flow mapping, fish bones, root cause analyses to facilitate and drive process improvement in an expert manner.
• Reviews charts for quality concerns including adverse occurrences. Establishes timelines and exercises discretion and judgment when identifying concerns for review to improve processes.
• Performs chart review to identify if variation from quality of care exists and to determine the need for peer review.
• Identification of cases for peer review and education to promote quality of patient care.
• Investigates quality of care concerns from providers, payers and patients/ families.
• Supports several medical staff departments and major clinical areas with performance improvement initiatives and quality outcomes.
• Develops and monitors action plans.
• Participates in other initiatives and programs and performs other duties as assigned by the Director of the department.
• Responsible to maintain confidentiality of sensitive information.
• Attends in-service training sessions and seminars to maintain and advance knowledge of performance improvement techniques.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: Wrist position deviation , Keyboard use/repetitive motion

Occasional physical demands include: Sitting , Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Pinching/fine motor activities

Continuous physical demands include:

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing

Anticipated Occupational Exposure Risks Include the following: N/A

Offers are contingent upon successful completion of our onboarding process and pre-employment physical.  Capital Health will require all applicants to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.