Quality & Risk Management Coordinator

POSITION SUMMARY

This position is responsible for establishing a quality assurance system that promotes customer satisfaction, risk assessment, and improvement performance of the facility. Leads and directs performance/process improvement activities that provide more efficient and streamlined workflow in a hospital environment. Presents results of improvement efforts and ongoing performance measures of clinical processes within the hospital to the management team. He/she also has oversight responsibility for regulatory body surveys, such as DNV, State Licensing Review, CMS Validation surveys. Maintains oversight responsibility for all quality and performance improvement activities conducted throughout the hospital.

POSITION QUALIFICATIONS

Certified Professional in Healthcare Quality is preferred. The knowledge and abilities required to perform this function are typically acquired through training and experience equivalent to four (4) years of experience in an acute care hospital setting. Nursing management experience is desirable but not required.

Special/Skills and/or Equipment Used: Demonstrated ability to plan, set, and accomplishes multiple objectives. Attention to detail, exhibit self-direction, high degree of independence, judgment and discretion, teaching ability, effective oral and written communication skills, demonstrated ability to work effectively with others as a team member. Requires the ability to work with highly confidential and sensitive information. Must have analytical and problem solving skills as well as the ability to coordinate and communicate effectively with diverse others including, colleagues, managers, medical staff and be able to teach and develop others. Must be able to prioritize, make decisions and set clear expectations for others. Must possess excellent negotiation skills. Must be computer knowledgeable.

Access to Protected Health Information: This position may have access to protected health information on a given project. The protected health information, this position may access demographic information, date of service information, Insurance/billing information and/or medical record summary information. This position requires patient health information in order to perform the functions outlined as part of this position description.

DUTIES AND RESPONSIBILITIES

·         Develop, implement, manage and integrate strategic plans for overall health care improvement, which includes Quality Indicators, Compliance reporting, Patient Satisfaction survey, and Performance Improvement processes.

·         Serve as the primary quality control resource for problem identification, resolution, loss reporting and continuous improvement.

·         Support concurrent engineering efforts by participating in design development projects representing quality assurance and the customer.

·         Establish and implement metrics (process capability, control charts, measurement quality) for monitoring system effectiveness and to enable managers to make sound product quality decisions.

·         Perform root-cause analysis and other problem solving activities to identify effective corrective actions and process improvements.

·         Educate and train employees as to their impact in the quality management system when needed.

·         Establish collection and analysis systems of statistical data to predict trends that will affect improvement of product quality.