RN, Perioperative QA Coordinator - Baroness Hospital - Quality - Full-time

Job Summary

The RN, Perioperative QA Coordinator will report to the Director- Patient Safety, Quality and Accreditation. The RN, Perioperative QA Coordinator will assist with routine regulatory compliance auditing, coordinate the Surgical Service Division Quality program. The RN, Perioperative QA Coordinator, Interprets and implements quality assurance standards in the perioperative setting to ensure quality patient care. Reviews quality assurance standards, and audits existing policies and procedures to ensure they meet evidence-based best practice. Conducts audits to evaluate effectiveness patient safety & quality improvement initiatives as well as regulatory requirements. The QA Coordinator will co-chair the surgical quality committee, ensuring use of data driven strategies for quality improvement. Employee will ensure meeting minutes are distributed and reviewed by necessary parties for approval and/or discussion. This position will work in conjunction with the Surgical Division Leadership to maintain the highest standard of patient care.

Education

Required:

• Graduate from an accredited School of Nursing
• Bachelor's degree in nursing or health related field
  
  

Preferred

Master's degree in nursing or health related field.

Experience

Required Knowledge, Skills, and Abilities:

• 5 years of OR experience
• 2 years of leadership/process auditing experience
• Strong listening, written and verbal communication skills
• Proficient knowledge of Microsoft Office applications, spreadsheet/graphics, presentation
• Working knowledge of regulatory guidelines to ensure compliance across the Surgical Services Division
• Project management skills
• Assertive, resourceful, motivated
• Willingness to ask questions and take initiative without direction
• Demonstrates ability to prioritize, organize, and complete daily work both independently and with team members
• Demonstrates creative problem-solving with a focus on teamwork and collaboration
• Extraordinary attention to detail
• Ability and versatility to manage changing priorities
• Commitment to excellence, high standards of integrity, professionalism, and trustworthiness is required
• Demonstrates positive attitude
• Demonstrates ability to interact well and collaborate with other EHS groups (such as Leadership, Medical Staff, Compliance, Legal, Quality and Human Resources Departments)
• Working knowledge of ISO 9001:2015 and DNV Healthcare NIAHO standards
  
  

Preferred: Previous management experience

Position Requirement(s): License/Certification/Registration

Required

• Current licensure to practice nursing in the State of Tennessee
• CNOR or ASPAN Certification
  
  

Preferred: N/A

Department Position Summary

• Coordinates and implements regulatory assessment and review activities across EHS
• Continually monitors progress toward identified goals and objectives to support the continual accreditation compliance of EHS
• Implements, and evaluates methods for collecting and analyzing data; collaborates with data abstractors and/or directly manages platforms for collecting, maintaining and reporting data
• Compiles comprehensive statistical and narrative data; assists with the preparation of official assessment reports to summarize findings
• Oversight of the Surgical Services Quality portfolio related to compliance and/or regulatory standards
• Ensure compliance with the Document Control Standards
• Coordinate and organize committee meetings related to Quality/Regulatory discussions, including documenting, maintaining & disseminating meeting minutes to the appropriate parties
• Continuous monitoring of Surgical Services Corrective Action Plans and Internal Audit Program plans in compliance with required ISO & NIAHO Standards
• Performs miscellaneous job duties as assigned.
  
  

Erlanger Baroness Hospital Chattanooga, TN

RN, Perioperative QA Coord.

Standard Hours

Regular